The Development of Practice Guidelines for Intrahospital Transportation of Critically Ill Patients with Ventilator Using Deming Cycle

Abstract

This research consists purposes were 1. to develop a practice guideline for intrahospital transportation of critically Ill patients with ventilator using Deming cycle and 2. to study the effect of a practice guideline on adverse events: Oxygen desaturation, Dyspnea, Hypotension and Cardiac arrest. This research is quantitative research. The research tools were the practice guideline for intrahospital transportation of critically Ill patients with ventilator and an assessment form for recording adverse events from intrahospital transportation. The subjects were critically Ill patients who were intubated and ventilated at Panyananthaphikkhu Chonprathan Medical Center, both males and females, aged 18 years and over and needed to intrahospital transportation. The sample size was 74 people divided into 2 groups before and after using the guideline: each group of 37 people. The collected data were analyzed using descriptive statistics consisting of percentage, mean, standard deviation, and using Mann Whitney U Test to test the difference in adverse events from intrahospital transportation of critically Ill patients with ventilator of 2 groups. Results: 1) The Practice Guidelines for Intrahospital Transportation of Critically Ill Patients with Ventilator Using Deming Cycle consisted of 3 components: good coordination and communication before transportation, Personnel involved in moving and appropriate transport and patient monitoring equipment during transportation are available. 2) The results of comparing the occurrence of adverse events from intrahospital transportation of critically ill patients with ventilators between the practice group and the normal transport group found that the practice guideline for intrahospital transportation of critically ill patients with ventilation was lower than that of the normal transport group at a statistical significance 0.05 level (p = .026).