Interfacility Transport of Critically Ill Patients

Wilcox, Susan R.; Wax, Randy S.; Meyer, Michael T.; Stocking, Jacqueline; Báez, Amado Alejandro; Cohen, Jason; Moss, Michele; Frakes, Michael A.; Scruth, Elizabeth; Weir, William; Zonies, David; Guyette, Francis X; Kaplan, Lewis J.; Cannon, Jeremy W.

doi:10.1097/ccm.0000000000005639

Cited by 17 publications

(4 citation statements)

References 143 publications

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“…And inclusion pre-emption technique in optimization problem provides better result and reduction of overall travel time. It is noted from the survey that, Inter facility ambulance routing [30,31] was least unexplored research dimension in ARP. Inter facility ambulance service is a non-emergency medical service involves carrying patient from one hospital to other specialized hospital.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Route Optimization for Ambulance Routing Problem

Lakshmi¹,

Sekhar²,

Joseph³

et al. 2023

Advances in Health Sciences Research

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Ambulance Routing Problem (ARP) is the part of Emergency Medical Services (EMS), which provide timely medical help for those who are in need. In Medical emergency situation, the key concern is, to provide early treatment. Relocating patients quickly to neighboring medical facilities is extremely difficult given the existing traffic situation and has to be rectified. A lack of EMS owing to urbanization and several routing considerations such as the precise location of the request, traffic problems, road width, and ambulance locations are few of the difficulties. This paper summarizes a number of recent studies on ARP in routing and the issues they raised. In this survey, Routing for Ambulance vehicles is categorized as initiating ambulance from depot to injured location (response Time) and routing from injured location to nearby medical Centre (Travel Time). And, we highlighted challenging issues and constraints related to route optimization in both above mentioned category. Also emphasized the less explored research area like Interfacility hospital transfer and importance of incorporating safety metrics during Ambulance Routing.

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Section: Discussionmentioning

confidence: 99%

A Systematic Review of Route Optimization for Ambulance Routing Problem

Lakshmi¹,

Sekhar²,

Joseph³

et al. 2023

Advances in Health Sciences Research

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“…However, there are common approaches that enhance patient safety during diagnosis and initial therapy. Some rescue therapies may prompt intra- or more commonly inter-facility transfer to align patient needs with therapeutics (87).…”

Section: Methodsmentioning

confidence: 99%

State-of-the-Art Evaluation of Acute Adult Disorders of Consciousness for the General Intensivist

Chang¹,

Provencio²,

Pascual

et al. 2023

Critical Care Medicine

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Objectives: To provide a concise review of knowledge and practice pertaining to the diagnosis and initial management of unanticipated adult patient disorders of consciousness (DoC) by the general intensivist. Data Sources: Detailed search strategy using PubMed and OVID Medline for English language articles describing adult patient acute DoC diagnostic evaluation and initial management strategies including indications for transfer. Study Selection: Descriptive and interventional studies that address acute adult DoC, their evaluation and initial management, indications for transfer, as well as outcome prognostication. Data Extraction: Relevant descriptions or studies were reviewed, and the following aspects of each manuscript were identified, abstracted, and analyzed: setting, study population, aims, methods, results, and relevant implications for adult critical care practice. Data Synthesis: Acute adult DoC may be categorized by etiology including structural, functional, infectious, inflammatory, and pharmacologic, the understanding of which drives diagnostic investigation, monitoring, acute therapy, and subsequent specialist care decisions including team-based local care as well as intra- and inter-facility transfer. Conclusions: Acute adult DoC may be initially comprehensively addressed by the general intensivist using an etiology-driven and team-based approach. Certain clinical conditions, procedural expertise needs, or resource limitations inform transfer decision-making within a complex care facility or to one with greater complexity. Emerging collaborative science helps improve our current knowledge of acute DoC to better align therapies with underpinning etiologies.

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“…Resource limitations are more effective at altering behavior as the desired tool, medication, or consultant is unavailable based on purchasing decisions, supply shortages, or facility complexity ( 10 ). Interfacility transfer may be required to address patient needs and therefore influences clinician behavior ( 11 ). Since interfacility transfer based on resource limitation may be negatively viewed by the clinicians at the originating facility, this is not an adaptive approach to drive desirable behavior.…”

Section: Behavior Motivators In Ccmmentioning

confidence: 99%

Gamification in Critical Care Education and Practice

Bass,

Chang,

Sorce

et al. 2024

Critical Care Explorations

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OBJECTIVES: To explore gamification as an alternative approach to healthcare education and its potential applications to critical care. DATA SOURCES: English language manuscripts addressing: 1) gamification theory and application in healthcare and critical care and 2) implementation science focused on the knowledge-to-practice gap were identified in Medline and PubMed databases (inception to 2023). STUDY SELECTION: Studies delineating gamification underpinnings, application in education or procedural mentoring, utilization for healthcare or critical care education and practice, and analyses of benefits or pitfalls in comparison to other educational or behavioral modification approaches. DATA EXTRACTION: Data indicated the key gamification tenets and the venues within which they were used to enhance knowledge, support continuing medical education, teach procedural skills, enhance decision-making, or modify behavior. DATA SYNTHESIS: Gamification engages learners in a visual and cognitive fashion using competitive approaches to enhance acquiring new knowledge or skills. While gamification may be used in a variety of settings, specific design elements may relate to the learning environment or learner styles. Additionally, solo and group gamification approaches demonstrate success and leverage adult learning theory elements in a low-stress and low-risk setting. The potential for gamification-driven behavioral modification to close the knowledge-to-practice gap and enable guideline and protocol compliance remains underutilized. CONCLUSIONS: Gamification offers the potential to substantially enhance how critical care professionals acquire and then implement new knowledge in a fashion that is more engaging and rewarding than traditional approaches. Accordingly, educational undertakings from courses to offerings at medical professional meetings may benefit from being gamified.

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Interfacility Transport of Critically Ill Patients

Cited by 17 publications

References 143 publications

A Systematic Review of Route Optimization for Ambulance Routing Problem

A Systematic Review of Route Optimization for Ambulance Routing Problem

State-of-the-Art Evaluation of Acute Adult Disorders of Consciousness for the General Intensivist

Gamification in Critical Care Education and Practice

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