【摘要】 目的观察清单制管理在降低儿童重型颅脑损伤术后外出CT检查中不良事件的发生率及检查耗费时间。方法选取2017年1月至2017年12月收治的42例重型颅脑损伤术后外出CT检查的患儿作为对照组,2018年1月至2018年12月收治的36例重型颅脑损伤外出CT检查的患儿作为观察组。对照组采取常规转运方法进行CT检查,观察组设计核查清单,责任护士根据清单逐项核查完成CT检查,比较两组患儿CT检查转运中不良事件发生率的情况、耗费时间的长短。结果观察组和对照组不良事件发生率分别为2.78%(1/36)、19.05%(2/42),比较差异有统计学意义,P <0.01;外出检查耗费时间观察组(15.46±1.62)min、对照组(22.52±2.58)min,两组比较差异有统计学意义,P <0.01。结论清单制管理能明显降低重型颅脑损伤患儿术后外出CT检查中的不良事件发生率,缩短检查花费时间。更多还原

【Abstract】 Objective Observation list management in reducing the incidence of adverse events and the time-consuming of outgoing CT examination in children with severe craniocerebral injury. Methods Forty-two children with severe craniocerebral injury who underwent CT examination after operation were selected as control group from January 2017 to December 2017, from January 2018 to December 2018, 36 children with severe craniocerebral injury who underwent CT examination were selected as the observation group. The control group received routine CT examination, and the design checklist of the observation group, the responsible nurse completes the CT examination according to the checklist. The incidence and the time consuming of adverse events during CT examination in two groups were compared. Results The incidence of adverse events in the observation group and the control group was 2.78%(1/36) and 19.05%(2/42) respectively, the difference was statistically significant, P<0.01. The time spent in outgoing examination was(15.46±1.62)min in the observation group and(22.52±2.58)min in the control group, the difference between the two groups was statistically significant,P<0.01. Conclusion Inventory management can significantly reduce the incidence of adverse events in postoperative outgoing CT examination of children with severe craniocerebral injury, and shorten the examination time.更多还原