diplomsko delo
Robert Horvat (Author), Amalija Sazonov (Reviewer), Bernarda Djekić (Mentor), Barbara Grabljevec Kranjc (Co-mentor)

Abstract

Uvod: Kritično bolnemu pacientu v enoti intenzivnega zdravljenja ni možno vselej zagotoviti vseh potrebnih preiskav in posegov znotraj prostorov enote intenzivnega zdravljenja. V takem primeru je potrebno izvesti znotrajbolnišnični transport kritično bolnega pacienta iz enote intenzivnega zdravljenja na diagnostično ali terapevtsko enoto. Kritično bolni pacient je v času trajanja transporta ranljiv, saj je izpostavljen dejavnikom tveganja, ki lahko privedejo do pojava neželenih dogodkov. Ključni elementi za povečanje varnosti pacienta med transportom so predhodno načrtovanje, osebje, oprema, spremljanje življenjskih funkcij in komunikacija. Upravljanje s temi elementi bistveno izboljša varnost pacienta med transportom. Vloga diplomiranih medicinskih sester pri zagotavljanju varnosti pacienta med transportom je izredno pomembna. Namen: Namen diplomskega dela je bil, da s študijem relevantne literature ugotovimo najpomembnejše dejavnike tveganja, ki pripeljejo do neželenih dogodkov pri izvajanju znotrajbolnišničnih transportov kritično bolnih pacientov, ter priporočila za zagotavljanje kakovosti izvedbe transportov. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo s sistematičnim pregledom literature. Pri iskanju smo uporabili časovni okvir od leta 2006 do 2017. Literaturo v angleškem jeziku smo iskali z besedno zvezo "intrahospital transport" v podatkovnih bazah CINAHL in Medline (PubMed) ter spletnim iskalnikom Google. Slovensko literaturo smo iskali v kataloški bazi podatkov COBIB.SI z uporabo besedne zveze "znotrajbolnišnični transport". Rezultati: Na osnovi teoretičnih spoznanaj smo izdelali konceptualen okvir sistema obvladovanja kakovosti procesa znotrajbolnišničnega transporta kritično bolnega pacienta, koncept nabora vsebin za izdelavo kontrolnega seznama in primer kontrolnega seznama za nevrološko enoto intenzivne terapije ter obrazec za izvajanje presoj procesa znotrajbolnišničnega transporta kritično bolnega pacienta. Razprava in sklep: Diplomirane medicinske sestre lahko s svojimi znanji in izkušnjami v veliki meri pripomorejo k vzpostavitvi celovitega sistema obvladovanja kakovosti izvajanja znotrajbolnišničnega transporta. Vsebina diplomskega dela bi lahko bila v pomoč pri oblikovanju strategij za izboljšanje procesa znotrajbolnišničnih transportov kritično bolnih pacientov.

Keywords

diplomska dela;zdravstvena nega;bolnišnice;neželeni dogodki;protokoli;kontrolni seznami;obvladovanje kakovosti;presoja;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [R. Horvat]
UDC: 616-083
COBISS: 5346667 Link will open in a new window
Views: 1493
Downloads: 791
Average score: 0 (0 votes)
Metadata: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Other data

Secondary language: English
Secondary title: Intrahospital transport of critically ill patient
Secondary abstract: Introduction: It is not allways possible that a diagnostic or therapeutic procedure in a critically ill patient is performed in the area of an intensive care unit. In such a case, it is necessary to carry out the intra-hospital transport of a critically ill patient from an intensive care unit to a diagnostic or therapeutic unit. During the intra-hospital transport, a critically ill patient is vulnerable to risk factors that may cause adverse events. Planning, staffing, equipment, monitoring and communication are the key elements for increasing patient safety during transport. Managing these elements significantly improves patient safety during transport. The role of registred nurses in ensuring patient safety during transport is extremely important. Purpose: The purpose of the diploma work was to determine, by studying the relevant literature, what are the moste imporatant risks for adverse events during intra-hospital transport of critically ill patients and what are the recommendations for quallity assurance of transports. Methods: In the diploma work we used a descriptive method with a systematic review of literature. We searched for a time frame from 2006 to 2017. We searched literature in the English language with the phrase "intra-hospital transport" in the CINAHL and Medline (PubMed) databases and the Google search engine. We searched Slovenian literature in the COBIB.SI catalog database using the phrase "znotrajbolnišnični transport". Results: On the basis of theoretical knowledge, we developed a conceptual framework for the quality assurance for the process of intrahospital transport of a critically ill patient, the concept of a set of contents for the development of a check-list, and the example of the check-list for the neurological intensive care unit, as well as an audit tool for assessing the process of intra-hospital transport of a critically ill patient. Discussion and conclusion: Registred nurses can greatly contribute to the establishment of a comprehensive system of quality assurance for intra-hospital transports with their knowledge and experience. The diploma work could be helpful for developing strategies for improving the process of intra-hospital transport of critically ill patients.
Secondary keywords: diploma theses;nursing care;hospitals;adverse events;protocols;check-lists;quality assurance;audit;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Pages: 27 str., [11] str. pril.
ID: 10911630