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首页> 外文期刊>African Journal of Emergency Medicine >An analysis of inter-healthcare facility transfer of neonates within the eThekwini health district of KwaZulu-Natal
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An analysis of inter-healthcare facility transfer of neonates within the eThekwini health district of KwaZulu-Natal

机译：夸祖鲁-纳塔尔省eThekwini卫生区内新生儿的跨医疗机构转移分析

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Objectives To assess the time frames for the inter-healthcare facility transfer of neonates and investigate the factors that may have led to delays in the transfer; and investigate any adverse events encountered during the transfer of the neonate. Methods A prospective study was conducted from December 2011 to January 2012. A quantitative, non-experimental design was used to undertake a descriptive analysis of 120 inter-healthcare facility transfers of neonates within the eThekwini Health District of KwaZulu-Natal. Data collection relied upon two questionnaires. Results All the transfers were undertaken by road ambulances of which 83 (62.2%) by the operational ambulance units, 35 (29.2%) by the obstetric unit and 2 (1.7%) by the planned patient transport units. Twenty nine (24.2%) were specialised transfers. The mean time ± standard deviation (SD) to complete an inter-healthcare facility transfer was 3 h 49 min ± 1 h 57 min with the minimum time of 5 min and the maximum time of 10 h 34 min. Equipment required for neonatal transport was a major problem due to poor resource allocation, and malfunctioning, inappropriate, insufficient and unsterile equipment. The study identified 10 (8.3%) physiological related adverse events which included 1 (0.8%) death and 18 (15.0%) equipment related adverse events. Conclusions The EMRS eThekwini Health District is involved in the transportation of a significant number of intensive care and non-intensive care neonates between healthcare facilities. This study has identified numerous factors affecting the efficiency of inter-facility transfer of neonates highlighting various areas requiring improvement.
机译：目的评估新生儿间医疗机构间转移的时间表，并调查可能导致转移延迟的因素;并调查新生儿转移过程中遇到的任何不良事件。方法从2011年12月至2012年1月进行了一项前瞻性研究。采用定量，非实验性设计，对夸祖鲁-纳塔尔省eThekwini卫生区内120例新生儿之间的卫生保健设施转移进行描述性分析。数据收集依赖于两个调查表。结果所有的转移都是由公路救护车进行的，其中有83辆（62.2％）由运营中的救护车，35辆（29.2％）由产科和2辆（1.7％）由计划的患者运输车进行。二十九（24.2％）是专业转移。完成一次医疗保健机构转移的平均时间±标准差（SD）为3小时49分钟±1小时57分钟，最短时间为5分钟，最长时间为10小时34分钟。新生儿运输所需的设备是一个主要问题，这是由于资源分配不足，设备故障，不适当，不足和未消毒所致。该研究确定了10例（8.3％）的生理相关不良事件，包括1例（0.8％）死亡和18例（15.0％）设备相关的不良事件。结论EMRS eThekwini卫生区参与了医疗机构之间大量重症监护和非重症监护新生儿的运输。这项研究已经确定了影响新生儿跨设施转移效率的众多因素，从而突出了需要改进的各个方面。

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