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Defining Best Practices for Interhospital Transfers.

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    Area of Science:

    • Healthcare Management
    • Patient Safety
    • Cardiology

    Background:

    • Interhospital transfers (IHT) are crucial but high-risk care transitions.
    • Variability in IHT processes and lack of best practice clarity contribute to patient risk.

    Purpose of the Study:

    • Define best practice principles for IHTs.
    • Identify opportunities to improve the transfer process to Cardiology services.

    Main Methods:

    • Literature review.
    • Expert and stakeholder interviews.
    • Healthcare professional surveys.
    • Failure Modes and Effects Analysis (FMEA).

    Main Results:

    • Identified six critical elements of IHT: request initiation, information exchange, pre-transport updates, transport, admission, and feedback.
    • Found improvement opportunities across all six elements.

    Conclusions:

    • Standardizing the six critical elements of IHT can enhance patient safety.
    • Optimizing IHT processes is essential for high-risk care transitions.