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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...

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Autores principales: Villacrés, Sindy, Katyal, Chhavi, Gomez, James, Longani, Neha, Chang, Deidre, Velasco, Susan, Zeiman, Linda, Choi, Steven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
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.
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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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