Challenges in arranging interhospital transfer from a non‐tertiary hospital emergency department in the <scp>P</scp>erth metropolitan area

Gillman, Lucia; Jacobs, Ian; Fatovich, Daniel M

doi:10.1111/1742-6723.12299

Cited by 15 publications

(21 citation statements)

References 14 publications

(24 reference statements)

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“…5,6 Interfacility transfers pose challenges and burdens to the physicians involved. [5][6][7][8] Physician interactions across facilities frequently involve perceptions of disrespect and mistrust. 6,8 Physician-physician communication often has missing information and can be time-consuming or cumbersome.…”

mentioning

confidence: 99%

Familial Caregiver and Physician Perceptions of the Family-Physician Interactions During Interfacility Transfers

Rosenthal

Hernandez³

et al. 2017

Hospital Pediatrics

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mentioning

confidence: 99%

Familial Caregiver and Physician Perceptions of the Family-Physician Interactions During Interfacility Transfers

Rosenthal

Hernandez³

et al. 2017

Hospital Pediatrics

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“…Risk of infection both to transported patient and others who might be exposed to that patient have been reported . There are obvious increased costs associated with such transfers, and substantial time and resources are required to arrange such transfers …”

Section: Introductionmentioning

confidence: 99%

“…In the surgical setting, specialist outreach clinics have been shown to reduce barriers to specialist care . In certain settings, the need to extend specialised services to non‐tertiary sites have been considered to reduce avoidable inter‐hospital transfers …”

Section: Introductionmentioning

confidence: 99%

Proactive review by the emergency department before inter‐hospital transfer (the PREVENT study)

Mitra

Carter

Smit

et al. 2019

Emerg Medicine Australasia

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Objectives To determine the population of patients where patient transfer may be prevented by assessment of a senior ED registrar at the referring hospital. Methods Patients transferred from Caulfield Hospital, specialising in community services, rehabilitation, aged care and aged mental health to The Alfred Emergency and Trauma Centre, an adult major referral centre within the same clinical network were identified from 1 July 2016 to 31 December 2016. Medical records were reviewed independently by two clinicians to determine preventability of transfer and whether attendance by a senior ED registrar could have prevented the transfer. Results There were 221 patients included with a mean age of 73.6(15.1) years. The median time spent in the ED was 4 h (interquartile range 2–8) and 197 (89.1%) were admitted. There were 107 (48.6%) transfers deemed preventable or potentially preventable, with 104 preventable by attendance of a senior ED registrar. The most common indication for transfer was acute trauma (n = 55; 24.9%), and the odds of a case being preventable or potentially preventable if transferred for the primary indication of trauma was 3.9 (95% confidence interval 2.1–7.1; P < 0.001). Among the preventable cases, the total cost of transfer was AU$105 984 over 6 months, not accounting for the costs of duplication of care. Conclusions This proof‐of‐concept study suggests that strategies to expand the provision of acute care to outreach within specialist networks and reduce patient transfers should be further explored. An outreach programme for improved acute assessment of patients at the referring hospital particularly after acute trauma may prevent transfers, improving care pathways.

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“…РЕДАКЦИОННАЯ СТАТЬЯ детской хирургии, анестезиологии и реаниматологии РОССИЙСКИЙ ВЕСТНИК временной эвакуации более двух носилочных пациентов. Ограничения самолетной санитарной авиации обусловлены зависимостью от оборудованных аэродромов, сложных климатических условий и необходимостью координировать действия с наземными службами экстренной медицинской помощи, обеспечивающими доставку пациентов из близлежащих больниц, либо с мест происшествий [37,38].…”

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“…В США ежегодные неотложные трансрегиональные межклинические трансферты составляют примерно 3,5% от общего количества (1,5 млн.) госпитализаций [38]. Интенсивность целенаправленных межрегиональных перемещений больных и пораженных косвенно свидетельствует о ресурсной обеспеченности сферы национального здравоохранения, наличии отлаженного порядка взаимодействия медицинских организаций различного уровня и дислокации, а также полноте пакета нормативно-правовых документов [39][40][41][42][43][44].…”

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Interregional Centers of High-Tech Children’s Surgery – Mortgage of Accessibility and Quality of Medical Care for Russian Children

Rozinov

Morozov

Rumyantsev

et al. 2018

jour

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The article starts with a summary of the international experience in making medical care both accessible and high quality for children with surgical conditions and trauma by concentrating patients in specialized trans-regional centers. The authors give results of the retrospective analysis of the reasons for failure when implementing the concept of trans-regional specialized medical care in the Russian healthcare system. The paper lists problems with legislative control over these aspects: supplying the centers with resources, medical evacuation processes, distribution of responsibility by areas, and the information exchange with local medical institutions (hospitals, clinics, etc). The article also illustrates similarities and differences on how the trans-regional centers for pediatric surgical care function inRussiaand in other countries. The authors outline high priority measures for creating trans-regional centers for specialized medical assistance for children inRussia. The systematic review includes 16 domestic and 28 foreign literature sources, 8 references to Russian laws and regulations.

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Challenges in arranging interhospital transfer from a non‐tertiary hospital emergency department in the Perth metropolitan area

Abstract: While most IHTs are straightforward, critically ill transfers require considerable time, effort and teamwork to arrange.

Cited by 15 publications

References 14 publications

Familial Caregiver and Physician Perceptions of the Family-Physician Interactions During Interfacility Transfers

Familial Caregiver and Physician Perceptions of the Family-Physician Interactions During Interfacility Transfers

Proactive review by the emergency department before inter‐hospital transfer (the PREVENT study)

Interregional Centers of High-Tech Children’s Surgery – Mortgage of Accessibility and Quality of Medical Care for Russian Children

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