International Journal of Clinical Research

Objective To construct a nursing checklist for the transfer of critically ill cardiovascular patients based on FMEA (Failure Mode and Effects Analysis) theory, aiming to enhance the safety of transferring critically ill cardiovascular patients. Methods Based on a comprehensive review of relevant domestic and foreign literature, the first draft of the transfer and nursing execution form for critically ill patients with cardiovascular diseases was initially drafted. Subsequently, the Delphi expert consultation method was adopted. After two rounds of soliciting opinions from 10 experts in the field of cardiovascular diseases, the final version of the transfer care execution sheet was revised and established, and its reliability and validity were verified. From April 2022 to October 2022, 80 critically ill patients with cardiovascular diseases who needed to be transferred in the cardiovascular intensive care unit of a tertiary hospital in Guangzhou were selected as the research objects and divided into the control group (40 cases, implementing the conventional transfer plan) and the experimental group (40 cases, implementing the conventional transfer plan + the transfer nursing execution sheet for critically ill patients with cardiovascular diseases based on the FMEA theory). Compare the differences in the incidence of adverse events during the transfer process between the two groups of patients. Results The execution form for the transfer and care of critically ill cardiovascular patients consists of three parts: before, during and after the transfer, covering 3 first-level indicators, 17 second-level indicators and 74 third-level indicators. The reliability coefficient of the execution sheet for the transfer care of critically ill cardiovascular patients based on the FMEA theory is 0.823, and the content validity (CVI) is 0.877. The research results show that the incidence of adverse events in the experimental group during the transfer period was 12.50%, significantly lower than 37.50% in the control group, and the difference between the groups was statistically significant (P < 0.05). Conclusion The reliability and validity of the implementation of transfer nursing for critically ill patients with cardiovascular diseases are good. Its application can enhance the safety of transfer and significantly reduce the incidence of adverse events during patient transfer.

Critical care nursing; In-hospital transport; Cardiovascular disease; FMEA theory