ArticleBMJ open quality2020
Improving patient safety during intrahospital transportation of mechanically ventilated patients with critical illness.
Article in BMJ open quality, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Effectiveness and Safety of Continuous Quality Improvement and Failure Mode and Effect Analysis for Preventing Adverse Events in Hospitalized Patients: A Systematic Review of Complex Interventions.Journal of patient safety · 2026Pooled it
- Mass intrahospital transport of the neonatal intensive care unit: a systems-based approach to safety, efficiency, and family-centered care.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Psychometric properties of the Persian version of the intra-hospital transport safety scale in intensive care.SAGE open medicine · 2026Article
- Error Traps in the Intrahospital Transport of Critically Ill and Anesthetized Children.Paediatric anaesthesia · 2025Review
- Preventing and Managing Tracheostomy-Related Emergencies in the Radiology Suite: Best Practices for Safety and Preparedness.Journal of radiology nursing · 2025Article
- Validity and Reliability of a Short Form of the Questionnaire for the Reflective Practice of Nursing Involving Invasive Mechanical Ventilation: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2023Article
- MRI and the Critical Care Patient: Clinical, Operational, and Financial Challenges.Critical care research and practice · 2023Review
- Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: A cross-sectional survey.Journal of advanced nursing · 2022Article
- Incidence of Adverse Events Associated With the In-Hospital Transport of Critically Ill Patients.Critical care explorations · 2022Article
- Methodology for designing intrahospital transportation of patients with suspected infectious disease that limits infection spread risk in China.Frontiers in public health · 2022Article
- Adverse events experienced with intrahospital transfer of critically ill patients: A national survey.Medicine · 2021Article
- Development and initial psychometric testing of the Intrahospital Transport Safety Scale in intensive care.BMJ open · 2020Article
- Implementation of an Intrahospital Transport Checklist for Emergency Department Admissions to Intensive Care.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimIntrahospital transportation (IHT) of patients under mechanical ventilation (MV) significantly increases the risk of patient harm. A structured process performed by a well-prepared team with adequate communication among team members plays a vital role in enhancing patient safety during transportation. DESIGN AND IMPLEMENTATION: We conducted this quality improvement programme at the intensive care units of a university-affiliated medical centre, focusing on the care of patients under MV who received IHT for CT or MRI examinations. With the interventions based on the analysis finding of the IHT process by healthcare failure mode and effects analysis, we developed and implemented strategies to improve this process, including standardisation of the transportation process, enhancing equipment maintenance and strengthening the teamwork among the transportation teammates. In a subsequent cycle, we developed and implemented a new process with the practice of reminder-assisted briefing. The reminders were printed on cards with mnemonics including 'VITAL' (Vital signs, Infusions, Tubes, Alarms and Leave) attached to the transportation monitors for the intensive care unit nurses, 'STOP' (Secretions, Tubes, Oxygen and Power) attached to the transportation ventilators for the respiratory therapists and 'STOP' (Speak-out, Tubes, Others and Position) attached to the examination equipment for the radiology technicians. We compared the incidence of adverse events and completeness and correctness of the tasks deemed to be essential for effective teamwork before and after implementing the programme.
resultsThe implementation of the programme significantly reduced the number and incidence of adverse events (1.08% vs 0.23%, p=0.01). Audits also showed improved teamwork during transportation as the team members showed increased completeness and correctness of the essential IHT tasks (80.8% vs 96.5%, p<0.001).
conclusionThe implementation of reminder-assisted briefings significantly enhanced patient safety and teamwork behaviours during the IHT of mechanically ventilated patients with critical illness.
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