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Response Time in the Transport of Pediatric Patients to a Tertiary Critical Care Unit
INTRODUCTION: Various barriers delay the process of patient transfer to critical care units. We implemented quality improvement methods to decrease the time required for interhospital transfer of critical care patients. As a result, we aimed to decrease the time from initial transfer call to special...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9197356/ https://www.ncbi.nlm.nih.gov/pubmed/35720870 http://dx.doi.org/10.1097/pq9.0000000000000558 |
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author | Villacrés, Sindy Katyal, Chhavi Gomez, James Longani, Neha Chang, Deidre Velasco, Susan Zeiman, Linda Choi, Steven |
author_facet | Villacrés, Sindy Katyal, Chhavi Gomez, James Longani, Neha Chang, Deidre Velasco, Susan Zeiman, Linda Choi, Steven |
author_sort | Villacrés, Sindy |
collection | PubMed |
description | INTRODUCTION: Various barriers delay the process of patient transfer to critical care units. We implemented quality improvement methods to decrease the time required for interhospital transfer of critical care patients. As a result, we aimed to decrease the time from initial transfer call to specialized transport team arrival at the referring hospital from 150 minutes to <40 minutes over 2 years. METHODS: Quality improvement initiative monitoring the length of transport time of 245 patients transferred from referral hospitals to a tertiary pediatric intensive care unit for 31 months from March 2013 to October 2015. We reviewed preexisting transport protocols and identified barriers to the timely arrival to the pediatric intensive care unit. We implemented 3 interventions: a transport information line serving as a central communication center to coordinate the transport process between all stakeholders, the formation of a specialized pediatric transport team, and a training program. We collected transport response time data and monitored the impact of interventions via statistical process control charts. RESULTS: There was a significant decrease in the length of the time course pre- and postintervention. We noted a special cause to decrease in time from referral hospital call to arrival of our transport team by 76% from 150 minutes to 36 minutes. In addition, the statistical process chart revealed a stable and effective process without significant shifts above the process mean as early as 3 months postintervention. CONCLUSIONS: By improving our transport services with additional resources and people, we have improved the efficiency of patient transport between institutions. |
format | Online Article Text |
id | pubmed-9197356 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-91973562022-06-16 Response Time in the Transport of Pediatric Patients to a Tertiary Critical Care Unit Villacrés, Sindy Katyal, Chhavi Gomez, James Longani, Neha Chang, Deidre Velasco, Susan Zeiman, Linda Choi, Steven Pediatr Qual Saf Individual QI projects from single institutions INTRODUCTION: Various barriers delay the process of patient transfer to critical care units. We implemented quality improvement methods to decrease the time required for interhospital transfer of critical care patients. As a result, we aimed to decrease the time from initial transfer call to specialized transport team arrival at the referring hospital from 150 minutes to <40 minutes over 2 years. METHODS: Quality improvement initiative monitoring the length of transport time of 245 patients transferred from referral hospitals to a tertiary pediatric intensive care unit for 31 months from March 2013 to October 2015. We reviewed preexisting transport protocols and identified barriers to the timely arrival to the pediatric intensive care unit. We implemented 3 interventions: a transport information line serving as a central communication center to coordinate the transport process between all stakeholders, the formation of a specialized pediatric transport team, and a training program. We collected transport response time data and monitored the impact of interventions via statistical process control charts. RESULTS: There was a significant decrease in the length of the time course pre- and postintervention. We noted a special cause to decrease in time from referral hospital call to arrival of our transport team by 76% from 150 minutes to 36 minutes. In addition, the statistical process chart revealed a stable and effective process without significant shifts above the process mean as early as 3 months postintervention. CONCLUSIONS: By improving our transport services with additional resources and people, we have improved the efficiency of patient transport between institutions. Lippincott Williams & Wilkins 2022-06-14 /pmc/articles/PMC9197356/ /pubmed/35720870 http://dx.doi.org/10.1097/pq9.0000000000000558 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Individual QI projects from single institutions Villacrés, Sindy Katyal, Chhavi Gomez, James Longani, Neha Chang, Deidre Velasco, Susan Zeiman, Linda Choi, Steven Response Time in the Transport of Pediatric Patients to a Tertiary Critical Care Unit |
title | Response Time in the Transport of Pediatric Patients to a Tertiary Critical Care Unit |
title_full | Response Time in the Transport of Pediatric Patients to a Tertiary Critical Care Unit |
title_fullStr | Response Time in the Transport of Pediatric Patients to a Tertiary Critical Care Unit |
title_full_unstemmed | Response Time in the Transport of Pediatric Patients to a Tertiary Critical Care Unit |
title_short | Response Time in the Transport of Pediatric Patients to a Tertiary Critical Care Unit |
title_sort | response time in the transport of pediatric patients to a tertiary critical care unit |
topic | Individual QI projects from single institutions |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9197356/ https://www.ncbi.nlm.nih.gov/pubmed/35720870 http://dx.doi.org/10.1097/pq9.0000000000000558 |
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