Critical patient transfer method based on danger stratification

Abstract

The invention relates to the technical field of medical transfer, in particular to a critical patient transfer method based on risk stratification, which comprises the following steps of: performing preliminary evaluation by outpatient doctors; according to a preliminary evaluation result, performing outpatient treatment and hospitalization treatment; family members are informed of medical risks of patients in time, and medical safety is guaranteed; the resident physician performs risk assessment and grading on the admission patient; grading according to the risk assessment, wherein the patients are divided into low-risk patients, medium-risk patients and high-risk patients; performing pre-transshipment evaluation on the determined and graded patients; after evaluation before transfer is completed, a transfer channel corresponding to classification is selected; an obstacle warning line corresponding to the transfer channel is started through a master control center at the bottom of the transfer trolley; according to the invention, through dangerous layering and obstacle cleaning of the transfer channels, smooth transfer of critical patients can be ensured, the optimal medical time is gained, personnel injury is prevented, and the risk of medical safety accidents is avoided.

Description

Technical Field

[0001] The present invention relates to the technical field of medical transport, and in particular to a method for transporting critically ill patients based on risk stratification. Background Art

[0002] The transfer method of critically ill patients should be prepared and implemented according to their risk stratification. The uncertainty of the number of critically ill patients transferred and the severity of their illness determines the difficulty of emergency resource allocation and the importance of resource optimization. Graded transfer allows for the rapid and efficient allocation of emergency resources in a dynamic environment. Comprehensive grading is performed based on the patient's vital signs, respiratory and circulatory support, and corresponding transfer personnel and equipment are equipped according to the grading standards.

[0003] In order to ensure the safety of critically ill patients' transportation, a series of measures need to be taken, including improving the professional quality of transport personnel, strengthening the management of instruments and equipment, setting up secondary rescue stations, procedural transport processes, comprehensive and accurate assessments, sufficient coordination and communication, and appropriate protective restraints. These measures can effectively reduce the risks in the transport process and ensure the safety of patients. However, if obstacles are not cleared before the transport vehicle arrives, collisions are likely to occur during the transport route, which not only hinders the transport of critically ill patients and affects their optimal medical time, but also easily causes personal injuries and leads to medical safety accidents. Therefore, it is particularly important to improve the existing critically ill patient transport methods and design a critically ill patient transport method based on risk stratification to solve the above technical defects. Summary of the invention

[0004] The purpose of the present invention is to provide a method for transporting critically ill patients based on risk stratification. The method for transporting critically ill patients based on risk stratification can classify patients and select corresponding transfer channels for patients in different risk strata for transfer. The main control center is used to activate the obstacle warning line to clear the obstacles in the transfer channel, thereby effectively avoiding collisions during the transfer route. It can not only ensure the smooth transfer of critically ill patients and strive for the best medical time, but also prevent personal injury and avoid the risk of medical safety accidents, so as to solve the problems raised in the above-mentioned background technology.

[0005] To achieve the above object, the present invention provides the following technical solutions:

[0006] A method for transferring critically ill patients based on risk stratification comprises the following steps:

[0007] Initial evaluation by outpatient physician;

[0008] Divided into outpatient treatment and inpatient treatment according to the initial assessment results;

[0009] Inform family members of patients’ medical risks promptly to ensure medical safety;

[0010] Resident physicians conduct risk assessment and grading of admitted patients;

[0011] According to the risk assessment, the patients are divided into low-risk patients, medium-risk patients and high-risk patients;

[0012] Conduct pre-transport assessment on patients after confirmed classification;

[0013] After completing the pre-transfer assessment, select the transfer channel corresponding to the classification;

[0014] Use the master control center at the bottom of the transfer vehicle to activate the obstacle warning line of the corresponding transfer channel;

[0015] Enter the corresponding transfer channel to transfer the stratified patients and provide care during transfer for the patients at that level;

[0016] Upon arrival at the designated medical department, hand over the patient to that department and provide post-transfer care for that level of patient;

[0017] After completing patient handover and post-transfer care, use the main control center at the bottom of the transfer vehicle to turn off the obstacle warning device of the corresponding transfer channel.

[0018] As a preferred embodiment of the present invention, the pre-transport assessment in the steps is divided into pre-transport assessment for low-risk patients, pre-transport assessment for medium-risk patients, and pre-transport assessment for high-risk patients.

[0019] As a preferred solution of the present invention, the pre-transport assessment of low-risk patients mainly involves testing the patient's vital signs, checking the mental state, inquiring about the patient's medical history, etc., to ensure that the patient's condition is stable, and no special preparation is required;

[0020] The pre-transport assessment of moderate-risk patients mainly involves basic vital sign examinations, as well as attention to whether the patient's intravenous access and tubing are unobstructed, and whether special monitoring equipment, such as ECG monitoring, is required;

[0021] The pre-transport assessment of high-risk patients is a comprehensive assessment, including vital signs, medical history, special treatment needs, etc.

[0022] As a preferred solution of the present invention, the transfer channels in the steps include a transfer channel for low-risk patients, a transfer channel for medium-risk patients, and a transfer channel for high-risk patients with different paths. The starting point and the ending point of each group of transfer channels are the outpatient center and the corresponding medical department after classification, respectively.

[0023] As a preferred solution of the present invention, the master control center at the bottom of the transfer vehicle in the steps is a remote mobile master controller, and three groups of switch control buttons are arranged on the remote mobile master controller, which act on different obstacle warning lines respectively.

[0024] As a preferred solution of the present invention, the obstacle warning lines in the step include three groups, and the three groups of obstacle warning lines are used to clear the transfer obstacles of low-risk patients, medium-risk patients, and high-risk patients respectively.

[0025] As a preferred solution of the present invention, any one of the three groups of obstacle warning lines includes several groups of wall-mounted sound and light alarms and a group of wall-mounted controllers acting on the group, and the wall-mounted controllers in each group of obstacle warning lines are wirelessly connected to the remote mobile master controller through a wireless communication module.

[0026] As a preferred solution of the present invention, the nursing during transport in the steps is divided into nursing during transport for low-risk patients, nursing during transport for medium-risk patients, and nursing during transport for high-risk patients.

[0027] As a preferred solution of the present invention, the nursing care during the transportation of low-risk patients is mainly to keep the patients comfortable, keep them warm, avoid unnecessary movement, and ensure the safe arrival of the patients;

[0028] The nursing care during the transfer of the moderate-risk patients is mainly to keep the patients' vital signs stable, and to give them medication when necessary to ensure their safety;

[0029] The care during transfer of high-risk patients requires close monitoring of the patient's vital signs, preparation of necessary emergency equipment and medicines, and measures to deal with emergencies.

[0030] As a preferred solution of the present invention, the post-transfer care in the steps is divided into post-transfer care for low-risk patients, post-transfer care for medium-risk patients, and post-transfer care for high-risk patients.

[0031] As a preferred solution of the present invention, the post-transfer care of low-risk patients mainly involves medical staff re-evaluating the patient's condition to ensure the continuity of medical care;

[0032] The post-transfer care for moderate-risk patients is mainly for medical staff to re-evaluate the patient's condition, adjust the treatment plan, and ensure that the patient receives appropriate treatment;

[0033] The post-transfer care for high-risk patients mainly requires medical staff to immediately re-evaluate the patients to ensure their safety and continuity of treatment, and provide emergency treatment when necessary.

[0034] Compared with the prior art, the present invention has the following beneficial effects:

[0035] 1. In the present invention, patients can be classified, and corresponding transfer channels can be selected for patients in different risk stratifications. The main control center can be used to activate the obstacle warning line to clear the obstacles in the transfer channel, thereby effectively avoiding collisions during the transfer. This can not only ensure the smooth transfer of critically ill patients and strive for the best medical time, but also prevent personal injury and avoid the risk of medical safety accidents.

[0036] 2. In the present invention, by setting up a low-risk patient transfer channel, a medium-risk patient transfer channel, and a high-risk patient transfer channel with different paths, it is convenient to independently transfer patients with different risk stratifications during the transfer process, effectively avoiding transfer blockage during the transfer of patients with different risk stratifications, and further improving the practicality and timeliness of the overall transfer method. BRIEF DESCRIPTION OF THE DRAWINGS

[0037] Figure 1 It is a schematic diagram of the process of the critically ill patient transport method based on risk stratification in the present invention;

[0038] Figure 2 This is a schematic diagram of the control connection of the master control center in the present invention;

[0039] Figure 3 It is a schematic diagram of the obstacle warning line control structure in the present invention;

[0040] Figure 4 It is a schematic diagram of the distribution of the sound and light alarms of the transfer channel in the present invention;

[0041] Figure 5 This is a schematic diagram of the installation position of the remote mobile master controller in the present invention;

[0042] In the figure: 1. Remote mobile master controller; 2. Obstacle warning line; 3. Sound and light alarm; 4. Wall-mounted controller. DETAILED DESCRIPTION

[0043] The technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, rather than all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without making creative work are within the scope of protection of the present invention.

[0044] Example:

[0045] See also Figure 1-Figure 5 , the present invention provides a technical solution:

[0046] A method for transferring critically ill patients based on risk stratification comprises the following steps:

[0047] S1: initial evaluation by outpatient physician;

[0048] The uncertainty of the number of critically ill patients transferred and the severity of their illness determines the difficulty of emergency resource allocation and the importance of resource optimization.

[0049] S2: divided into outpatient treatment and inpatient treatment according to the initial evaluation results;

[0050] According to the preliminary assessment results, patients are divided into outpatient and inpatient treatment, so as to determine the critically ill patients who need to be transferred.

[0051] S3: Inform family members of the patient’s medical risks promptly to ensure medical safety;

[0052] S4: Resident physicians conduct risk assessment and grading of admitted patients;

[0053] S5: Determine the level according to risk assessment, which is divided into low-risk patients, medium-risk patients, and high-risk patients;

[0054] Patients are graded according to the severity of their conditions so that appropriate transport personnel and equipment can be assigned to each level, and corresponding transport channels can be selected for patients in different risk stratifications;

[0055] S6: Conduct pre-transport assessment for patients after confirmed classification;

[0056] Furthermore, the pre-transport assessment is divided into pre-transport assessment for low-risk patients, pre-transport assessment for medium-risk patients, and pre-transport assessment for high-risk patients.

[0057] Furthermore, the pre-transport assessment of low-risk patients mainly involves testing the patient's vital signs, checking their mental status, and asking about their medical history to ensure that the patient's condition is stable, and no special preparation is required;

[0058] The pre-transport assessment of moderate-risk patients mainly involves basic vital sign examinations, as well as attention to whether the patient's intravenous access and tubing are unobstructed and whether special monitoring equipment, such as ECG monitoring, is required;

[0059] The pre-transport assessment of high-risk patients is a comprehensive assessment, including vital signs, past medical history, special treatment needs, etc. Before transport, a comprehensive assessment of the patient should be conducted, including the patient's vital signs, respiratory and circulatory support needs, and whether special medical support is required. Based on the assessment results, the appropriate transport plan and necessary risk response measures should be selected;

[0060] S7: After completing the pre-transportation assessment, select a transport channel corresponding to the classification;

[0061] Furthermore, the transfer channels include a low-risk patient transfer channel, a medium-risk patient transfer channel, and a high-risk patient transfer channel with different paths. The starting point and the end point of each group of transfer channels are the outpatient center and the corresponding medical department after classification, respectively. By setting up low-risk patient transfer channels, medium-risk patient transfer channels, and high-risk patient transfer channels with different paths, it is convenient to independently transfer patients with different risk stratifications during the transfer process, effectively avoiding transfer blockages when transferring patients with different risk stratifications, and further improving the practicality and timeliness of the overall transfer method;

[0062] S8: Activate the obstacle warning line of the corresponding transfer channel using the main control center at the bottom of the transfer vehicle;

[0063] Furthermore, the main control center at the bottom of the transfer vehicle is a remote mobile master controller 1, and three groups of switch control buttons are arranged on the remote mobile master controller, which act on different obstacle warning lines 2 respectively. The obstacle warning lines 2 include three groups, and the three groups of obstacle warning lines act on the transportation obstacle clearing of low-risk patients, medium-risk patients, and high-risk patients respectively.

[0064] Furthermore, any one of the three groups of obstacle warning lines 2 includes several groups of wall-mounted sound and light alarms 3 and a group of wall-mounted controllers 4 acting on the group, and the wall-mounted controllers 3 in each group of obstacle warning lines are wirelessly connected to the remote mobile master controller 1 through a wireless communication module, and the master control center activates the obstacle warning line to clear obstacles in the transfer channel, thereby effectively avoiding collisions during the transfer route, which can not only ensure the smooth transfer of critically ill patients and strive for the best medical time, but also prevent personal injury and avoid the risk of medical safety accidents.

[0065] The specific remote control obstacle clearing operation is as follows: first, press the switch control button on the remote mobile master controller 1, and transmit the switch command to the wall-mounted controller 4 at the designated transfer channel through the wireless communication module. At this time, under the action of the wall-mounted controller 4, the sound and light alarms 3 distributed in the group of transfer channels are activated, and the patients and medical relatives in the group of transfer channels are warned by sound and light warnings. At this time, with the assistance of the medical relatives, the patients in the group of transfer channels are quickly transferred, and the medical relatives are quickly evacuated from the group of transfer channels to ensure that there are no obstacles in the group of transfer channels and the transfer is smooth. This can not only effectively ensure that obstacles are cleared before the arrival of the transfer vehicle, but also convey the transfer information to the medical department at the terminal end of the group of transfer channels, so as to facilitate the timely preparation of the patient's handover and facilitate the rapid implementation of treatment.

[0066] S9: Enter the corresponding transfer channel to transfer the stratified patients and provide care for the patients at that level during transfer;

[0067] Furthermore, nursing care during transport is divided into nursing care during transport for low-risk patients, nursing care during transport for medium-risk patients, and nursing care during transport for high-risk patients.

[0068] Furthermore, the nursing care during the transport of low-risk patients is mainly to keep the patient comfortable, keep warm, avoid unnecessary movement, and ensure the patient arrives safely;

[0069] The nursing care for patients at medium risk during transportation is mainly to keep the patient's vital signs stable, and to give medication when necessary to ensure safety;

[0070] Nursing during the transfer of high-risk patients requires close monitoring of the patient's vital signs, preparation of necessary emergency equipment and drugs, and measures to deal with emergencies. Nursing during the transfer has a significant impact on the safety and satisfaction of patients, focusing not only on the patient's physical safety but also on the patient's psychological safety. By maintaining good communication with the patient and providing necessary psychological support, the psychological trauma caused by emergencies can be reduced, thereby ensuring the overall health and safety of the patient;

[0071] S10: After arriving at the designated medical department, hand over the patient to the medical department and provide post-transfer care for the patient;

[0072] Furthermore, post-transfer care is divided into post-transfer care for low-risk patients, post-transfer care for medium-risk patients, and post-transfer care for high-risk patients.

[0073] Furthermore, the post-transfer care of low-risk patients mainly involves medical staff reassessing the patient's condition to ensure continuity of medical care;

[0074] Post-transfer care for moderate-risk patients mainly involves medical staff reassessing the patient's condition, adjusting the treatment plan, and ensuring that the patient receives appropriate treatment;

[0075] Post-transfer care for high-risk patients mainly requires medical staff to immediately re-evaluate the patient to ensure the patient's safety and continuity of treatment, and to perform emergency treatment when necessary. Post-transfer care is to ensure the continuity of medical care and continuous quality improvement, which can not only ensure the safety of the patient, but also improve the treatment effect and ensure the quality and continuity of medical care;

[0076] S11: After completing the patient handover and post-transfer care, use the main control center at the bottom of the transfer vehicle to turn off the obstacle warning device of the corresponding transfer channel. After the transfer is completed, close the obstacle warning line in time to avoid hindering the actions of other patients and their families in the hospital and restore smooth flow in the hospital.

[0077] In this embodiment, the implementation scenario is as follows: outpatient physicians make a preliminary assessment, divide the patients into outpatient treatment and inpatient treatment according to the preliminary assessment results, promptly inform the family of the patient's medical risks to ensure medical safety, and the inpatient physicians conduct risk assessment and grade the inpatients.Among them, they are divided into low-risk patients, medium-risk patients, and high-risk patients. After the classification is confirmed, the patients are evaluated before transfer. For low-risk patients, the pre-transport assessment mainly involves testing the patient's vital signs, checking the mental state, inquiring about past medical history, etc., to ensure that the patient's condition is stable and no special preparation is required. For medium-risk patients, the pre-transport assessment mainly involves basic vital signs examination, paying attention to whether the patient's intravenous access and pipeline are unobstructed, and whether special monitoring equipment, such as ECG monitoring, is needed. For high-risk patients, the pre-transport assessment is a comprehensive assessment, including vital signs, past medical history, special treatment needs, etc. Before transfer, the patient should be comprehensively evaluated, including the patient's vital signs, respiratory and circulatory support needs, and whether special Special medical support, etc. After completing the pre-transfer assessment, select the transfer channel corresponding to the grade, use the master control center at the bottom of the transfer vehicle to activate the obstacle warning line of the corresponding transfer channel, first press the switch control button on the remote mobile master controller 1, and transmit the switch command to the wall-mounted controller 4 at the designated transfer channel through the wireless communication module. At this time, under the action of the wall-mounted controller 4, the sound and light alarms 3 distributed in the group of transfer channels are activated, and the sound and light warnings are used to warn the patients and medical relatives in the group of transfer channels. At this time, with the assistance of the medical relatives, the patients in the group of transfer channels are quickly transferred, and at the same time, the group of transfer channels is quickly evacuated to ensure that there are no obstacles in the group of transfer channels and enter the corresponding transfer channel. The channels will transfer the stratified patients and provide nursing care during transfer for this level of patients. For low-risk patients, the nursing care during transfer is mainly to keep the patients comfortable, keep them warm, avoid unnecessary movement, and ensure the safe arrival of the patients. For medium-risk patients, the nursing care during transfer is mainly to keep the patients' vital signs stable, give them drug treatment when necessary, and ensure their safety. For high-risk patients, the nursing care during transfer requires close monitoring of the patients' vital signs, preparation of necessary first aid equipment and drugs, and measures to deal with emergencies. After arriving at the designated medical department, the patients will be handed over to the medical department, and post-transfer nursing will be provided to the patients at this level. For low-risk patients, the post-transfer nursing is mainly for medical staff to re-evaluate the patients' conditions to ensure the continuity of medical care. Continuity, for medium-risk patients, post-transfer care is mainly for medical staff to re-evaluate the patient's condition, adjust the treatment plan, and ensure that the patient receives appropriate treatment. For high-risk patients, post-transfer care is mainly for medical staff to immediately re-evaluate the patient to ensure the patient's safety and continuity of treatment, and perform emergency treatment when necessary to complete patient handover and post-transfer care. The main control center at the bottom of the transfer vehicle is used to turn off the obstacle warning device of the corresponding transfer channel. Compared with the existing critical patient transfer method, the present invention can not only ensure the smooth transfer of critical patients and strive for the best medical time, but also prevent personal injury and avoid the risk of medical safety accidents through risk stratification and obstacle clearing of the transfer channel.

[0078] Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that various changes, modifications, substitutions and variations may be made to the embodiments without departing from the principles and spirit of the present invention, and that the scope of the present invention is defined by the appended claims and their equivalents.

Claims

1. A method for transporting critically ill patients based on risk stratification, characterized in that: The steps include: S1: initial evaluation by outpatient physician; S2: divided into outpatient treatment and inpatient treatment according to the initial evaluation results; S3: Inform family members of the patient’s medical risks promptly to ensure medical safety; S4: Resident physicians conduct risk assessment and grading of admitted patients; S5: Determine the level according to risk assessment, which is divided into low-risk patients, medium-risk patients, and high-risk patients; S6: Conduct pre-transport assessment for patients after confirmed classification; S7: After completing the pre-transportation assessment, select a transport channel corresponding to the classification; S8: Activate the obstacle warning line of the corresponding transfer channel using the main control center at the bottom of the transfer vehicle; S9: Enter the corresponding transfer channel to transfer the stratified patients and provide care for the patients at that level during transfer; S10: After arriving at the designated medical department, hand over the patient to the medical department and provide post-transfer care for the patient; S11: After completing the patient handover and post-transfer care, use the main control center at the bottom of the transfer vehicle to turn off the obstacle warning device of the corresponding transfer channel.

2. A method for transporting critically ill patients based on risk stratification according to claim 1, characterized in that: The pre-transport assessment in step S6 is divided into a pre-transport assessment for low-risk patients, a pre-transport assessment for medium-risk patients, and a pre-transport assessment for high-risk patients.

3. A method for transporting critically ill patients based on risk stratification according to claim 2, characterized in that: The pre-transport assessment of low-risk patients mainly involves testing the patient's vital signs, checking the patient's mental state, and inquiring about the patient's medical history to ensure that the patient's condition is stable and no special preparation is required; The pre-transport assessment of moderate-risk patients mainly involves basic vital sign examinations, as well as attention to whether the patient's intravenous access and tubing are unobstructed, and whether special monitoring equipment, such as ECG monitoring, is required; The pre-transport assessment of high-risk patients is a comprehensive assessment, including vital signs, medical history, special treatment needs, etc.

4. A method for transporting critically ill patients based on risk stratification according to claim 1, characterized in that: The transfer channels in step S7 include a low-risk patient transfer channel, a medium-risk patient transfer channel, and a high-risk patient transfer channel with different paths. The starting point and the ending point of each group of transfer channels are the outpatient center and the corresponding medical department after classification, respectively.

5. A method for transporting critically ill patients based on risk stratification according to claim 1, characterized in that: In step S8, the master control center at the bottom of the transfer vehicle is a remote mobile master controller (1), and three groups of switch control buttons are arranged on the remote mobile master controller, which act on different obstacle warning lines (2) respectively.

6. A method for transporting critically ill patients based on risk stratification according to claim 5, characterized in that: The obstacle warning lines (2) in step S8 include three groups, and the three groups of obstacle warning lines are used to clear the transportation obstacles of low-risk patients, medium-risk patients, and high-risk patients respectively.

7. A method for transporting critically ill patients based on risk stratification according to claim 6, characterized in that: Any one of the three groups of obstacle warning lines comprises a plurality of groups of wall-mounted sound and light alarms (3) and a group of wall-mounted controllers (4) acting on the group, and the wall-mounted controllers (4) in each group of obstacle warning lines are wirelessly connected to the remote mobile master controller (1) via a wireless communication module.

8. A method for transporting critically ill patients based on risk stratification according to claim 1, characterized in that: The nursing during transportation in step S9 is divided into nursing during transportation for low-risk patients, nursing during transportation for medium-risk patients, and nursing during transportation for high-risk patients.

9. A method for transporting critically ill patients based on risk stratification according to claim 8, characterized in that: The nursing care during the transfer of low-risk patients is mainly to keep the patients comfortable, keep them warm, avoid unnecessary movement, and ensure the safe arrival of the patients; The nursing care during the transfer of the moderate-risk patients is mainly to keep the patients' vital signs stable, and to give them medication when necessary to ensure their safety; The care during transfer of high-risk patients requires close monitoring of the patient's vital signs, preparation of necessary emergency equipment and medicines, and measures to deal with emergencies.

10. A method for transporting critically ill patients based on risk stratification according to claim 1, characterized in that: The post-transfer care in step S10 is divided into post-transfer care for low-risk patients, post-transfer care for medium-risk patients, and post-transfer care for high-risk patients.

11. A method for transporting critically ill patients based on risk stratification according to claim 10, characterized in that: The post-transfer care for low-risk patients mentioned above mainly involves medical staff reassessing the patient's condition to ensure the continuity of medical care; The post-transfer care for moderate-risk patients is mainly for medical staff to re-evaluate the patient's condition, adjust the treatment plan, and ensure that the patient receives appropriate treatment; The post-transfer care for high-risk patients mainly requires medical staff to immediately re-evaluate the patients to ensure their safety and continuity of treatment, and provide emergency treatment when necessary.

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