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Related Experiment Videos

Mishaps during transport from the intensive care unit.

I Smith1, S Fleming, A Cernaianu

  • 1Department of Anesthesia, Cooper Hospital/University Medical Center, Camden, NJ 08103.

Critical Care Medicine
|March 1, 1990
PubMed
Summary

Patient transports from the ICU frequently result in mishaps, particularly for high-acuity patients. While elective transports and CT scans showed higher mishap rates, no single predictive factor was identified.

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Area of Science:

  • Critical Care Medicine
  • Patient Safety
  • Healthcare Logistics

Background:

  • Intrahospital patient transports are common but carry inherent risks.
  • Mishaps during transport can potentially impact patient outcomes.
  • Identifying risk factors for transport-related incidents is crucial for improving patient safety.

Purpose of the Study:

  • To prospectively identify factors influencing mishaps during intrahospital patient transports from the Intensive Care Unit (ICU).

Main Methods:

  • A prospective study was conducted on 125 intrahospital patient transports from the ICU.
  • Data collected included patient acuity, procedure type, transport destination, and escort details.
  • Mishaps were recorded and analyzed in relation to various transport characteristics.

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Main Results:

  • One-third of all transports experienced at least one mishap.
  • Therapeutic Intervention Scoring System (TISS) class IV transports had the highest mishap rate (35%).
  • Elective procedure transports had more mishaps (60%) than emergency transports (40%).
  • Mishaps were most common during procedures, CT scans, or waiting periods.
  • No significant relationship was found between mishaps and illness severity (APACHE II), monitoring, or time out of ICU.
  • Escort composition and physician attendance did not significantly reduce mishap risk.
  • Morbidity and mortality were not affected by the observed mishaps.

Conclusions:

  • A significant proportion of ICU patient transports involve mishaps, with specific procedures and patient groups at higher risk.
  • Despite identified trends, no definitive predictive factors for transport mishaps were established.
  • Further research is necessary to better understand and mitigate risks associated with intrahospital patient transports.