Inter-hospital and intra-hospital transfer of critically ill patients: results of a questionnaire survey
Issue 4 (2020) , EVACUATION AND TRANSPORTATION OF CRITICALLY ILL PATIENTS
Issue 4 (2020)
EVACUATION AND TRANSPORTATION OF CRITICALLY ILL PATIENTS

Inter-hospital and intra-hospital transfer of critically ill patients: results of a questionnaire survey

https://doi.org/10.21320/1818-474X-2020-4-127-133
Published 16.11.2020
Vyacheslav V. Shustrov
S.M. Kirov Military Medical Academy, St. Petersburg, Russia
https://orcid.org/0000-0001-5144-3360
A.V. Shchegolev
S.M. Kirov Military Medical Academy, St. Petersburg, Russia
https://orcid.org/0000-0001-6431-439X
Igor B. Zabolotskikh
Kuban State Medical University, Krasnodar, Russia
https://orcid.org/0000-0002-3623-2546
A.A. Kuzin
S.M. Kirov Military Medical Academy, St. Petersburg, Russia
https://orcid.org/0000-0001-9154-7017
A.N. Gritsaj
S.M. Kirov Military Medical Academy, St. Petersburg, Russia
https://orcid.org/0000-0001-5909-7810
R.E. Lakhin
S.M. Kirov Military Medical Academy, St. Petersburg, Russia
https://orcid.org/0000-0001-6819-9691
A.I. Levshankov
S.M. Kirov Military Medical Academy, St. Petersburg, Russia
https://orcid.org/0000-0002-2982-1246
A.A. Skopets
Scientific Research Institute — Ochapovsky Regional Clinical Hospital #1, Krasnodar, Russia
https://orcid.org/0000-0002-7211-1071
#2020-4
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Keywords

transportation of patients
patient safety
safety management
intensive care units
risk assessment
critical illness
patient transfer
surveys and questionnaires

How to Cite

Shustrov V.V., Shchegolev A.V., Zabolotskikh I.B., Kuzin A.A., Gritsaj A.N., Lakhin R.E., Levshankov A.I., Skopets A.A. Inter-hospital and intra-hospital transfer of critically ill patients: results of a questionnaire survey. Annals of Critical Care. 2020;(4):127–133. doi:10.21320/1818-474X-2020-4-127-133.
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Abstract

Transfer of critically ill patients is often a forced but necessary measure. The article presents data from a multicenter study of the Russian Federation of anaesthesiologists and reanimatologists (RFAR), on the current state of problems in intra-hospital and inter-hospital transportation of critically ill patients. The aim of this study was to interview physicians in the intensive care and intensive care units about the problems that arise during the transfer of intensive care patients.

To identify problematic issues that arose among doctors of specialists in the process of in-hospital transportation and inter-hospital transportation, a survey was conducted in medical centers from four federal districts of the Russian Federation. The data is presented in the form of relative frequencies and graphical visualization (histograms and diagrams).

The study involved 538 doctors of specialists of the intensive care unit and intensive care unit. As a result, it was revealed that 88 % of the respondents faced complications during the transportation of patients in their practical work. The most common causes of complications are associated with medical aspects in 38.6 % of cases and technical reasons (equipment failure, etc.) in 35.1 % of cases, to the least extent these are organizational problems (26.3 %). The main problems with in-hospital transportation and inter-hospital transportation: insufficient provision of modern transport equipment, as well as the lack of medical transport boxes. There are cases of discrepancy between preliminary and real information about the patient’s condition. The absence of regulatory documents, standardized protocols and algorithms for the transportation of resuscitation patients was stated by 27 % of the surveyed doctors. Most of the surveyed doctors of specialists (61 %) do not use in their practice any assessment of the risks and portability of patients. 90 % of the respondents answered that they do not consider themselves legally protected in the event of adverse events during transportation.

Inadequate equipment with transport equipment, lack of regulatory documents, as well as inconsistencies in medical information about the patient’s condition create a risk for the safe and efficient transportation of resuscitation patients, and medical personnel cannot consider themselves legally protected. These areas are important targets for investigation and the development of interventions to improve patient safety.

https://doi.org/10.21320/1818-474X-2020-4-127-133
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References

  1. Taylor J.O., Chulay J.D., Landers C.F., et al. Monitoring high-risk cardiac patients during transportation in hospital. Lancet. 1970; 2(7685): 1205–1208. DOI: 10.1016/s0140-6736(70)92176-8
  2. Waydhas C. Intrahospital transport of critically ill patients. Crit Care. 1999; 3(5): 83–89. DOI: 10.1186/cc362
  3. Beckmann U., Gillies D.M., Berenholtz S.M., et al. Incidents relating to the intra-hospital transfer of critically ill patients. An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care. Intensive Care Med. 2004; 30(8): 1579–1585. DOI: 10.1007/s00134-004-2177-9
  4. Lovell M.A., Mudaliar M.Y., Klineberg P.L. Intrahospital transport of critically ill patients: complications and difficulties. Anaesth Intensive Care. 2001; 29(4): 400–405. DOI: 10.1177/0310057X0102900412
  5. Papson J.P., Russell K.L., Taylor D.M. Unexpected events during the intrahospital transport of critically ill patients. Acad Emerg Med. 2007; 14(6): 574–577. DOI: 10.1197/j.aem.2007.02.034
  6. Min H.J., Kim H.J., Lee D.S., et al. Intra-hospital transport of critically ill patients with rapid response team and risk factors for cardiopulmonary arrest: A retrospective cohort study. PLoS One. 2019; 14(3): e0213146. DOI: 10.1371/journal.pone.0213146
  7. Divatia J.V., Siddiqui S.S. Transporting critically Ill patients: Look before you leap!. Indian J Anaesth. 2016; 60(7): 449–450. DOI: 10.4103/0019-5049.186017
  8. Ефременко С.В., Азовский Д.К., Карпанина Ю.Н. Межгоспитальная транспортировка: история и современность. Медицина катастроф. 2010; 3: 15–18. [Efremenko S.V., Azovsky D.K., Karpanina Yu.N. Mezhgospital’naya transportirovka: istoriya i sovremennost’. Medicina katastrof. 2010; 3: 15–18. (In Russ)]
  9. Братищев И.В., Каверина К.П., Яковлев В.Н., Шабунин А.В. Опыт и пути повышения безопасности транспортировки больных в тяжелом состоянии. Медицинский алфавит. 2010; 4(17): 36–8. [Bratishchev I.V., Kaverina K.P., Yakovlev V.N., Shabunin A.V. Opyt i puti povysheniya bezopasnosti transportirovki bol’nyh v tyazhelom sostoyanii. Medicinskij alfavit. 2010; 4(17): 36–8. (In Russ)]
  10. Касимов Р.Р., Махновский А.И., Миннуллин Р.И. и др. Медицинская эвакуация: организация и критерии транспортабельности пострадавших с тяжелой травмой. Политравма. 2018; 4: 14–21. [Kasimov R.R., Makhnovskiy A.I., Minnullin R.I., et al. Medicinskaya evakuaciya: organizaciya i kriterii transportabel’nosti postradavshih s tyazheloj travmoj. Politravma. 2018; 4: 14–21. (In Russ)]
  11. Brunsveld-Reinders A.H., Arbous M.S., Kuiper S.G., de Jonge E.A. Comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. Crit Care. 2015; 19(1): 214. DOI: 10.1186/s13054-015-0938-1
  12. Canellas М., Palma I., Pontífice-Sousa P., Rabiais I. Checklist para el transporte intrahospitalario seguro del paciente crítico: A scoping review. Enfermería Global. 2020; 19(4): 525–572. DOI.org/10.6018/eglobal.411831
  13. Гармаш О.А., Банин И.Н., Попов В.П. и др. Организация оказания экстренной консультативной медицинской помощи и проведения медицинской эвакуации: метод. рекомендации. М.: ФГБУ ВЦМК «Защита», 2015: 174. [Garmash O.A., Banin I.N., Popov V.P., et al. Organizaciya okazaniya ekstrennoj konsul’tativnoj medicinskoj pomoshchi i provedeniya medicinskoj evakuacii: metod. rekomendacii. M.: FGBU VCMK “Zashchita”, 2015: 174. (In Russ)]
  14. Kulshrestha A., Singh J. Inter-hospital and intra-hospital patient transfer: Recent concepts. Indian J Anaesth. 2016; 60(7): 451–457. DOI: 10.4103/0019-5049.186012
  15. Bonnici K., Ridings R., Chinn R., et al. Learning from critical care: Improving intra- and inter-hospital transfer processes in enhanced care and the ward. Future Healthc J. 2020; 7(3): 214–217. DOI: 10.7861/fhj.2019-0063
  16. Гончаров С.Ф., Фисун А.Я., Щеголев А.В. и др. Применение телемедицины при организации и оказании медицинской помощи пациентам, находящимся в критических состояниях. Вестн. Российской военно-медицинской академии. 2018; 4(64): 227–231. [Goncharov S.F., Fisun A.Yа., Shchegolev A.V., et al. Primenenie telemediciny pri organizacii i okazanii medicinskoj pomoshchi pacientam, nahodyashchimsya v kriticheskih sostoyaniyah. Vestn. Rossijskoj voenno-medicinskoj akademii. 2018; 4(64): 227–231. (In Russ)]
  17. Баранова Н.Н., Бобий Б.В., Гончаров С.Ф. и др. Информационно-телекоммуникационные технологии в деятельности Службы медицины катастроф Минздрава России. Медицина катастроф. 2019; 1(105): 5–11. [Baranova N.N., Bobiy B.V., Goncharov S.F., et al. Informacionno-telekommunikacionnye tekhnologii v deyatel’nosti Sluzhby mediciny katastrof Minzdrava Rossii. Medicina katastrof. 2019; 1(105): 5–11. (In Russ)]
  18. Щеголев А.В., Шелухин Д.А., Ершов Е.Н. и др. Эвакуация пациентов с дыхательной недостаточностью в условиях экстракорпоральной мембранной оксигенации. Анестезиология и реаниматология. 2017; 62(1): 32–35. DOI: 10.18821/0201-7563-2017-62-1-32-35. [Shchegolev A.V., Shelukhin D.A., Ershov E.N., et al. Evakuaciya pacientov s dyhatel’noj nedostatochnost’yu v usloviyah ekstrakorporal’noj membrannoj oksigenacii. Anesteziologiya i reanimatologiya. 2017; 62(1): 32–35. (In Russ)]
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