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Factors Affecting Stabilization Times in Neonatal Transport
Muzafar Gani Abdul Wahab1, Sumesh Thomas2, Prashanth Murthy2
1Neonatologist, Associate Professor, Division of Neonatology, Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Air Medical Journal
|October 4, 2019
Summary
Stabilization time for sick infants before neonatal transport can be significantly reduced. Addressing delays in vehicle mobilization, results, and bed availability could save up to 28% of this critical pre-transport time.
Area of Science:
- Neonatal medicine
- Pediatric transport
- Healthcare logistics
Background:
- Effective neonatal transport requires optimizing pre-transport stabilization.
- Delays in stabilization can negatively impact infant outcomes and resource utilization.
Purpose of the Study:
- To analyze components of neonatal transport stabilization time.
- To identify key factors contributing to delays.
- To find opportunities for improving transport efficiency.
Main Methods:
- Prospective observational study over 12 months at a single center.
- Analysis of stabilization time (arrival to departure) for neonatal transfers.
- Comparison of stabilization times with and without interventions.
Main Results:
- Mean stabilization time was 113 minutes (no intervention) vs. 165 minutes (with intervention).
- Local stabilization times were over 1.5 times longer than published data.
- Key delays identified: vehicle mobilization, blood/radiology results, bed availability.
Conclusions:
- Local neonatal transport stabilization times are prolonged.
- Addressing specific logistical delays can significantly shorten pre-transport stabilization.
- Potential to save up to 28% of stabilization time by optimizing identified factors.
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