ArticleAdvanced journal of emergency medicine2018
Preparation and Implementation of Intrahospital Transfer Protocol for Emergency Department Patients to Decrease Unexpected Events.
Article in Advanced journal of emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Nursing interventions to ensure the safety of critically ill patients in intrahospital transportation: A scoping review.Journal of the Intensive Care Society · 2026Review
- Effect of planned in-hospital transfer on physiological indicators, level of consciousness, pain, and restlessness in Iran.Acute and critical care · 2026Article
- Developing and psychometrics assessment of a checklist for safe intrahospital patient transfer.BMC health services research · 2026Article
- Article
- Are there opportunities to improve care as patients transition through the cancer care continuum? A scoping review protocol.BMJ open · 2021Article
- Effect of Implementation of Standard Clinical Practice Guideline on Management of Gastrointestinal Bleeding Patients in Emergency Department; a Cross-Sectional Study.Advanced journal of emergency medicine · 2018Article
- Strategies to Combat Overcrowding at Emergency Departments across India: A White Paper by the Academic College of Emergency Experts, India and the World Health Organization Collaborating Centre for Emergency and Trauma, South-East Asia.Journal of emergencies, trauma, and shockArticle
- Implementation of an Intrahospital Transport Checklist for Emergency Department Admissions to Intensive Care.Pediatric quality & safetyArticle
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionMost of the patients hospitalized in the emergency department (ED) are in need of transfer to other hospital wards or paraclinic units. This process is called intrahospital transfer (IHT) that may lead to a wide range of complications known as unexpected events (UE).
objectiveIn the present study we decided to evaluate the effect of using a pre-designed protocol on decrease of UEs and safety improvement of IHT among patients hospitalized in ED.
methodThe present cross-sectional study was carried out in 2016 in the ED of Imam Khomeini Hospital, Tehran, Iran. All patients with triage levels of 1 and 2 who were in need of temporary or permanent transfer to other departments of the studied treatment center based on clinical indication as decided by the in-charge physician were enrolled in the study. This study was conducted in 3 phases of pre-intervention, intervention and post-intervention. Any UE was recorded in first phase. During intervention phase ED-IHT protocol was prepared and implemented. the checklist of complications and UEs during transfer was filled again and pre- and post-intervention results were compared.
resultsIn this study, 207 patients with the mean age of 58.9 ± 20.6 years were evaluated (61.4% male). Demographic data and baseline characteristics of the studied patients in the phases before and after implementation of the protocol has no significant difference. Overall, before implementation of the protocol out of the 105 studied patients, a total of 35 patients (33.3%) were affected by UE during transfer, but after implementation of the protocol this rate decreased to 11 patients (10.8%) out of the 103 studied patients and this decrease was statistically significant (p < 0.001).
conclusionBased on the results obtained from this study, it seems that performing the IHT protocol specialized for ED patients has been effective in decreasing UE cases.
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