ABSTRACT Background Intra‐hospital transport of critically ill patients is a high‐risk process. Although graded transport is recommended to improve safety, evidence on its implementation in southwestern China is limited. Aim To describe graded intra‐hospital transport implementation in ICUs in southwestern China and examine associated factors. Study Design This was a multicentre cross‐sectional survey conducted in ICUs across five provincial‐level regions in southwestern China. Results A total of 1337 ICU nurses from 201 ICUs across five provincial‐level regions in southwestern China participated in this survey. Overall, 57.21% of ICUs implemented graded transport. Hospital level, teaching hospital status and higher staff‐to‐bed ratios were independently associated with implementation (all p 20% in heart rate, oxygen saturation, or blood pressure, insufficient oxygen supply, catheter displacement or occlusion, and fluid extravasation. Frequently perceived risk factors were patient instability, inadequate pre‐transport risk assessment, incomplete transport systems and processes, and insufficient preparation of equipment and medications. Conclusions Graded intra‐hospital transport implementation remains inconsistent across ICUs in southwestern China and is associated with hospital characteristics and staffing resources. Comprehensive implementation may support better transport preparation, communication, documentation and adverse event reporting. Relevance to Clinical Practice Safer graded transport may be promoted by strengthening structured staff training, reinforcing pre‐transport risk assessment, standardising transport systems and processes, and optimising staffing and resource allocation.
Li et al. (Fri,) studied this question.