关键词: SHEL模型；体外膜肺氧合；院内转运；安全管理；重症护理

Abstract: Objective: To explore the application effects of the safety management strategy based on the SHEL (Software-Hardware-Environment-Liveware) model in the intra-hospital transport of patients undergoing Extracorporeal Membrane Oxygenation (ECMO) treatment, and to provide a reference for the safety management of ECMO transfer. Methods: Using the purposive sampling method, 23 ECMO patients in the respiratory intensive care unit of a tertiary grade A hospital in Beijing from January 2021 to December 2022 were admitted to the control group, and the routine ECMO transport process was implemented. The 23 ECMO patients admitted from January 2023 to March 2024 were selected as the intervention group, in which the safety management strategy based on the SHEL model for ECMO intra-hospital transport was implemented. The ECMO transport efficiency, the occurrence of transport-related adverse events and the comprehensive disposal ability of the team were compared between the two groups. Results: The intervention group demonstrated significantly reduced pre-transport preparation time [(12.59±1.27) min vs (13.62±1.52) min] and transport transit time [(23.53±2.16) min vs (25.44±3.16) min] compared to the control group (P<0.05). Scores for both technical ability (78.40±0.55 vs 76.20±1.79) and non-technical ability (18.20±0.84 vs 15.60±1.82), as well as the overall scores (96.60±1.14 vs 91.80±3.56)were significantly improved (P<0.05). There was no significant difference in transport-related adverse events between the two groups (P>0.05). Conclusion: Nursing intervention based on the SHEL model can effectively enhance the efficiency of ECMO transportation and the comprehensive disposal ability of the team, and improve the safety of ECMO transportation within the hospital.

Key words: SHEL model; Extracorporeal Membrane Oxygenation; intra-hospital transport; safety management; intensive care