构建神经外科ICU危重患者过渡期Y型路径标准化护理模式

关亚庆, 张晓阳,闫淑娟,王蕾, 黄田张,吴玉燕

Chinese Health Quality Management(2020)

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Abstract
按照课题研究型品管圈活动步骤,从普通病房、神经外科ICU、社区医院等方面了解ICU危重患者过渡期护理现状,重点发掘评估、转运、交接、回访等环节,针对存在问题,从组织与培训、多学科协作、标准化干预、护理模式等方面改进.活动后,转运总耗时由51.96min缩短至26min,ICU重返率由7.18%下降至4.76%,ICU后综合征发生率由68.21%下降至52.16%,降低了不良事件发生风险,保障了患者安全,临床效果显著.
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