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Báo cáo y học: "Road trips and resources: there is a better way"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Road trips and resources: there is a better way. | Swoboda et al. Critical Care 1997 1 105 http ccforum.com c CRITICAL CARE RESEARCH Open Access Road trips and resources there is a better way Sandra Swoboda1 John A Castro2 Karen A Earsing3 Pamela A Lipsett1 Abstract Background Transport of critically ill patients for diagnostic and or therapeutic management involves significant consumption of resources. In an effort to improve the delivery of care to these patients and decrease resource utilization Hill-Rom Batesville IN USA have developed a self-contained device CarePorterTM designed to provide both intensive care unit ICU support and transport capability. We hypothesized that the use of the CarePorter when compared with a standard or specialty bed with transfer to a stretcher would decrease the number of personnel and time required for transport without altering the current ICU standards of care. Results Over a 3 month period 35 ventilated patient transports were divided into the following groups specialty bed to stretcher n 13 standard bed n 9 and CarePorter n 13 . The APACHE II score at the time of transport was not different between the groups nor was the ongoing care being delivered. The CarePorter group had a statistically greater fractional inspiration of oxygen and positive end expiratory pressure when compared with the other two groups P 0.05 . The use of the CarePorter device decreased the number of personnel required to transport a patient 2.1 0.3 vs 3.6 0.5 for the standard bed and and 3.2 0.7 for the specialty bed P 0.0001 . The CarePorter also decreased the number of resources utilized for the preparation of a patient for transport P 0.001 when compared to the other groups. This was primarily due to the transfer of patients from specialty beds to a stretcher. Overall respiratory therapy time was also much less with the CarePorter 5.9 5.7 min when compared with the standard 26 10 min or specialty bed 22 11 min P 0.0008 . In addition the CarePorter group also had a higher nursing satisfaction score .