关键词: 急诊护理, 危重症, 院间, 患者转运, 转运决策, 循证护理学, 证据总结

Abstract:

Objective To search，evaluate and integrate the best evidence of decision making in inter-hospital transfer of critically ill patients. Methods We searched the evidence about the decision making in inter-hospital transfer of critically ill patients in Guidelines International Network，National Guideline Clearinghouse，Canadian Medical Association CPG Infobase，Scottish Intercollegiate Guidelines Network，National Institute for Health and Care Excellence，Intensive Care Society，Registered Nurses’ Association of Ontario，and Cochrane Library，PubMed，Embase，CINAHL，Web of Science，BMJ，UpToDate、CKNI，Wanfang，and other databases. The retrieval time limit is from the establishment of the databases to June 30，2022. Literature quality assessment and data extraction were performed by 2 researchers. Results A total of 6 articles were included in this study，including 4 guidelines and 2 expert consensuses，which summarized 25 pieces of evidence involving 6 categories，namely necessity assessment，benefit and risk assessment，feasibility related factors，decision-maker，informed consent，medical records. Conclusion This study summarizes the best evidence of decision making in inter-hospital transfer of critically ill patients，and suggests that the inter-hospital transfer system should be standardized，and the outcome，existing problems should be monitored，and normative assessment tools，informed consent and medical record templates should be formed to guide the decision-making.

Key words: Emergency Nursing, Critical Illness, Inter-Hospital, Patient Transfer, Decision Making, Evidence-Based Nursing, Evidence Summary