Importance of specialized paediatric and neonatal transport. Current situation in Spain: Towards a more equitable and universal future

Real, Nuria Millán García del; García, Laura Sánchez; Diez, Yolanda Ballesteros; Merlo, Raquel Rodríguez; Ballestín, Alberto; Lucas, Raquerl Jordán; García, N. de Lucas

doi:10.1016/j.anpede.2021.06.010

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…Transport services in Scotland, regions of the United Kingdom, Europe, and more recently in North America utilize specialized neonatal transport teams with access to dedicated neonatal transport vehicles. [13][14][15] There are multiple factors that influence the organization of neonatal transport services; these include number of transport events annually, avail-ability of transport trained personnel, as well as personnel and infrastructure costs. This study was conducted in a highvolume referral center with a dedicated neonatal transport service using specialized equipment while relying on mobilization resources shared with adult and pediatric services.…”

Section: Discussionmentioning

confidence: 99%

Structured Referral Call Handling Process Improves Neonatal Transport Dispatch Times

Mohammad,

Thomas,

Joseph

et al. 2023

Am J Perinatol

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Objective In 2019 the Southern Alberta Neonatal Transport Service adopted a transport call handling process change to expedite transport team mobilization. This study compares the impact of this change on neonatal transport decision to dispatch and mobilization times. Study Design This retrospective cohort study was conducted using a historical cohort of neonates referred for transportation between January 2017 and December 2021. The “dispatch time” (DT) was the time from the start of consultation to the time a decision to dispatch the transport team was made, whereas “mobilization time” (MT) referred to the time from start of consultation to the time the team departed the home base. In 2019, a DT target of <3 minutes was implemented to meet a target MT of <15 and <30 minutes for emergent and urgent high-risk transport referral calls, respectively. In 2021 use of the “Situation” component of the SBAR (Situation, Background, Assessment, Recommendation) communication tool was introduced with the transport team asking five questions to determine need for mobilization. Data between 2017 and 2018 represented the preintervention period, 2019, the “washout” period for implementation, and 2020 to 2021, the postintervention period. Data were analyzed to determine trends in DT and MT. Results The DT was reduced from a median of 5 to 3 minutes following intervention (p < 0.001). DT target goal of 3 minutes was achieved in 67.08% of calls compared with 26.24% in the preintervention period, (p < 0.001). The team achieved MT target goals in 42.71% of urgent and emergent transfers compared with 18.05% prior to intervention (p < 0.001). Conclusion Introduction of a time-sensitive referral call handling process improved dispatch and mobilization time of the neonatal transport team. Key Points

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Section: Discussionmentioning

confidence: 99%

Structured Referral Call Handling Process Improves Neonatal Transport Dispatch Times

Mohammad,

Thomas,

Joseph

et al. 2023

Am J Perinatol

View full text Add to dashboard Cite

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Identifying neonatal transport research priorities: a modified Delphi consensus

Mistry,

Leslie,

Ojha

et al. 2024

Arch Dis Child Fetal Neonatal Ed

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ObjectivesWith increasing advances in neonatal transport, a focused research strategy is required to increase the evidence base towards providing optimal care. We aimed to identify the most important neonatal transport research questions as prioritised by parents and healthcare professionals (HCPs).DesignKey stakeholders participated in a modified three-stage Delphi consensus process. Research questions were identified and submitted through two survey stages before the final priority setting workshop.ParticipantsParents of babies who received neonatal care, neonatal HCPs and stakeholders.OutcomeIdentify the top 10 research priorities for neonatal transport.ResultsOverall, 269 survey responses from HCPs/stakeholders (n=161) and parents (n=108) were analysed from two survey rounds. Consensus was reached on 22 of 43 research priorities for the final priority setting workshop. The agreed top research priorities covered the domains of: (1) Pain assessment and management, (2) Long-term neurological outcomes, (3) Impact of transfer on birth-related brain injury, (4) Investigating risk of transport, (5) Safety restraints for infants, (6) Optimal temperature management, (7) Respiratory management and outcomes, (8) Benchmarking of important of transport measures, (9) Understanding transport environmental exposures, (10) Mental health and burden of transfer on families.ConclusionWe have identified the top research questions for neonatal transport through an extensive process actively engaging parents, HCPs and key stakeholders. Targeted funding and research resources, directed towards addressing these prioritised research areas, will inform evidence-based practices and international frameworks specific to neonatal transport, helping minimise research waste and ultimately improve outcomes for these high-risk infants and their families.

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Importance of specialized paediatric and neonatal transport. Current situation in Spain: Towards a more equitable and universal future

Cited by 2 publications

References 29 publications

Structured Referral Call Handling Process Improves Neonatal Transport Dispatch Times

Structured Referral Call Handling Process Improves Neonatal Transport Dispatch Times

Identifying neonatal transport research priorities: a modified Delphi consensus

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