Abstract
BackgroundTo explore the effect of applying a comprehensive unit-based safety program (CUSP) in the intrahospital transfer of patients with critical diseases.MethodsA total of 426 critically ill patients in the first affiliated Hospital of Anhui Medical University from August 2018 to February 2019 were divided into two groups according to the time of admission. Overall, 202 patients in the control group were treated with the routine transfer method, and 224 patients in the observational group were treated with the transfer method based on the CUSP model. The safety culture assessment data of medical staff, the occurrence rate of adverse events and related causes, the time of transfer, and the satisfaction of patients’ relatives to the transfer process were compared before and after implementation of the transfer model between the two groups.ResultsBefore and after the implementation of the CUSP mode transfer program, there were significant differences in the scores of all dimensions of the safety culture assessment of medical staff (P < 0.05), and the occurrence rate of adverse events and the causes in the observational group were significantly lower than those in the control group (disease-related, staff-related, equipment-related, environment-related) (P < 0.05). The transfer time for Computed Tomography (CT), Magnetic Resonance Imaging (MRI), operating room, and the interventional room was significantly shorter in the observational group than that in the control group (P < 0.05), while the satisfaction of relatives to the transfer process was significantly higher than those in the control group (P < 0.05).ConclusionThe implementation of CUSP model for the intrahospital transfer of critically ill patients can significantly shorten the in-hospital transfer time, improve the attitude of medical staff towards safety, reduce the occurrence rate of adverse events, and improve the satisfaction of patients’ relatives to the transfer process.
Highlights
To explore the effect of applying a comprehensive unit-based safety program (CUSP) in the intrahospital transfer of patients with critical diseases
The observational group sent out 112 questionnaires, including 108 valid questionnaires, and the effective rate was 96.43%, while the control group distributed 112 questionnaires, including 106 valid questionnaires, and the effective rate was 94.64%; no significant difference was detected in the effective rate between the two groups (P > 0.05)
Beckmann et al [18] pointed out that among the 900 factors related to adverse events of Intrahospital transport (IHT) of critically ill patients, systemrelated factors accounted for 46%, and personnel-related factors accounted for 54%, and both types were associated with the hospital safety culture
Summary
To explore the effect of applying a comprehensive unit-based safety program (CUSP) in the intrahospital transfer of patients with critical diseases. The comprehensive unit-based safety program (CUSP) is a measure implemented at the unit (ward or institution) level to identify and eliminate patients safety problems and establish a safety culture within the unit [4] This method was initially piloted at Johns Hopkins Hospital in 2001 [5]. The present study introduced the CUSP program into the study of the IHT of critically ill patients in order to analyze the application effect of the method, the safety culture awareness of the medical and technical staff, the transfer time, the incidence and causes of adverse events, and the satisfaction of patients’ relatives with the transfer process that would form the basis of the clinical research
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