Implementation of Clinical Nursing Interventions and Risk Management During the Transport of Critically-Ill Emergency Patients

Abstract

To investigate the effectiveness of a clinical nursing intervention combined with a risk prevention and control model in the transport of critically-ill emergency patients, a total of 220 critically-ill patients admitted to the Emergency Department of Deyang People’s Hospital (a city-based tertiary hospital in southwestern China) between February and July 2025 who required intra-hospital or inter-hospital transport were selected as study subjects. Using a random number table, they were evenly divided into a control group and an observation group, with 110 patients in each one. The control group received traditional emergency transport care, while the observation group received care based on the clinical nursing intervention combined with a risk prevention and control model. The study compared the effects of the two transport care interventions on the incidence of transport-related complications, the incidence of transport-related adverse events, and nursing satisfaction among critically-ill emergency patients. Results showed that both the incidence of transport-related complications and the incidence of transport-related adverse events in the observation group were significantly lower than those in the control group (P < 0.05); and patient satisfaction in the observation group was significantly higher than that in the control group (P < 0.05). In conclusion, the combination of clinical nursing interventions and a risk prevention and control model could accurately identify high-risk factors for transport, significantly reduce the incidence of complications and adverse events during transport, such as hypotension, tube dislodgement, and falls, and effectively mitigate transport safety risks. At the same time, through refined nursing services, efficient emergency response, and standardized handover procedures, it could also substantially improve nursing satisfaction among patients and their families, making it worthy of clinical promotion and application.