Impact of an intervention to control risk associated with patient transfer.

Détails

Ressource 1Télécharger: 18389394.pdf (166.07 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_27D6FA6C534B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Impact of an intervention to control risk associated with patient transfer.
Périodique
Swiss Medical Weekly
Auteur⸱e⸱s
Wasserfallen J.B., Meylan N., Schaller M.D., Chioléro R., Fishman D.
ISSN
1424-7860
Statut éditorial
Publié
Date de publication
2008
Peer-reviewed
Oui
Volume
138
Numéro
13-14
Pages
211-218
Langue
anglais
Résumé
QUESTION UNDER STUDY: Hospitals transferring patients retain responsibility until admission to the new health care facility. We define safe transfer conditions, based on appropriate risk assessment, and evaluate the impact of this strategy as implemented at our institution. METHODS: An algorithm defining transfer categories according to destination, equipment monitoring, and medication was developed and tested prospectively over 6 months. Conformity with algorithm criteria was assessed for every transfer and transfer category. After introduction of a transfer coordination centre with transfer nurses, the algorithm was implemented and the same survey was carried out over 1 year. RESULTS: Over the whole study period, the number of transfers increased by 40%, chiefly by ambulance from the emergency department to other hospitals and private clinics. Transfers to rehabilitation centres and nursing homes were reassigned to conventional vehicles. The percentage of patients requiring equipment during transfer, such as an intravenous line, decreased from 34% to 15%, while oxygen or i.v. drug requirement remained stable. The percentage of transfers considered below theoretical safety decreased from 6% to 4%, while 20% of transfers were considered safer than necessary. A substantial number of planned transfers could be "downgraded" by mutual agreement to a lower degree of supervision, and the system was stable on a short-term basis. CONCLUSION: A coordinated transfer system based on an algorithm determining transfer categories, developed on the basis of simple but valid medical and nursing criteria, reduced unnecessary ambulance transfers and treatment during transfer, and increased adequate supervision.
Mots-clé
Algorithms, Humans, Nursing Service, Hospital, Patient Transfer/methods, Program Evaluation, Prospective Studies, Risk Assessment, Risk Management, Safety Management
Pubmed
Web of science
Création de la notice
29/01/2009 22:14
Dernière modification de la notice
20/08/2019 13:07
Données d'usage