关键词: 有创机械通气, 院内转运, 安全管理, 专家共识, 危重症护理

Abstract:

Objective To establish an expert consensus on in-hospital transfer safety management for patients undergoing invasive mechanical ventilation，providing guidance for clinical medical teams to conduct standardized transfers，reduce transfer risks，and ensure patient safety. Methods Through systematic searching，screening，evaluation，and summary of evidence related to in-hospital transfer safety management for patients on invasive mechanical ventilation，we extracted recommendations to form a preliminary draft of the expert consensus. From July to October 2024，totally 2 rounds of expert consultations，and 2 rounds of expert reviews were conducted，and the content was refined and finalized based on expert feedback. Results The final consensus encompasses 9 aspects，including transfer assessment and decision-making，pre-transfer preparation of medical staff，pre-transfer patient preparation，pre-transfer equipment preparation，pre-transfer medication preparation，monitoring and intervention during transfer，emergency events and management，transfer handover and documentation，and post-transfer management. Conclusion This consensus demonstrates strong practicality and operability，offering professional guidance for enhancing the safety of in-hospital transfers for patients on invasive mechanical ventilation.

Key words: Invasive Mechanical Ventilation, In-Hospital Transfer, Safety Management, Expert Consensus, Critical Care