مجله علوم پزشکی پارس

بروز حوادث ناخواسته و عوامل خطر مرتبط با آن در انتقال بیماران از بخش‌های مراقبت ویژه

نویسندگان

1 دنشجوی کارشناسی ارشد پرستاری مراقبت ویژه، گروه پرستاری، دانشکده پرستاری و مامایی،دانشگاه شاهد، تهران، ایران

2 استادیار،گروه پرستاری، دانشکده پرستاری و مامایی،دانشگاه شاهد، تهران، ایران

3 کارشناس ارشد آمار،مرکز تحقیقات مولفه های اجتماعی سلامت، دانشگاه علوم پزشکی جهرم، جهرم،ایران

چکیده

مقدمه: انتقال بیماران بدحال بستری در بخش‌های مراقبت ویژه که به طور عمده با هدف انجام فرایندهای تشخیصی و درمانی انجام می‌شود می‌تواند با بروز حوادث ناخواسته همراه باشد. این پژوهش با هدف تعیین بروز حوادث ناخواسته و عوامل خطر مرتبط با آن در هنگام انتقال بیماران بخش‌های مراقبت ویژه انجام شد.
روش کار: در این مطالعه توصیفی- مقطعی داده‌های انتقال بیماران در طی یک دوره شش ماهه توسط چک‌لیست حوادث ناخواسته جمع‌آوری شد. تجزیه‌ و تحلیل داده‌ها با آمار توصیفی و استنباطی (فراوانی، درصد، میانگین و انحراف معیار، آزمون مربع کای، آزمون دقیق فیشر و آزمون من ویتنی) با استفاده از نرم‌افزار SPSS نسخه 22 انجام شد.
یافته‌ها: 536 بیمار (91.2 درصد) دچار حادثه ناخواسته شدند. میزان بروز حوادث ناخواسته مرتبط با بیمار، مرتبط با کارکنان و مرتبط با تجهیزات به ترتیب 65.5 درصد، 73.3 درصد و 7.8 درصد بود. میزان بروز حادثه ناخواسته در مردان بالاتر از زنان بود (0.035=P ). میزان بروز حادثه ناخواسته در انتقال با برانکارد به‌طور معناداری بالاتر از روش‌های دیگر (0.001>P ) بود. میزان بروز حادثه ناخواسته در ICU به‌طور معناداری بالاتر از CCU بود (0.001=P ). بین بروز حادثه ناخواسته و وجود تجهیزاتی مانند کپسول اکسیژن (0.001 >P )، مانیتور قلبی (0.047=P )، ونتیلاتور پرتابل (0.004=P )، پالس اکسی متر (0.001>P ) و نرده محافظ تخت (0.001 >P ) ارتباط معنادار آماری وجود داشت.
نتیجه‌گیری: نتایج نشان داد که میزان بروز حوادث ناخواسته بالا است. سازمان‌ها باید خطرات حین انتقال را شناسایی و با آن‌ها فعالانه برخورد کنند. استفاده از چک‌لیست و ابزارهای ارتباطی مرتبط با انتقال اطلاعات می‌توانند کیفیت و ایمنی انتقال را بهبود بخشند.
 

کلیدواژه‌ها

عنوان مقاله [English]

Incidence of ar and related risk factors in the transfer of patients from intensive care units

نویسندگان [English]

  • Mahdi Asadiyan 1
  • Mohammad Reza Heidari 2
  • Hamid Reza Dolatkhah 3

1 Dept. of Nursing, School of Nursing and Midwifery, Shahed University, Tehran, Iran

2 Dept. of Nursing, School of Nursing and Midwifery, Shahed University, Tehran, Iran

3 MSC of Statistics, Social Determinants of Health Research Center, Jahrom University of Medical Sciences, Jahrom, Iran

چکیده [English]

Introduction: Transfer of critically ill patients admitted to intensive care units mainly for the purpose of performing
diagnostic and therapeutic procedures can be associated with adverse events. The purpose of this study was to determine the relationship between the incidence of adverse events and its associated risk factors during the transfer of ICU Patients.
Materials & Methods: In this descriptive cross-sectional study, patient data were collected through a checklist of adverse
events over a 6-month period. The data were analyzed by descriptive and analytical statistics using SPSS software (version 22).
Results: 536 patients (91.2%) had adverse events. The incidence of patient-related, staff-related, and equipment- related adverse events was 65.5%, 73.3%, and 7.8%, respectively. The incidence of adverse events was higher in men than women (P= 0.035). The incidence of adverse events in stroke transfer (51.9%) was significantly higher than other methods (P<0.001). Incidence of adverse events in ICU was significantly higher than CCU (P= 0.001). There was a statistically significant correlation between the occurrence of adverse events and the presence of equipment such as oxygen cylinder (P<0.001), cardiac monitor (P=0.047), portable ventilator (P=0.004), pulse oximeter (P<0.001) and bedside railing (P<0.001).
Conclusion: The results showed that the incidence of adverse events was high. Organizations must identify and actively address risks during the transition. The use of checklists and communication tools related to data transfer can improve the quality and safety of transfer.

کلیدواژه‌ها [English]

  • Adverse Events
  • Patient Transfer
  • Risk Factors
  • Intensive Care Unit
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مجله علوم پزشکی پارس
دوره 18، شماره 3 - شماره پیاپی 53
مهر 1399
صفحه 1-10