Interhospital transfers: decision-making in critical care areas

Critical Care Medicine
A LeeK M Hillman

Abstract

To evaluate the training of clinical staff in the use of interhospital transfer guidelines and to examine the underlying decision-making behavior in organizing patient transfers between hospitals. Prospective assessment of clinical scenarios, given before (time 1), immediately after (time 2), and 3 months after (time 3) a program informing clinical staff about the use of interhospital transfer guidelines. Three emergency departments and one intensive care unit at three hospitals and a medical retrieval service in Sydney, Australia. Physicians, nurses, and a paramedic working in critical care areas and at a medical retrieval service. A questionnaire containing clinical scenarios was administered to clinical staff. There was a significant difference in mean scores for selecting the appropriate escort levels across time (F2,78 = 24.2; p < .01) and for participant's experience with interhospital transfer (F2,39 = 4.63; p = .02). Significant improvement in mean scores occurred between time 1 (7.55 +/- 1.84 and time 2 (9.48 +/- 1.47) (t41 = -6.21; p < .01). The improvement in selecting appropriate escorts was maintained at time 3 (mean score 9.86 +/- 2.01). The error rate for inappropriate assignment of low levels of escorts decrease...Continue Reading

References

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Citations

Nov 20, 2003·Resuscitation·S TrevithickC F Webber
Dec 3, 2010·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Isla M HainsJohanna I Westbrook
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Aug 28, 2013·AORN Journal
Jul 20, 2012·Critical Care Medicine·Theodore J Iwashyna
May 31, 2018·Journal of General Internal Medicine·Michael UsherAndrew Olson

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