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Identifying significant and relevant events during pediatric transport: a modified Delphi study

Anna C Gunz1, Sonny Dhanani, Hillary Whyte

  • 11Division of Critical Care, Department of Pediatrics, University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada. 2Division of Neonatology, Department of Paediatrics, University of Toronto, Hospital for Sick Children, Toronto, ON, Canada. 3Department of Paediatrics, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada. 4Division of Critical Care, Department of Pediatrics, McMaster University, Hamilton, ON, Canada. 5Division of Emergency Medicine, Department of Pediatrics, University of Toronto, Hospital for Sick Children, Toronto, ON, Canada.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|June 11, 2014
PubMed

Insights

Researchers identified 52 significant indicators for pediatric patient transport events. This list aids quality improvement and clinical research in transport medicine, enhancing patient safety during transfers to specialized centers.

Area of Science:

  • Pediatric transport medicine
  • Healthcare quality improvement
  • Patient safety research

Background:

  • Pediatric patients require specialized care, necessitating transport to dedicated centers.
  • Patient transport increases risks of deterioration and life-threatening events.
  • Previous studies lacked standardized indicators for significant transport events.

Purpose of the Study:

  • Identify and evaluate indicators of significant events during pediatric patient transport.
  • Develop a relevant list of indicators for future transport medicine research.
  • Establish a consensus on critical indicators for pediatric transport.

Main Methods:

  • Modified Delphi study with four iterations.
  • Involved an interdisciplinary panel of Canadian healthcare providers with transport experience.
  • Systematic evaluation and consensus-building on 57 proposed indicators.

Main Results:

  • Expert panel comprised 16 physicians and 17 non-physicians from 10 institutions.
  • Evaluated 57 indicators, including 26 novel ones.
  • Achieved consensus on 52 significant and relevant indicators for pediatric transport.

Conclusions:

  • A systematic Delphi approach yielded an inclusive list of indicators.
  • The developed indicator list is suitable for pediatric transport quality improvement.
  • The indicators will support clinical research initiatives in pediatric transport medicine.
Abstract

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