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

摘要：

目的 构建成人有创机械通气患者院内转运安全管理专家共识（以下简称“共识”），为临床医疗团队规范开展成人有创机械通气患者院内转运，降低转运风险，保障患者安全提供参考。方法 系统检索、筛选、评价和汇总成人有创机械通气患者院内转运安全管理的相关证据，提取推荐意见，形成“共识”初稿。2024年7—10月，通过2轮专家函询和2次专家论证，结合专家意见修改、完善各条目内容，形成“共识”终稿。结果 形成的“共识”包括转运前评估与决策、转运前医护人员准备、转运前患者准备、转运前设备准备、转运前药品准备、转运中监测与治疗、突发事件及处理、转运交接及记录、转运后管理9个方面。结论 该“共识”具有较强的实用性和可操作性，可为提升成人有创机械通气患者院内转运安全提供专业指导。

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