Risk stratification in providing inter-facility transport： Experience from a specialized transport team
Risk stratification in providing inter-facility transport： Experience from a specialized transport team作者机构：Emergency Department Alice Ho Miu Ling Nethersole Hospital Departmentof Emergency Medical Services Kapiolani Community College University of Hawaii Honolulu Hawaii Emergency Department Pok Oi Hospital
出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)
年 卷 期：2010年第1卷第1期
页 面：49-52页
学科分类：0401[教育学-教育学] 04[教育学] 1002[医学-临床医学] 040110[教育学-教育技术学（可授教育学、理学学位）]
主 题：Inter-facility transport Specialized transport team Hong Kong
摘 要：The role of Inter-facility transport （IFT） of patients is an emerging specialty requiring service reorganization, diversion of major trauma to trauma center. This study aimed to determine the patients who are more prone to en route adverse event during the period of 22：00 to 07：00, based on critical in-patient needs provided by the Emergency Department （ED） nursing staff at Alice Ho Miu Ling Nethersole Hospital （AHNH）. This study included all 22：00 to 07：00 IFTs accompanied by ED nurses at AHNH for a period of 28 months from August 2006 until December 2008. The transports were reviewed for： （1） age, （2） gender, （3） transport configuration, （4） clinical category, and （5） physiological instability before transport. A total of 79 patients were transported during the 22：00 to 07：00 timeframe within the study period. The types of patients were mainly neurosurgical emergencies （n=32; 40.5%）, surgical emergencies （n=28; 35.4%）, and upper gastrointestinal bleeding （UGIB） （n=11; 13.9%）. En route adverse events were encountered by the accompanying nurses in 16 transports （20.3%） with a higher incidence of adverse events during transport of surgical emergencies, UGIB and patients who were physiological unstable before transport （P〈 0.05）. A specialized transport team from the ED can assist other clinical departments by providing expert care during IFT. In spite of the high quality of care, adverse events do commonly occur.
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