Nurse Knowledge of Intrahospital Transport

Shields, John A.; Overstreet, Maria; Krau, Stephen D.

doi:10.1016/j.cnur.2015.03.005

Cited by 18 publications

(15 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The presence of transport protocols in the units are important to prevent possible complications related to lack of health professionals, communication, equipment and human resources (ALMEIDA et al, 2012;NAKAYAMA et. al., 2012;SHIEDLS; OVERSTREET; KRAU; 2015; SILVA; AMANTE, 2015).…”

Section: Discussionmentioning

confidence: 99%

Coming and going to a surgical center, the evaluation of risks in transport of patients in a university hospital in Brazil

et al. 2020

View full text Add to dashboard Cite

The patient’s in-hospital transport is an activity that must be performed with safety and quality and involves considerable risks, especially for surgical patients. The objective of this study was to evaluate the adequacy or not of transport of surgical patients from inpatient units to surgical centers and vice-versa. The transport and patient profile, the nursing workload, the professionals and conditions involved were assessed for each patient (or transport), and subsequently the transports were evaluated as inadequate (some non-conformity) or adequate. The transport was inadequate in 39.3% of the evaluations. The most common non-conformities were the lack of knowledge of the transport at the patient’s destination, incorrect documents, patient alone during the route, and absence of health professional during transport (when necessary). In this institution and in the period evaluated, the transport was mainly run by porter. Patients in rout to inpatient units have higher frequency of inadequate transport, mainly because of lack of communication with the destination unit. The increase in workload, evaluated by the Santos Score, also increased the risk of having inappropriate transport (OR = 1.21, CI95%: 1.08-1.16), and when the patients were grouped in minimal care versus non-minimal care, the latter also showed higher risk of inadequate transport. When the transports were evaluated separately by route, patients going to surgical centers had a higher risk when the Santos Score increased (OR = 1.168, CI95%: 1.07-1.27), and patients going to inpatient units had a lower risk when the Santos Score increased (OR = 0.605, CI95%: 0.46-0.80). In the last case, patients with a high workload were also accompanied by health professionals. The presence of a health professional when the patient was going to an inpatient unit also decreased the risk of inadequate transport (OR = 0.011, CI95%: 0.002-0.070). The patient returning to their origin unit showed more transport non-conformities. Perhaps the reason is the discredit attributed to risk in these patients once the surgical problem was solved. Thus, it is a fact that the patient nursing workload and the route of the transport were effective in predicting the risk of inadequate transport, being of great potential for practical use.

show abstract

Section: Discussionmentioning

confidence: 99%

Coming and going to a surgical center, the evaluation of risks in transport of patients in a university hospital in Brazil

et al. 2020

View full text Add to dashboard Cite

show abstract

“…This study—along with the parent study—builds on the existing literature that had focused on transfers and communication between only‐physicians (Detsky et al, ; Hilligoss et al, ) or between only‐nurses (Shields, Overstreet, & Krau, ) by incorporating diverse stakeholder perspectives from across the transfer process. This study continues to expand the scope of intra‐hospital transfer literature, which has narrowly focused on failures in communication (Ong et al, ; Patterson & Wears, ), by considering the roles of other factors, including patient flow policies and relationships.…”

Section: Discussionmentioning

confidence: 99%

“…This study sought to understand and characterize the multidisciplinary staff experience of cooperation and conflict during intrahospital transfers. The directed content analysis generated three themes: (a) patient flow policies created imbalances of power; This study-along with the parent study-builds on the existing literature that had focused on transfers and communication between only-physicians (Detsky et al, 2015;Hilligoss et al, 2015) or between only-nurses (Shields, Overstreet, & Krau, 2015) by incorporating diverse stakeholder perspectives from across the transfer process. This study continues to expand the scope of intra-hospital transfer literature, which has narrowly focused on failures in communication (Ong et al, 2011;Patterson & Wears, 2010), by considering the roles of other factors, including patient flow policies and relationships.…”

Section: Discussionmentioning

confidence: 99%

Cooperation and conflict in intra‐hospital transfers: A qualitative analysis

et al. 2019

View full text Add to dashboard Cite

Aim The purpose of this study was to explore the latent conditions of cooperation and conflict in intra‐hospital patient transfers (i.e. transfers of patients between units in a hospital). Design Secondary qualitative analysis of 28 interviews conducted with 29 hospital staff, including physicians (N = 13), nurses (N = 10) and support staff (N = 6) from a single, large academic tertiary hospital in the Northeastern United States. Methods A two‐member multidisciplinary team applied a directed content analysis approach to data collected from semi‐structured interviews. Results Three recurrent themes were generated: (a) patient flow policies created imbalances of power; (b) relationships were helpful to facilitate safe transfers; and (c) method of admission order communication was a source of disagreement. Hospital quality improvement efforts could benefit from a teaming approach to minimize unintentional power imbalances and optimize communicative relationships between units.

show abstract

“…Fanara et al describe a comprehensive checklist that includes both patient and equipment assessment prior to transport, an evaluation of patient stability during transport, and a complete repeat assessment after the patient is moved ( Table 1) [79]. Nurses play a critical role in ensuring patient safety during IHTs through both adequate communication and meticulous patient monitoring, as well as managing patient handover protocols [25,80]. A potentially helpful clinical intrahospital transport tool was described by Brunsveld-Reinders et al [45].…”

Section: Improving the Safety Of Ihtmentioning

confidence: 99%

Adverse Events during Intrahospital Transfers: Focus on Patient Safety

Tolentino¹,

Schadt²,

Bird³

et al. 2018

Vignettes in Patient Safety - Volume 3

View full text Add to dashboard Cite

Intrahospital transport of patients constitutes an integral part of care delivery in the complex environment of modern hospitals. In general, the more complicated and acute the patient's condition is, the more likely he or she will require both scheduled and unscheduled trips. The purpose of this chapter is to highlight the potential adverse events associated with intrahospital transfers (IHTs), to discuss the interdepartmental handoff process when patients travel within the walls of a single institution, and finally to provide strategies to prevent adverse events from occurring during the IHT process. A comprehensive literature review, covering some of the most recent developments in this area, has been included in this manuscript. Aspects unique to this presentation include sections dedicated to risk assessment, commonly seen patterns of transfers and complications, as well as the inclusion of family communication as a core component of the process. The overall goal of providers and patient safety champions should be the achievement of "zero incidence" rate of IHTrelated events. We hope that this chapter provides a small, but significant, step in the right direction.

show abstract

Nurse Knowledge of Intrahospital Transport

Cited by 18 publications

References 27 publications

Coming and going to a surgical center, the evaluation of risks in transport of patients in a university hospital in Brazil

Coming and going to a surgical center, the evaluation of risks in transport of patients in a university hospital in Brazil

Cooperation and conflict in intra‐hospital transfers: A qualitative analysis

Adverse Events during Intrahospital Transfers: Focus on Patient Safety

Contact Info

Product

Resources

About