Construction And Application Research On In-hospital Classification And Standardized Transport Scheme For Critically Ill Patients In Neurosurgery

ObjectiveTo develop a hospital transport plan for critically ill neurosurgical patients based on MEWS scores and transport checklists,and explore its clinical application effects.Provide a basis for medical staff to develop an effective and feasible method of safe transport in hospitals for critically ill neurosurgical patients.Methods(1)The MEWS score and the transfer checklist were effectively combined to construct an in-hospital grading and standardized transfer plan for severe cases based on the mews score and the transfer checklist.(2)The researchers selected 600 patients undergoing in-hospital transfer from December 2018 to June 2019 in a General third-level hospital in Hengyang,Hunan Province as the research subjects.The random number table method was used to randomly divide the research subjects into a control group and an observation group.There were 300cases in each group.The patients in the control group were given the traditional transfer method,and the patients in the observation group were given the in-hospital classification and standardized transfer scheme based on the MEWS score and the transfer checklist.The researchers compared incidence of adverse events,transfer time,and satisfaction differences between medical staff and patient family members of the two groups during the transfer.The SPSS 18.0 software was used to process and analyze the raw data.The measurement data that conformed to the normal distribution were averaged±standard deviation((?)±S)description.The data between the two groups were compared using the two-sample mean t-test or chi-square test.The count data was expressed as a percentage.P<0.05 was considered statistically significant.ResultsThe incidence of adverse events among the patients in the control group was 29.33%,among which the incidence of adverse events due to change of condition was 12.00%,and the incidence of technical adverse events was 17.33%.The transit time were(25.50±4.94)minutes.The satisfaction rate of transfer in the medical staff was 75%,and the satisfaction rate in the family members of the patients was 86%.The incidence of adverse events among the patients in the observation group was 7.00%,of which the incidence of adverse events due to change of condition was 2.67%,and the incidence of adverse events in technology was 4.33%.Transfer time were(12.58±3.17)minutes,the medical staff's satisfaction with transfer was 98%,and the patients family members'satisfaction with transfer was 97%.Incidence of in-hospital adverse events among patients in the observation group(x~2=50.326,P<0.01)and transit time(t=38.14,P<0.01)were significantly lower than those in the control group,and the satisfaction of the medical staff and the patients'family members in the observation group(x~2=22.65,P<0.01;x~2=7.779,P<0.05)were significantly higher than the control group,and the differences were statistically significant.ConclusionApplying the in-hospital grading and standardized transfer scheme based on the mews score and the transfer checklist to the in-hospital transfer of critically ill patients in neurosurgery can reduce the incidence of adverse events,shorten the transfer time,and improve the satisfaction of both doctors and patients.