جستجوی مقالات مرتبط با کلیدواژه "انتقال بیمار" در نشریات گروه "پزشکی"

Due to the obviousness of musculoskeletal disorders in health workers, especially patient carriers, we felt it necessary to check the prevalence of musculoskeletal pain in these workers by correcting their posture.  

The study is semi-experimental. First, a self-made demographic questionnaire was made on the level of awareness, and a Nordic questionnaire along with a numerical rating scale to measure the amount of pain related to musculoskeletal disorders was completed for all participants. Then, theoretical and practical interventions were carried out to correct posture using occupational medicine, ergonomics, and sports specialists, and again one month and six months later, questionnaires were completed and data were collected. In the end, data analysis was done with SPSS version 24 software.

Descriptive statistics show that interventions aimed at correcting postures, reduce the average pain scores for different body parts of patient carriers. The most prevalent musculoskeletal disorder was back pain.Statistical analysis showed that comparing the average score of back pain (p=0.000), neck (p=0.014), shoulder (p=0.006), knee (p=0.006), and leg (p=0.016) in patient carriers before There is a significant difference between postural correction and six months later.However, comparing the average pain score of the elbow (p=0.18), wrist (p=0.06), back (p=0.3), and thigh (p=0.08) at the end of six months after correcting the posture, no significant difference was observed.

 It seems that correcting the posture while carrying and moving the patient with the help of occupational medicine, ergonomics, and sports specialists can reduce musculoskeletal pain in medical workers, especially patient carriers. It was also seen that correcting posture has the fastest and highest effect on reducing back, neck, shoulder, knee, and leg pain.

Inter-hospital transfer refers to the transfer of patients to receive diagnostic, therapeutic and paraclinical services that can prevent more injuries or more effective treatment. The present study was designed with the aim of collecting and analyzing information related to sent patients and identifying the factors that cause the transfer of patients.

This cross-sectional study was conducted on 11,362 patient referral forms registered at Gilan University of Medical Sciences. Data were analyzed by Spss statistical software version 22 and Chisquer statistical test.

The amount of patient transfer requests in 1401 compared to 1400 has increased by 9%. There is a relationship between the demand for transfer of patients with inappropriate distribution of specialized human resources, lack of demand feedback mechanisms, ineffective planning of nursing staff and residency of doctors in the hospital of origin, inefficient management of resources and equipment, lack of diagnostic, medical and pharmaceutical facilities, as well as with the seasons of the year. There is significant (p>0.05). There is a significant relationship between non-acceptance of patients and the lack or lack of beds needed by the patient in the destination hospital (p<0.05).

Improper distribution of specialized manpower according to the needs of the region, ineffective planning of resident guards, inefficient management have been identified as the main reasons for the demand for patient transfer. Forming a special working group to identify, evaluate, plan and monitor the removal of obstacles in a centralized manner and forming quality improvement circles can be a solution.

thousands of people die or suffer from irreversible damage due to lack of timely and adequate services in medical centers. This research seeks to identify and prioritize factors affecting the demand for patient transfer and provide the most effective measures to facilitate this process.

This research is combined in terms of method and inductive research in terms of type of research. The population of study is the senior and middle managers of Guilan University of Medical Sciences who were selected as a sample member using purposive sampling method. The factors affecting patient transfer demand were identified using qualitative data obtained from exploratory studies, then these factors were prioritized using fuzzy Delphi method.

In the first part, a set of factors affecting the demand for patient transfer were identified, and in the second part, the importance and priority of these factors were determined. The results of the research showed fourteen main factors, including disproportionate distribution of specialized human resources, ineffective planning, inefficient management, and inefficiency of human resources.

Inefficient organizational processes and organizational structures along with real needs have been identified as reasons for patient transfer demand,which requires special attention of supervisors and management of organizational development and administrative transformation of universities. It seems that the formation of a special monitoring and planning working group to remove obstacles in a centralized manner at the highest organizational level and a special look at the reports of the care monitoring center as the most effective measure can be used to manage the dispatch process, planning, Monitor and remove obstacles.

Pre-hospital care is a multidimensional concept with multiple definitions, but the first aid and transportation concept remains unclear. The aim of this study was to clarify the first aid and transportation concept in pre-hospital combat medical care.

The Walker-Avant approach was used for the analysis of the concept of first aid and transportation. This approach is one of the methods of conceptualization and concept development that ultimately leads to the development of the theory. Databases of PubMed, Web of Sciences, Ovid, Iran Medex, Magiran, SID were searched using keywords of "First aid and transportation", and "pre-hospital care". Totally 728 articles were found to be published between 2010-2020 in Persian or English. eighty-eight articles were found to be suitable after initial screening. Irrelevance or without full text articles, were excluded. Finally, 9 articles were analyzed based on Walker and Event analysis steps, and the definition, applications, features, premise, implications and experimental referrals were extracted for the concept of first aid and transportation in pre-hospital care.

Concept analysis showed that the concept of first aid and transportation is synonym with concepts such as helping, immediate care, and life preservation. This concept has a complex process characterized by the concepts of rapid response, life-saving, commitment, expertise, responsibility, and is in contrast with the terms of irresponsibility and time-consuming. This concept is related to the concepts of border rescue, pre-hospital care, self-aid and buddy-aid in combat medicine.

Identifying and analyzing the first aid and transportation concept is a most used strategy for increasing the knowledge to make changes in combat medicine and crisis management. It is completely context-based and is influenced by climatic conditions, culture, literacy level, public education, public health, communications and guidelines. It is also related to the provision of pre-hospital care services provided by medical staff, especially nurses in terms of quantity and quality. Skillful resuscitation leads to more life-saving. Responsibility and commitment give credit to first aid and transportation.

When transferring patients admitted to hospitals due to coronavirus disease 2019 (COVID-19), it is necessary to take appropriate measures to maintain the safety of patients and staff. The aim of this study was to design a checklist and evaluate in-hospital transfer status of patients with COVID-19 disease in emergency departments.

In this cross-sectional study, a checklist for evaluation of in-hospital transfer of patients with COVID-19 in the emergency department was designed, and then assessed. The initial in-hospital transfer checklist was prepared based on data from guidelines and published articles regarding patients with COVID-19. Its validity was confirmed using face validity (by 20 emergency nurses). Then, the items were evaluated in terms of content validity in both quantitative and qualitative methods. To evaluate the content validity in a quantitative way, the content validity ratio (CVR) coefficient and the content validity index (CVI) were used. Waltz and Basel methods were used to determine CVR from the panel of experts and for CVI, respectively. Using the final checklist, the transfer status of patients with COVID-19 in three stages (before, during, and after transfer) by three samplers, from May to September 2020, in the emergency departments of selected hospitals in Qazvin City, Iran.

In this study, the modes of transmission of 167 patients during 501 observations were investigated. Errors occurred in 50.9% of transfers, especially during transfer (32.9%), the most important cases of which included reduction of arterial blood oxygen saturation, decrease and increase in blood pressure, and incompliance with transfer protocols including non-disinfection of transmission routes (73.7%), lack of hand hygiene (74.6%), and non-replacement of personal protective equipment (60.5%).

The results of the study showed that the most accidents were reduction of arterial blood oxygen saturation and hypotension, respectively, which occurred in terms of time, mainly during patient transfer.

Following the outbreak of Coronavirus disease 2019 (COVID-19) in the world, the issue of relocating infected patients and personal protection to prevent this new and mysterious disease has been raised and followed up. One of the most important and serious complications of transmission of this disease is nosocomial transmission. Therefore, the first and the most important issue is to examine the need for patient transfer. Also, the necessary precautions for the transfer of this group of patients should be pre-defined and seriously implemented and followed up. The required health protocols and precautions can be categorized into four main categories: patient safety, health care and security staff, safety of those likely to be on the move, and disinfection of equipment used after transfer and relocation. Inter and intra-hospital transportation involves various challenges and risks. This article is a review of field research and defined protocols that have been conducted and implemented during the pandemic period of COVID-19 virus disease, which can be used to improve the mobility of patients by considering the conditions and facilities of our country.This research was conducted using search engines in reputable databases including Scopus, Web of Science, PubMed Science Direct, Google Scholar and review of scientific interviews and conferences held on the transfer of coronary heart disease patients and patients with acute conditions or intensive care requirements. As COVID-19 is a new emerging disease and due to lack of sufficient and convincing evidence on the various and possibly unknown dimensions of this disease, studies and protocols present for the transmission of other patients with acute and infectious diseases have been used in this study.

Regarding the vital role and function of pre-hospital emergency and the need for regular performance monitoring, particularly for determining indicators, we investigated the association of pre-hospital emergency time indicators and clinical status and outcome in patients transferred to emergency in Zanjan.

In this descriptive cross-sectional study, from all pre-hospital emergency missions in Zanjan province registered in 2018, we randomly selected 806 calls that led to patients’ transfer to medical centers. Next, we extracted their corresponding information (e.g., time indicators) and demographics using 115 emergency forms. Patients’ outcomes and clinical status after transfer were extracted using their emergency files.

Of 806 patients transferred by pre-hospital emergency, 61% (490 patient) were male and 39.2% (316 patient) were female. The mean age of patients was 28 years. Most pre-hospital emergency contacts were related to trauma caused by accidents (50.1%) and internal trauma (15.7%), respectively. In terms of time indicators, the average time was 0.9 min (delay time), 8.41 min (response time), 11.9 min (scene time), 39.92 min (mission time), 19.96 min (Transfer time), and 74.61 minutes (total mission time). Regarding the outcome of transferred patients, the highest frequency was related to patient discharge (55.9%), hospitalization (12.7%), transfer to other centers (1.1%), and death (2%). In terms of vital signs, 1% of the patients had 3 and 0 Glasgow coma scale, 89.3% had Glasgow scale of 15, 91.4% support above 90%, 7.7% oxygen saturation below 90%, and 32% had a heart rate in the normal range of 70 to 78.

The results showed that traffic accidents in Zanjan are the top causes of trauma in its hospitals. Overall, the dispatch timing was appropriate, and emergency personnel operated quickly in patients with poor clinical conditions.Based on the results of this study and future studies, appropriate planning was done to improve the indicators.

Most critically ill patients admitted to intensive care units need to be transferred to perform diagnostic and therapeutic procedures. This transfer can be associated with adverse events such as disorders of various cardiovascular systems, respiration and nerves. The purpose of this study was to determine the incidence of adverse events related to physiological changes during transfer from Intensive Care Units (ICU) in Jahrom Pimanyani Hospital, Jahrom, Iran.

In this descriptive cross-sectional study, data on patient transfers from the ICU of a university hospital were collected from 9 February 2019 to 10 August 2019. Descriptive and analytical statistics indices were analyzed by SPSS software 22.

Out of 588 cases of transfer, 536 patients (91.2%) had adverse events. Actually, 351 (65.5%) of the adverse events were related to physiological changes in the body. The most common adverse events in cardiovascular, respiratory, gastrointestinal, and endocrine systems included an increase of heart rate(≥ 20)  by 15.9%, a 5% decrease in SPO2 for more than one minute by 32.5%, agitation by 15.1%; vomiting by 15.1% and hypoglycemia by 0.2%.  The most common adverse event was increased pain by 11.4%. The results of chi-square test showed that there was a significant relationship between gender and the incidence of adverse events (p-value = 0.035).

The results showed that the incidence of adverse events during the transfer is high, which can be due to lack of equipment needed during the transfer, illness of patients and also human errors due to inadequate training of the transfer team. It is recommended to help reduce the incidence of adverse events by standardizing the equipment needed during the transfer as well as giving necessary training to the transfer team. The existence of numerous and serious physiological deficiencies of patients in need of special care is indicative of numerous managerial and organizational problems that are in conflict with the safety of patients at risk.

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.

 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).

 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.

Safe inter-hospital transfer of high-risk neonate is a part of hospital care. Due to the high rate of inter-hospital transport and the importance of family presence as a key element in infant care (family-centered care), this study aimed to determine the extent of carrying out family-centered care during the inter-facility transport of high risk neonates.

In this descriptive cross-sectional study, 150 parents of neonates transferred from the hospitals of the Mazandaran Province, Iran, to neonatal intensive care unit (NICU) of the only children's subspecialty center in this province, and 150 members of the neonatal transport team were selected using non-random sampling convenient method in 2018. The data were collected using a researcher-made questionnaire about the implementation of family-centered care during the inter-facility transport with 8 questions for transport team and 12 for parents with yes or no answer, and analyzed using SPSS software.

 88% of transport team members (132 case) and 66.7% of the parents (100 case) stated that family-centered care during the transport of neonates was desirable; and there was a significant difference between them (P = 0.001). In contrast, 30 parents (20%), 91 members of the transport team (60.7%) acknowledged that it was possible for the parents to make skin to skin contact during and before the transfer of the baby; the imbalance of responses in the parent group and transport team was significant, too (P = 0.001).</div>

Although from the viewpoint of most the members of the transport team and the parents, family-entered care during the inter-hospital transport was optimal, but both groups stated that the skin contact between the parents and the baby was not well provided; this need more education.