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Adverse Events and Related Factors during the Intrahospital Transport of Critically Ill Patients: An Observational Prospective Study
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Nasrin Hanifi   , Masomeh Ghadimi , Mohammadreza Dinmohammadi * |
| School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran , mdinmohammadi@zums.ac.ir |
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Abstract: (2549 Views) |
Background and aim: Intrahospital Transport (IHT) of critically ill patients is always associated with the incidence of Adverse Events (AEs). Identifying and managing these events ensures the safety of patients. The aim of this study was to determine the incidence of AEs and related factors in IHT of critically ill patients.
Methods: In this prospective observational study, 171 cases of Intensive Care Unit (ICU) patients transferred in the first half of 2019 were investigated. After obtaining the approval of the Research Ethics Committee, the study data were collected and recorded by using a researcher-made checklist during the transfer process. Results: In 79.54% of IHTs, at least one AEs occurred. The highest number of AEs (37.39%) occurred during transfer phase. Decreased Spo2 (43.39%) and decreased level of consciousness (42.15%) were the most common ADs, respectively. Multiple logistic regression analysis identified endotracheal intubation as independent predictor of AEs in the transportation process.
Conclusion: According to the findings, the incidence of AEs during the IHT process of ICU patients is high. Critically ill patients with endotracheal intubation were at higher risk. Adoption of strategies such as efficient and adequate transfer team composition, continuous monitoring of patient status, use of standard checklists and sound equipment are crucial.
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| Keywords: Intrahospital Transport, Adverse Events, Incidence, Critical Care, Critical Illness |
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Full-Text [PDF 1126 kb]
(889 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2021/07/7 | Accepted: 2021/11/15 | Published: 2021/11/15
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