Practice and effect evaluation of nursing safety assurance for obstetric patients during hospital relocation based on risk management theory
基于风险管理理论的新院搬迁过程中产科病人护理安全保障实践与效果评价

摘要

目的 探讨基于风险管理理论的安全保障策略在大型新院区搬迁过程中对产科病人安全转运的应用效果。方法 以广州市妇女儿童医疗中心新院区整体搬迁为背景，运用风险管理理论框架，系统开展风险识别、评估（采用风险矩阵法）、应对与监控。通过组建多学科团队、制定标准化转运流程（SOP）、实施分类转运方案、开展应急演练及强化人员培训等综合策略，构建产科病人搬迁安全保障体系。结果 2022年9月18日，共计25名孕产妇及新生儿安全转运至新院区，过程包括集中转运与单独转运各4批次。转运期间，患者病情稳定，管路堵塞/脱落、设备障碍及病情变化等不良事件发生率为零，平均转运时间控制在20分钟，未收到任何病人及家属投诉。结论 基于风险管理理论构建的产科病人搬迁安全保障体系具有科学性与有效性，能显著降低转运风险，确保母婴安全，可为同类医疗机构的大型搬迁工作提供实践范本。

Abstract

Objective To explore the application effect of risk management theory-based safety assurance strategies on the safe transfer of obstetric patients during a large-scale new hospital relocation.
Methods Against the backdrop of the overall relocation of Guangzhou Women and Children’s Medical Center, the risk management theoretical framework was applied to systematically conduct risk identification, assessment (using a risk matrix), response, and monitoring. A comprehensive safety assurance system for obstetric patient relocation was constructed through multidisciplinary team collaboration, development of standardized transfer procedures (SOP), implementation of classified transfer plans, conduct of emergency drills, and enhanced staff training.
Results On September 18, 2022, a total of 25 pregnant and postpartum women and newborns were safely transferred to the new hospital, involving 4 batches of centralized transfers and 4 batches of individual transfers. During the transfer, all patients remained stable, with zero incidence of adverse events such as tube blockage/dislodgement, equipment failure, or clinical deterioration. The average transfer time was 20 minutes, and no complaints were received from patients or their families.
Conclusion   The safety assurance system for obstetric patient relocation, constructed based on risk management theory, is scientific and effective, significantly reducing transfer risks and ensuring the safety of mothers and infants. It can serve as a practical model for large-scale relocation projects in similar medical institutions.