A consensus to determine the ideal critical care transfer bag

Zwanenberg, Gezz Van; Dransfield, Melissa; Juneja, Rohit

doi:10.1177/1751143716658912

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…The number of professionals volunteering to work when off-duty is testament to the culture within NWLCCN, and also a legacy of NWLCCN’s previous work on transfer training, education and transfer safety. 13 , 14 To support the bank’s operations, we adopted an app-based framework. This allowed volunteers to schedule shifts according to their availability, and facilitated the automatic distribution of Hub-developed SOPs for COVID-19 ICU patient transfers and other essential information to volunteers.…”

Section: Transferring the Critically Ill From One Of London’s Hardest...mentioning

confidence: 99%

Critical care transfers and COVID-19: Managing capacity challenges through critical care networks

Pett

Leung

Taylor

et al. 2020

Journal of the Intensive Care Society

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The intensive care units in North West London are part of one of the oldest critical care networks in the UK, forming a mature and established strategic alliance to share resources, experience and knowledge for the benefit of its patients. North West London saw an early surge in COVID-19 admissions, which urgently threatened the capacity of some of its intensive care units even before the UK government announced lockdown. The pre-existing relationships and culture within the network allowed its members to unite and work rapidly to develop agile and innovative solutions, protecting any individual unit from becoming overwhelmed, and ultimately protecting its patients. Within a short 50-day period 223 patients were transferred within the network to distribute pressures. This unprecedented number of critical care transfers, combined with the creation of extra capacity and new pathways, allowed the region to continue to offer timely and unrationed access to critical care for all patients who would benefit from admission. This extraordinary response is a testament to the power and benefits of a regionally networked approach to critical care, and the lessons learned may benefit other healthcare providers, managers and policy makers, especially in regions currently facing new outbreaks of COVID-19.

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Section: Transferring the Critically Ill From One Of London’s Hardest...mentioning

confidence: 99%

Critical care transfers and COVID-19: Managing capacity challenges through critical care networks

Pett

Leung

Taylor

et al. 2020

Journal of the Intensive Care Society

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“…Simultaneously, there were incidents of missing or excess equipment despite the documentation of checks. Despite the use of transfer bags that had undergone rigorous ergonomic design, 3 there were concerns about the time and workload required to check them. In addition, the weight of the bags was implicated in a minor back injury sustained by a staff member carrying them to an emergency outside of the critical care unit.…”

Section: Problemmentioning

confidence: 99%

Novel solutions to old problems: improving the reliability of emergency equipment provision in critical care using accessible digital solutions

2022

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Reliable provision of emergency equipment in Critical Care is key to ensure patient safety during medical emergencies and transfers. A problem was identified in incident reports and external inspections of processes that ensured the provision of such equipment for use by critical care teams in non-critical care areas in the form of grab bags. A comprehensive project was undertaken to tackle this including the provision of a bespoke digital system.Existing systems were reliant on staff remembering to check equipment and document checks on paper and there was no formal ability to hand over ongoing problems. A local project management approach, ‘7 Steps to Quality Improvement’, which integrated many of the philosophies and tools from Healthcare Improvement was used. A bespoke digital system was designed and implemented with integrated improvements in equipment stocking ergonomics.The reliability of documented equipment checks improved significantly, there was a significant reduction in the number of incident reports regarding emergency equipment and the time spent by staff doing equipment checks was reduced substantially with significant cost and resource improvements. This was so successful the format has been rapidly translated and spread to other areas such as operating theatres’ difficult airway trolleys.Undertaking a structured quality improvement approach, using appropriate stakeholder engagement, digitalisation of systems and improvements in basic system ergonomics can have a substantial impact on the reliability and safety of emergency equipment provided for use by members of the critical care team.

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“…It is also important to ensure that data are sourced from a sufficient range of sites rather than a limited number, as has happened in previous studies. 59…”

Section: Crowdsourcingmentioning

confidence: 99%

Characterising and describing postpartum haemorrhage emergency kits in context: a protocol for a mixed-methods study

et al. 2021

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IntroductionPostpartum haemorrhage (PPH) is an obstetric emergency requiring prompt and accurate response. PPH emergency kits containing equipment and medications can facilitate this kind of intervention, but their design and contents vary, potentially introducing risk of confusion or delay. Designs may be suboptimal, and relying on localised kit contents may result in supply chain costs, increased waste and missed opportunities for economies of scale. This study aims to characterise contextual influences on current practice in relation to PPH kits and to describe the range of kits currently employed in UK maternity units.Methods and analysisThis mixed-methods study comprises two phases. The first will use field observations and semistructured interviews to research PPH kits in a small number (3–5) of maternity units that will be selected to represent diversity. Analysis will be conducted both using an established human factors and ergonomics framework and using the constant comparative method for qualitative data analysis. The second phase will use a research and development platform (Thiscovery) to conduct a crowdsourced photography-based audit of PPH kits currently in use in the UK. Participants will tag images to indicate which objects have been photographed. Quantitative analysis will report the frequency of inclusion of each item in kits and the content differences between kit and unit types. All maternity units in the UK will be invited to take part, with additional targeted recruitment strategies used, if necessary, to ensure that the final sample includes different maternity unit types, sizes and PPH kit types. Study results will inform future work to develop consensus on effective PPH kit designs.Ethics and disseminationApproval has been received from the UK Health Research Authority (project ID 274147). Study results will be reported through the research institute’s website, presented at conferences and published in peer-reviewed journals.

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A consensus to determine the ideal critical care transfer bag

Cited by 4 publications

References 3 publications

Critical care transfers and COVID-19: Managing capacity challenges through critical care networks

Critical care transfers and COVID-19: Managing capacity challenges through critical care networks

Novel solutions to old problems: improving the reliability of emergency equipment provision in critical care using accessible digital solutions

Characterising and describing postpartum haemorrhage emergency kits in context: a protocol for a mixed-methods study

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