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The Effect of Team Configuration on the Incidence of Adverse Events in Pediatric Critical Care Transport

机译：团队配置对儿科关键护理交通不良事件发生率的影响

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摘要

ObjectiveSpecialty pediatric transport teams are widely used for pediatric interfacility transport in the United States, with little industry consensus on optimal team configuration. The aim of this study is to assess the quality of the nurse/paramedic specialty team configuration as indirectly measured by the rate of adverse events in these transports. MethodsRetrospective analysis of pediatric transport data from a hospital-based dedicated pediatric/neonatal transport team was conducted for patients transported in 2016. Data were categorized by general characteristics of transport and analyzed for the occurrence of adverse events. ResultsFive hundred sixty-four cases were analyzed. Cases were described by team configuration and then by transport mode, duration, time, patient age and acuity, and disposition. The overall rate of adverse event incidence was 8.3%, chiefly centered in device and process domains. There was no significant difference in the rate of adverse events between team configurations. ConclusionThere was no significant difference in the rate of adverse event occurrence in nurse/paramedic team configurations versus nurse/nurse configuration. Using critical care paramedics on pediatric transport teams enables a larger volume of patients to be transported to definitive care without concerns for decrease in quality or safety.
机译：玻美特普利妇女儿科运输队广泛用于美国儿科接地运输，在最优的团队配置中具有较少的行业共识。本研究的目的是评估护士/护理人员专业团队配置的质量，如这些运输中不良事件的速度间接衡量。方法对2016年患者进行医院专用儿科/新生儿运输队的儿科传输数据的方法分析。通过运输一般特征进行分类，并分析不良事件的发生。结果分析了一百六十四个病例。案例由团队配置描述，然后通过运输模式，持续时间，时间，患者年龄和敏锐度以及倾向。不良事件发病率的总体速率为8.3％，主要以设备和过程结构域为中心。团队配置之间不良事件的速度没有显着差异。结论护士/护理队团队配置与护士/护士配置的不良事件发生率没有显着差异。在儿科传输团队中使用关键护理护理人员可以将更大量的患者运送到明确的护理，而不担心质量或安全性降低。

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  • 来源
    《Air medical journal》 |2018年第3期|共13页
  • 作者

    Emily Colyer; Megan Sorensen; Shirley Wiggins; Leeza Struwe;

  • 作者单位

    Pediatric/Neonatal Critical Care Transport Team Children's Hospital &

    Medical Center;

    Pediatric/Neonatal Critical Care Transport Team Children's Hospital &

    Medical Center;

    College of Nursing University of Nebraska Medical Center;

    College of Nursing University of Nebraska Medical Center;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;
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