Adverse events experienced with intrahospital transfer of critically ill patients: A national survey.
Clinical Deterioration
Critical Care
/ standards
Critical Illness
/ therapy
Cross-Sectional Studies
Female
Guideline Adherence
/ statistics & numerical data
Health Personnel
/ standards
Humans
Intensive Care Units
/ standards
Male
Patient Handoff
/ standards
Patient Safety
/ statistics & numerical data
Patient Transfer
/ standards
Practice Guidelines as Topic
Practice Patterns, Physicians'
/ standards
Saudi Arabia
Surveys and Questionnaires
/ statistics & numerical data
Journal
Medicine
ISSN: 1536-5964
Titre abrégé: Medicine (Baltimore)
Pays: United States
ID NLM: 2985248R
Informations de publication
Date de publication:
07 May 2021
07 May 2021
Historique:
received:
15
12
2020
accepted:
14
04
2021
entrez:
5
5
2021
pubmed:
6
5
2021
medline:
21
5
2021
Statut:
ppublish
Résumé
Research that focuses on transfers to and from the intensive care unit (ICU) could highlight important patients' safety issues. This study aims to describe healthcare workers' (HCWs) practices involved in patient transfers to or from the ICU.This cross-sectional study was conducted among HCWs during the Saudi Critical Care Society's annual International Conference, April 2017. Responses were assessed using Likert scales and frequencies. Bivariate analysis was used to evaluate the significance of different indicators.Overall, 312 HCWs participated in this study. Regarding transfer to ICUs, the most frequently reported complications were deterioration in respiratory status (51.4%), followed by deterioration in hemodynamic status (46.5%), and missing clinical information (35.5%). Regarding transfers from ICUs to the general ward, the most commonly reported complications were changes in respiratory status (55.6%), followed by incomplete clinical information (37.9%), and change in hemodynamic conditions (29%). The most-used models for communicating transfers were written documents in electronic health records (69.3%) and verbal communication (62.8%). One-fourth of the respondents were not aware of the Situation, Background, Assessment, Recommendation (SBAR) method of patients' handover. Pearson's test of correlation showed that the HCW's perceived satisfaction with their hospital transfer guidelines showed significant negative correlation with their reported transfer-related complications (r = -0.27, P < .010).Hemodynamic and respiratory status deterioration is representing significant adverse events among patients transferred to or from the ICU. Factors controlling the perceived satisfaction of HCWs involved in patients, transfer to and from the ICU need to be addressed, focusing on their compliance to the hospital-wide transfer and handover policies. Quality improvement initiatives could improve patient safety to transfer patients to and from the ICU and minimize the associated adverse events.
Identifiants
pubmed: 33950984
doi: 10.1097/MD.0000000000025810
pii: 00005792-202105070-00072
pmc: PMC8104182
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e25810Subventions
Organisme : Deanship of Scientific Research, King Saud University
ID : no
Informations de copyright
Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.
Déclaration de conflit d'intérêts
The authors have no conflicts of interest to disclose.
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