[1]ÀîÌÒ×ËÕÂÁˆÐì·ïÁáºúÉÙ»ªÑîΰ¸ßæÃ¹¬¾ê Ð칧ϼ ²ÌÔºìÁõ¸Ö.¹¹½¨ECMOÖ§³Ö»¼ÕßÔº¼ÊתÔ˰²È«Ä£Ê½[J].ÖйúÎÀÉúÖÊÁ¿¹ÜÀí,2022,29(02):081-87.[doi:10.13912/j.cnki.chqm.2022.29.2.19 ]
¡¡LI Taozi,ZHANG Chong,XU Fengling.Construction of the Safety Mode of Inter-Hospital Transport for ECMO Supporting Patients[J].Chinese Health Quality Management,2022,29(02):081-87.[doi:10.13912/j.cnki.chqm.2022.29.2.19 ]
µã»÷¸´ÖÆ

¹¹½¨ECMOÖ§³Ö»¼ÕßÔº¼ÊתÔ˰²È«Ä£Ê½
·ÖÏíµ½£º

¡¶ÖйúÎÀÉúÖÊÁ¿¹ÜÀí¡·[ISSN:1006-7515/CN:CN 61-1283/R]

¾í:
µÚ29¾í
ÆÚÊý:
2022Äê02ÆÚ
Ò³Âë:
081-87
À¸Ä¿:
QCС×éÆ½Ì¨
³ö°æÈÕÆÚ:
2022-02-28

ÎÄÕÂÐÅÏ¢/Info

Title:
Construction of the Safety Mode of Inter-Hospital Transport for ECMO Supporting Patients
×÷Õß:
ÀîÌÒ×ËÕÂÁˆÐì·ïÁáºúÉÙ»ªÑîΰ¸ßæÃ¹¬¾ê Ð칧ϼ ²ÌÔºìÁõ¸Ö
°²»ÕÒ½¿Æ´óѧµÚÒ»¸½ÊôÒ½Ôº
Author(s):
LI TaoziZHANG ChongXU Fengling
The First Affiliated Hospital of Anhui Medical University
¹Ø¼ü´Ê:
¿ÎÌâÑо¿ÐÍÆ·¹ÜȦ°²È«ÒòËØ¿ò¼ÜÀíÂÛECMOÔº¼ÊתÔË»¼Õß°²È«
Keywords:
Research-Oriented Quality Control Circle Security Factor Framework Theory ECMO Inter-Hospital Transport Patient Safety
·ÖÀàºÅ:
R197.323;R654.1
DOI:
10.13912/j.cnki.chqm.2022.29.2.19
ÎÄÏ×±êÖ¾Âë:
B
ÕªÒª:
È·±£»¼Õß°²È«ÊÇÔº¼ÊתÔ˵ÄÖØµã¿ÎÌâ¡£°´ÕÕ¿ÎÌâÑо¿ÐÍÆ·¹ÜȦ»î¶¯²½Ö裬Õë¶ÔECMOÖ§³Ö»¼ÕßÔº¼ÊתÔËÏÖ×´¡¢ÎÊÌâ½øÐзÖÎö£¬»ùÓÚ°²È«ÒòËØ¿ò¼ÜÀíÂÛ£¬¾­¹ý¿ÆÑ§Ñ­Ö¤¡¢×¨¼ÒÖ¸µ¼¡¢×¨¼Òº¯Ñ¯µÈ£¬ÒÔÖØÖ¢Ò½Ñ§¿ÆÎªÖ÷µ¼£¬ÒÔ120¼±¾ÈÖÐÐÄΪÇÅÁº£¬ÒÔתÕïҽԺΪ»ù´¡£¬¹¹½¨ÁËECMOÖ§³Ö»¼ÕßÔº¼ÊתÔ˰²È«Ä£Ê½£¬ÓÅ»¯ÁËECMOÔº¼ÊתÔ˰²È«¹ÜÀí·½°¸£¬ÐγÉÁËÈýλһÌåÔº¼ÊתÔËͬÖÊ»¯ÅàѵÌåϵ£¬´òÔìÁËרҵ¡¢¸ßЧµÄECMOÔº¼ÊתÔËÍŶӡ£Ä£Ê½µÄʵʩ£¬Ìá¸ßÁËÔº¼ÊתÔËЧÂÊ£¬¼õÉÙÁËÔº¼ÊתÔËÏà¹Ø²¢·¢Ö¢·¢ÉúÂÊ£¬±£ÕÏÁËECMOÖ§³Ö»¼ÕßÉúÃü°²È«¡£
Abstract:
Ensuring patient safety is a key issue in inter-hospital transport. According to the activity steps of research-oriented quality control circle, in view of inter-hospital transport of the ECMO supporting patients, the current situation and problems were analyzed. Based on safety factor framework theory, through scientific evidence-based, expert guidance and enquiry for experts, dominated by intensive medicine, taking 120 emergency center as the bridge and the referral hospital as basis, the safety mode of inter-hospital transport for ECMO supporting patients was constructed. It optimized the ECMO inter-hospital transport safety management scheme, formed a trinity inter-hospital transport homogenization training system, and created a professional and efficient ECMO inter-hospital transport team. Through the implementation of mode, the efficiency of inter-hospital transport was improved, the incidence of complications related to inter-hospital transport was reduced, and the life safety of patients supported by ECMO was ensured.

²Î¿¼ÎÄÏ×/References:

£Û1£ÝÁú´å,ºîÏþÍ®,ÕÔ¾Ù.ECMOÌåÍâĤ·ÎÑõºÏ£ÛM£Ý.2°æ.±±¾©£ºÈËÃñÎÀÉú³ö°æÉ磬2016£º1-20. £Û2£ÝMaratta C£¬Potera RM£¬Van Leeuwen G£¬et al.Extracorporeal life support organization (ELSO): 2020 pediatric respiratory ELSO guideline£ÛJ£Ý.ASAIO J£¬2020£¬66£¨9£©£º975-979. £Û3£ÝPaden ML£¬Conrad SA£¬Rycus PT£¬et al. Extracorporeal life support organization registry report 2012£ÛJ£Ý.ASAIO J£¬2013£¬59£¨3£©£º202-210. £Û4£ÝÀî³ÊÁú,ºîÏþÍ®,ºÚ·ÉÁú.2019ÖйúÌåÍâÉúÃüÖ§³ÖÇé¿öµ÷²é·ÖÎö£ÛJ£Ý.ÖлªÒ½Ñ§ÔÓÖ¾,2019,99(24):1911-1915. £Û5£ÝDroogh JM, Smit M, Absalom AR, et al.Transferring the critically ill patient: are we there yet£ÛJ£Ý.Crit Care,2015,19(1):62.ÿ?‚„ £Û6£ÝCabrera AG, Prodhan P£¬Cleves MA£¬et al.Interhospital transport of children requiring extracorporeal membrane oxygenation support for cardiac dysfunction£ÛJ£Ý.Congenit Heart Dis, 2011,6(3):202-208.£Û7£ÝEricsson A, Frenckner B, Broman LM. Adverse events during inter-hospital transports on extracorporeal membrane oxygenation£ÛJ£Ý.Prehosp Emerg Care,2017,21(4):448-455. £Û8£Ý ÖÜÐË÷,·½·¼,ÕÅÑþ,µÈ.³ÉÈËÌåÍâĤÑõºÏÖ§³ÖÏÂתÔ˲»Á¼Ê¼þÑо¿½øÕ¹£ÛJ£Ý.»¤ÀíÑо¿£¬2018,32(22):4-8. £Û9£ÝVincent C, Taylor-Adams S, Chapman EJ, et al.How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and risk management protocol£ÛJ£Ý.BMJ£¬2000£¬320£¨7237£©£º777-781. £Û10£ÝVincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine£ÛJ£Ý.BMJ£¬1998£¬316£¨7138£©£º1154-1157. £Û11£Ý³ÌÁá,°¢¶û×ιÅÀö¡¤ÂóÂóÌáͶûÑ·.н®¿¦Ê²Ò½»¤ÈËÔ±¶Ô¼±Î£ÖØÖ¢»¼ÕßÔºÄÚתÔ˵ÄÈÏÖªÓëʵ¼ùÇé¿öµ÷²é£ÛJ£Ý.ʵÓÃÁÙ´²»¤Àíѧµç×ÓÔÓÖ¾£¬2019£¬4£¨34£©£º159. £Û12£ÝÆá¾°Çï.Î£ÖØ²¡120¼±¾ÈתÔËÖеĹ۲ìÓ뻤Àí£ÛJ£Ý.ÁÙ´²Ò½Ò©ÎÄÏ×µç×ÓÔÓÖ¾,2018,5(71)£º96.£Û13£Ý÷ÕÃèå.»ù²ãÒ½Ôº¼±ÕïÎ£ÖØ»¼ÕßÔºÄÚתÔ˲»Á¼Ê¼þÔ­Òò·ÖÎö¼°¶Ô²ß£ÛJ£Ý.»¤ÀíѧÔÓÖ¾,2015,30(5):51-53. £Û14£ÝÅíÇÚ±¦,Ëï»ÛÃÀ,κºìÔÆ,µÈ.Ò»Ìå»¯ÒÆ¶¯µ¥ÔªÔÚECMOÔºÄÚתÔ˵ÄÓ¦Óü°»¤Àí£ÛJ£Ý.ʵÓÃÁÙ´²»¤Àíѧµç×ÓÔÓÖ¾,2019,4(13):92-93,95. £Û15£ÝÍõÕÑÕÑ,ÉòСÇå,ºÎϸ·É,µÈ.ÐÄѪ¹ÜÄÚ¿ÆECMO»¤Àí±ê×¼Á÷³ÌµÄ½¨Á¢ºÍʵʩ£ÛJ£Ý.»¤ÀíѧÔÓÖ¾,2019,35(15):37-39. £Û16£ÝãÆÏܸÕ,½Öý½ñ,Ö£¼Ì´ä,µÈ.ÓҲྱ²¿Öùܽ¨Á¢ÌåÍâĤ·ÎÑõºÏÖÎÁÆÎ£ÖØÖ¢»¼¶ù£ÛJ£Ý.Öлª¶ù¿ÆÔÓÖ¾,2016,54(7):515-517. £Û17£ÝBroman LM, Holzgraefe B, Kenneth Palm¨¦r, et al.The Stockholm experience: interhospital transports on extracorporeal membrane oxygenation£ÛJ£Ý.Critical Care£¨London, England£©,2015,19(1):278.

ÏàËÆÎÄÏ×/References:

[1]Éò½à ³ÂÔ°Ô° ÆîÁÁ ºÎ½¡ ÐìÇìÏé ÕÅÃ÷ ¿×ì¿ì¿ Íõéó Ê·¾¼ ½â¼ÑÆæ Áõ±¦Èð ËïÈØÈØ.¹¹½¨¶àѧ¿ÆÐ­×÷µÄÔ­·¢ÐԸΰ©Ò½ÁÆÐÂģʽ[J].ÖйúÎÀÉúÖÊÁ¿¹ÜÀí,2019,26(03):093.[doi:10.13912/j.cnki.chqm.2019.26.3.26]
[2]²ÌÊ«Äý Öî¶ÅÃ÷ »Æ¿¡·å Ö£ÒãöÁ ÅË˼ÃΠκÄþ ËïÕ¿.¹¹½¨Ò½ÁªÌåЭ×÷VTE·ÀÖÎģʽ[J].ÖйúÎÀÉúÖÊÁ¿¹ÜÀí,2020,27(01):114.[doi:10.13912/j.cnki.chqm.2020.27.1.29]
[3]²ÌÁ¢°Ø ÁõÑÓ½õ ÃϼªÆ½ ´ÞÃîÈ» µ×ÈðÇà ÀîÓ¢ ¹ùÔ°Àö Ò¶ÁÕ ÁõÑôÑô Íõ±ò.ȫϥ¹Ø½ÚÖû»Êõºó¿Ö¶¯Ö¢¶àѧ¿ÆÐ­×÷¹ÜÀíģʽ¹¹½¨[J].ÖйúÎÀÉúÖÊÁ¿¹ÜÀí,2020,27(03):083.
¡¡CAI Libai,LIU Yanjin,MENG Jiping,et al.Establishment of A Multidisciplinary Collaborative Management Model for Kinesiophobia in Patients Following Total Knee Arthroplasty[J].Chinese Health Quality Management,2020,27(02):083.
[4]ÕÅÇíÂÀµÂÕäÓàÄÈÕÔÓñÀîȺÃçËØÇÙ.¹¹½¨ERASÀíÄîÏ»úÆ÷ÈËÊÖÊõ¹ÜÀíģʽ[J].ÖйúÎÀÉúÖÊÁ¿¹ÜÀí,2020,27(06):091.[doi:10.13912/j.cnki.chqm.2020.27.6.23]
¡¡ZHANG Qiong,LV Dezhen,YU Na,et al.Constructing the Management Model of Robot Surgery under ERAS Concept[J].Chinese Health Quality Management,2020,27(02):091.[doi:10.13912/j.cnki.chqm.2020.27.6.23]
[5]¹ØÑÇÇìÕÅÏþÑôãÆÊç¾êÍõÀÙ»ÆÌïÕÅÎâÓñÑà.¹¹½¨Éñ¾­Íâ¿ÆICUÎ£ÖØ»¼Õß¹ý¶ÉÆÚYÐÍ·¾¶±ê×¼»¯»¤Àíģʽ[J].ÖйúÎÀÉúÖÊÁ¿¹ÜÀí,2020,27(06):096.[doi:10.13912/j.cnki.chqm.2020.27.6.24]
¡¡GUAN Yaqing,ZHANG Xiaoyang,YAN Shujuan,et al.Constructing the Transitional Period Y-Type Pathway Standardized Nursing Model for Critical ICU Patients in Neurosurgery Department[J].Chinese Health Quality Management,2020,27(02):096.[doi:10.13912/j.cnki.chqm.2020.27.6.24]
[6]ÐíÀòÀò¬ËÕÐìÈʵ¹˹úáÉÉÛÃã²ÜÀÙÎâºèÒêÒ¦³¿Áá.¹¹½¨Ò½ÁªÌåÆ½Ì¨Ï¼±ÐÔÐØÍ´»¼ÕßÖǻۻ¯¹ÜÀíģʽ[J].ÖйúÎÀÉúÖÊÁ¿¹ÜÀí,2021,28(01):064.[doi:10.13912/j.cnki.chqm.2021.28.1.18 ]
¡¡XU Lili,LU Su,XU Rende.Constructing the Intelligent Management Mode of Patients with Acute Chest Pain under the Medical Consortium Platform[J].Chinese Health Quality Management,2021,28(02):064.[doi:10.13912/j.cnki.chqm.2021.28.1.18 ]
[7]½¯æ«Ð»´ä»ªÂÞÏéÈØÀ×ÂúϼÀî¼ÊÃô×ÞÃγ¿²Üçø¸ß·½.»ùÓÚÈý¼¶Ô¤·ÀµÄÌÇÄò²¡×ãÈ«³Ì¹ÜÀíģʽ¹¹½¨[J].ÖйúÎÀÉúÖÊÁ¿¹ÜÀí,2021,28(02):068.[doi:10.13912/j.cnki.chqm.2021.28.2.21 ]
¡¡JIANG Ya,XIE Cuihua,LUO Xiangrong.Construction of Diabetic Foot Whole-Process Management Mode Based on Tertiary Prevention[J].Chinese Health Quality Management,2021,28(02):068.[doi:10.13912/j.cnki.chqm.2021.28.2.21 ]
[8]ÏòƼ ºúƽÁá ÖÜÆôÃÉ Éò½à Ò¶Áá ÁõÀò.¿ÎÌâÑо¿ÐÍÆ·¹ÜȦÄÚѵ¿Î³ÌÉè¼ÆÒªµã·ÖÎö[J].ÖйúÎÀÉúÖÊÁ¿¹ÜÀí,2021,28(03):062.[doi:10.13912/j.cnki.chqm.2021.28.3.19 ]
¡¡XIANG Ping,HU Pingling,ZHOU Qimeng.Key Points of Design of Project Research Type Quality Control Circle Internal Training Curriculum[J].Chinese Health Quality Management,2021,28(02):062.[doi:10.13912/j.cnki.chqm.2021.28.3.19 ]
[9]½ð×ÚÀ¼³ÂƼƼÀîÀÚÁõÁáÀò³Â÷ϼÁõÁáÈκ£µÏº«¶«ºÂ×ÚÒ« ºúÉÙ»ª.»ùÓÚ¡°»¥ÁªÍø+¡±Éñ¾­Ô´ÐÔ°òë×÷¾Éñ¾­µ÷¿Ø»¼ÕßÖǻۻ¯¹ÜÀíģʽ¹¹½¨[J].ÖйúÎÀÉúÖÊÁ¿¹ÜÀí,2021,28(05):079.[doi:10.13912/j.cnki.chqm.2021.28.5.22 ]
¡¡JIN Zonglan,CHEN Pingping,LI Lei.Construction of Intelligent Management Mode Based on "Internet Plus" Sacral Nerve Modulation of Neurogenic Bladder Patients[J].Chinese Health Quality Management,2021,28(02):079.[doi:10.13912/j.cnki.chqm.2021.28.5.22 ]
[10]ѦçÑȺ¼Æ³¤ÇÙÁõ¾°è¤ÍõÇÚʯÇàÇà³ÂÔ°Ô°½¯«hÖìÓ±´ºÉ½»ÝÖ¦ ºØ·½·½Â½·Æ·ÆËïСÁá¿×ÄÈ.»ùÓÚÒ½»¤»¼Ð­×÷µÄ¸¨ÖúÉúÓýÖÎÁÆÖÐÂѳ²¹ý¶È´Ì¼¤×ÛºÏÕ÷È«Á÷³ÌÕïÁÆÄ£Ê½¹¹½¨[J].ÖйúÎÀÉúÖÊÁ¿¹ÜÀí,2021,28(06):085.[doi:10.13912/j.cnki.chqm.2021.28.6.23 ]
¡¡XUE Miaoqun,JI Changqin,LIU Jingyu.Construction of a Whole-Process Diagnosis and Treatment Mode for Ovarian Hyperstimulation Syndrome in Assisted Reproductive Therapy Based on Doctor-Nurse-Patient Collaboration[J].Chinese Health Quality Management,2021,28(02):085.[doi:10.13912/j.cnki.chqm.2021.28.6.23 ]

¸üÐÂÈÕÆÚ/Last Update: 2022-02-28