Education, Research, and Quality Improvement: Education and Quality Improvement |

Adverse Events Encountered During the Intra-hospital Transport of ICU Patients FREE TO VIEW

Alai Taggu, DM; Jerry Thomas, MD; Shashidhar Patil, MD; MV Pradeep Arun
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St. Johns Medical College, Bangalore, India

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;149(4_S):A241. doi:10.1016/j.chest.2016.02.250
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SESSION TITLE: Education and Quality Improvement

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: To study the number and types of adverse events entered during intra-hospital transport of ICU patients. Interventions provided along with outcomes.

METHODS: A prospective observational study of 438 intra-hospital ICU patients of our hospital transported for diagnostic purposes during May 2012 - june 2013. The escorting intensivist completed the profoma charting out the adverse events occuring during transport just after transport was over.

RESULTS: A total of 438 patients were enrolled in the study for adverse events (AEs) during intra-hospital transfer of ICU patients. The overall AEs documented were 250 among 110 patients. Amongst the AEs encountered, the most common was miscellaneous causes (85.00%)] like SPO2 probe (45.6%) or rest were ECG lead displacement. Major events alarming the physician were drop in spo2 >5% observed in 26.4% patients, MAP (mean arterial pressure) variation >20% from baseline in 32% patients, altered mental status in 7%, and symptomatic arrhythmias in 2% patients. Among 110 (100%) patients with AEs, 5% patients with symptomatic adverse events had to be cancelled from the palnned transport.

CONCLUSIONS: Adverse events are not uncommon during transport of ICU patients especially critically ill. Protocolised transport preferably escorted by intensivist as a part of dedicated transport team will be safer for these patients.

CLINICAL IMPLICATIONS: AE's can be reduced when ICU patients are escorted by an intensivist along with dedicated transport team as per guidelines.

DISCLOSURE: The following authors have nothing to disclose: Alai Taggu, Jerry Thomas, Shashidhar Patil, MVpradeep Arun

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