Mishaps during transport from the intensive care unit

Patient Transport Experience in Our Institution Following Open Heart Surgery

“…İyi eğitim almış 1 transport ekibi oluşturulabilirse hekim olmaksızın da transport gerçekleştirilebilir. Ancak, yapılan çalışmalar transport ekibinde doktor olması-nın ve ekip eğitiminin komplikasyonları önemli oranda düşürdüğünü ortaya koymuştur (1,3,17,18) . Hastane içi hasta transportunda olası risklerin azaltılması ve ön-leyici önlemlerin gözden geçirilmesi için kontrol listesinin olması da önerilmektedir (6) .…”

On-Site Hospital Helipads: Resource Document for the NAEMSP Position Paper on On-Site Hospital Helipads

“…These risks have been well delineated in the realms of both intra-and interhospital transport, in which the advantages in minimizing patient transfers have been demonstrated. Risks identified in clinical studies [20][21][22] include, but are not limited to, the following: inadvertent discontinuation of blood pressure support drug infusions (with resultant hypotension), loss or infiltration of IV lines, repositioning-associated changes in patient comfort (with associated pain-caused physiologic sequelae), accidental dislodgment of endotracheal tubes, displacement of fractures with associated pain and bleeding, movement of surgical drains, and disconnection of cardiac monitoring leads. Furthermore, even in the absence of any dislodgments or equipment-specific issues, it is known that positional changes tend to effect changes in cardiac output and respiratory mechanics.…”

“…23 These movement-associated adverse events, clinically significant in terms of both morbidity and mortality, 20 have been shown to occur even when trained personnel are accompanying, and paying close heed to, the patient being transported. 21 Particularly relevant to the helipad location question are findings that mishaps have been found to occur in as many as a third of transports of critically ill patients in hospital, and that problems tend to occur during patient movement from one stretcher to another. 21 In addition to intubated patients, pediatric patients appear to be particularly vulnerable to complications during transfer.…”

“…21 Particularly relevant to the helipad location question are findings that mishaps have been found to occur in as many as a third of transports of critically ill patients in hospital, and that problems tend to occur during patient movement from one stretcher to another. 21 In addition to intubated patients, pediatric patients appear to be particularly vulnerable to complications during transfer. Problems with oxygenation and ventilation, as well as inadequate fracture immobilization and resultant displacement and pain, have been noteworthy in studies of transfers of pediatric patients.…”

Reduction of time to definitive care in trauma patients: effectiveness of a new checklist system

“…Despite the wider adoption of Advanced Trauma Life Support (ATLS) [5], prolonged time to definitive care has been identified as an issue preventing optimal care of injured patients [1,8,16]. Early transfer of severely injured patients to a major trauma centre has been shown to be associated with better survival [1,18].…”