Improving the handover and transport of critically ill pediatric patients

Journal of Clinical Nursing
Brigit VanGraafeilandJustin M Jeffers

Abstract

The aims of this project were to (a) determine barriers to current handover and transport process, (b) develop a new protocol and process for team-to-team handover, and (c) evaluate staff satisfaction with the new process. The handover and transport of critically ill patients from the paediatric emergency department to the paediatric intensive care unit is a period of vulnerability associated with adverse events. A mixed-methods study using a quasi-experimental design and qualitative approach. Focus groups were conducted to determine the barriers and facilitators of the current handover and transport process. Using these themes, a multidisciplinary team developed and implemented a new process including establishment of eight patient criteria for specialised transport and a standardised, interdisciplinary handover tool for team-to-team handover. Staff satisfaction was examined pre- and postintervention. Content analysis of focus groups revealed five categories: need for improved communication, cultural dissonance among units, defects in system and processes, need for standardisation and ambiguity between providers regarding acuity. Staff members reported improvements in their perceptions of satisfaction, safety, communication an...Continue Reading

References

Aug 15, 2000·Research in Nursing & Health·M Sandelowski
Dec 5, 2006·Quality & Safety in Health Care·P CarayonP Flatley Brennan
Jul 1, 2009·Pediatrics·Richard A OrrR Scott Watson
May 11, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Emma L BorrowsPadmanabhan Ramnarayan
Dec 3, 2010·Journal of Tropical Pediatrics·Anna L P VieiraRuth Guinsburg
Jan 29, 2011·Journal of Perinatology : Official Journal of the California Perinatal Association·J P PalmaC A Longhurst
Jan 4, 2012·Paediatric Anaesthesia·Rona CraigMark G Davidson
Apr 6, 2013·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Leora I HorwitzVineet M Arora
Jul 23, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Michael T BighamUNKNOWN Ohio Neonatal/Pediatric Transport Quality Collaborative
Feb 1, 2014·Critical Care : the Official Journal of the Critical Care Forum·Sanjiv SharmaUNKNOWN PICU/NICU Risk Action Group
Nov 6, 2014·The New England Journal of Medicine·Amy J StarmerUNKNOWN I-PASS Study Group
Aug 24, 2016·International Journal of Nursing Studies·Cynthia ForondaPatricia Davidson

❮ Previous
Next ❯

Citations

Apr 23, 2021·International Emergency Nursing·Ruth Tortosa-AltedMarta Berenguer-Poblet

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Australian Health Review : a Publication of the Australian Hospital Association
Sara L BarnesDirk Wunderlink
Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
Elizabeth A BarberCarol L Hodgson
© 2022 Meta ULC. All rights reserved