Unexpected Events during the Intrahospital Transport of Critically Ill Patients

Papson, Jonathan P.N.; Russell, Kassandra L.; Taylor, David

doi:10.1111/j.1553-2712.2007.tb01835.x

Cited by 119 publications

(149 citation statements)

References 14 publications

Supporting

Mentioning

134

Contrasting

Unclassified

Order By: Relevance

“…Among trauma patients on mechanical ventilation, a study reported that 604 unexpected events occurred in 230 transports and 30 different types of physiological alterations were listed, such as severe hypotension, reduced intracranial pressure, cardiopulmonary arrest, pneumothorax, bronco aspiration, and chest pain, among others (14) .…”

Section: Physiological Alterations In the Critically Ill Patient Beinmentioning

confidence: 99%

“…The studies, in general, report a series of physiological alterations patients may experience during intrahospital transport, among them, increased heart rate (4,7,12) , altered blood pressure (4,7,12) , increased intracranial pressure (12) , arrhythmias (4,7,12) , heart attacks (12) , altered respiratory rate (4,12) , decreased oxygen satura-tion (4,7) , increase in airway pressure (7) , airway obstruction by secretion (7) , excessive coughing (7) , agitation (7) , bleeding (7), , hypo/hypercapnia (12) , hypoxemia (7,12) and cardiac arrest (7,14) . Change in blood pressure and cardiac rate are the most frequently found.…”

Section: Physiological Alterations In the Critically Ill Patient Beinmentioning

confidence: 99%

See 1 more Smart Citation

Transporte intra-hospitalar de pacientes adultos em estado crítico: complicações relacionadas à equipe, equipamentos e fatores fisiológicos

et al. 2012

View full text Add to dashboard Cite

Objective: To identify in the literature the complications related to physiological changes of the patient, the multidisciplinary team and the use of equipment during the intrahospital transport of critically ill patients. Methods: Integrative review of literature, through a search in the databases of PubMED, MEDLINE, and LILACS. Results: We encountered 20 articles, all written in the English language. Studies have shown that changes in arterial pressure and heart rate are most common during transport. Of the adverse events related to problems with the team, the lack of knowledge of the professional and failure of communication stood out, apart from those derived from equipment used. Conclusion: Transporting the critically ill patient safely requires improving communication between teams, standardizing the actions and equipment used by means of protocols, and identifying opportunities to obtain excellence in service during transport. RESUMOObjetivo: Identificar na literatura as complicações relacionadas às alterações fisiológicas do paciente, à equipe multidisciplinar e ao uso de equipamentos durante o transporte intra-hospitalar de pacientes críticos. Métodos: Revisão integrativa da literatura, com busca nas bases de dados PUBMED, MEDLINE, e LILACS. Resultados: Foram encontrados 20 artigos, todos escritos na língua inglesa. Os estudos mostraram que as alterações na pressão arterial e na frequência cardíaca são as mais comuns durante o transporte. Dos eventos adversos relacionados a problemas com a equipe, destacaram-se, a falta de conhecimento do profissional e a falha de comunicação, além dos provenientes dos equipamentos utilizados. Conclusão: Transportar o paciente crítico de maneira segura significa melhorar a comunicação entre as equipes, padronizar as ações e equipamentos utilizados por meio de protocolos e identificar intercorrências para obter excelência no atendimento durante o transporte. Descritores: Transporte de pacientes; Transferência de pacientes; Cuidados críticos; Pacientes internados; Sintomas clínicos RESUMEN Objetivo: Identificar en la literatura las complicaciones relacionadas a las alteraciones fisiológicas del paciente, al equipo multidisciplinario y al uso de equipamientos durante el transporte intrahospitalario de pacientes críticos. Métodos: Revisión integrativa de la literatura, con búsqueda en las bases de datos PUBMED, MEDLINE, y LILACS. Resultados: Fueron encontrados 20 artículos, todos escritos en el idioma inglés. Los estudios mostraron que las alteraciones en la presión arterial y en la frecuencia cardíaca son las más comunes durante el transporte. De los eventos adversos relacionados a problemas con el equipo, se destacaron, la falta de conocimiento del profesional y la falla en la comunicación, además de los provenientes de los equipamientos utilizados. Conclusión: Transportar al paciente crítico de manera segura significa mejorar la comunicación entre los equipos, patronizar las acciones y equipamientos utilizados por medio de protocolos e identificar complicaciones...

show abstract

Section: Physiological Alterations In the Critically Ill Patient Beinmentioning

confidence: 99%

Section: Physiological Alterations In the Critically Ill Patient Beinmentioning

confidence: 99%

Transporte intra-hospitalar de pacientes adultos em estado crítico: complicações relacionadas à equipe, equipamentos e fatores fisiológicos

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Conversely, Zuchelo and Chiavone 28 included these events and reported an incidence of 75.7% for adverse events. Papson et al 27 also included multiple types of events, including equipment problems and tangling of tubes/vascular access tubing, with unexpected events occurring in 67.9% of patients. In their formal recommendations for intrahospital transport, the Frenchlanguage society of intensive care describes the necessity to standardize these definitions.…”

Section: Adverse Events During Transportmentioning

confidence: 99%

“…5,[24][25][26][27][28] This wide variation is largely based on differences in definitions of adverse events. As an example, in the study by Kue et al, 24 who reported an overall adverse event rate of 1.7%, technical events such as losing an intravenous catheter or equipment malfunction were excluded as adverse events.…”

Section: Adverse Events During Transportmentioning

confidence: 99%

Safety First! Using a Checklist for Intrafacility Transport of Adult Intensive Care Patients

Comeau

Armendariz-Batiste

Woodby

2015

Critical Care Nurse

View full text Add to dashboard Cite

Background Adult critical care patients in an academic medical center experienced adverse events during intrafacility transport resulting from lack of preparation. An intervention was needed to help keep patients safe during intrafacility transport. Objective To develop a checklist for transport that is easy to use and effective in preparing patients for transport. Method A checklist was developed and implemented. Elements of the checklist include preparation of the patient before transport, screening of patients for criteria that may place them at higher risk during transport, and a checklist for the procedural site. Results From May 2011 through July 2014, 2506 transports were conducted. Of these, 97.6% (n = 2445) involved no reported complications. Conclusion This tool is suitable for bedside clinicians to use when preparing patients for transport.

show abstract

“…This means that patients may be transferred to different sections of the hospital without changing the modality and parameters of their ventilatory support. It is notable that while unexpected events during the intra-hospital transfer of critical patients receiving conventional ventilation have been extensively reviewed (4,(12)(13)(14)(15), few recommendations regarding patients receiving NIV support are available.…”

Section: Introductionmentioning

confidence: 99%

Intra-Hospital Transport of Patients on Non-Invasive Ventilation: Review, Analysis, and Key Practical Recommendations by the International NIV Committee

Schreiber¹,

Petit²,

Groff³

et al. 2017

Eurasian J Pulmonol

View full text Add to dashboard Cite

Unexpected Events during the Intrahospital Transport of Critically Ill Patients

Cited by 119 publications

References 14 publications

Transporte intra-hospitalar de pacientes adultos em estado crítico: complicações relacionadas à equipe, equipamentos e fatores fisiológicos

Transporte intra-hospitalar de pacientes adultos em estado crítico: complicações relacionadas à equipe, equipamentos e fatores fisiológicos

Safety First! Using a Checklist for Intrafacility Transport of Adult Intensive Care Patients

Intra-Hospital Transport of Patients on Non-Invasive Ventilation: Review, Analysis, and Key Practical Recommendations by the International NIV Committee

Contact Info

Product

Resources

About