Key result
Structured checklist aims to standardize care and minimize adverse events during critically ill patient transfers.
Why the study?
Safe inter-hospital transport of critically ill patients is complex, and a structured checklist is pivotal to maintaining patient safety and mitigating complications.
Does a structured checklist improve patient safety during the inter-hospital transfer of critically ill patients?
Does a structured checklist improve patient safety during the inter-hospital transfer of critically ill patients?
A structured checklist developed through a scoping review standardizes care processes and supports clinical decision-making to safeguard critically ill patients during inter-hospital transfers.
Provides a transferable checklist for critical care transfers; leaves open whether adoption reduces adverse events.
Background: Safe inter-hospital transport of critically ill patients is a complex procedure where nurses are integral to maintaining patient safety. A structured checklist is pivotal to ensuring the transfer process mitigates potential complications. Objective: The objective of this scoping review was to devise and implement a detailed checklist to enhance patient safety during the transfer of critically ill patients. Methods: A comprehensive literature review was conducted by Joanna Briggs Institute’s guidelines across several databases including MEDLINE, CINAHL Complete, LILACS, and Scopus. The search considered works published in Portuguese, English, or Spanish from 2008 onwards. A total of eight studies met our inclusion criteria and were selected for detailed analysis. Results: Our analysis delineated the critical clinical information necessary to compose an effective transfer checklist. This checklist was developed through iterative refinement, informed by the literature and appraised during a focus group meeting with experts. Subsequent to its development, the checklist was implemented in the emergency department of a Central Portuguese hospital. Conclusions: This scoping review emphasizes the significance of evidence-based protocols and clear communication in safeguarding patient welfare during critical transfers. The developed checklist is a tool that standardizes care processes, supports clinical decision-making, and is instrumental in minimizing adverse events during inter-hospital transfers.
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Carvalho et al. (2024) conducted a review in Critically ill patients requiring inter-hospital transfer (n=8). Structured transfer checklist was evaluated on Development and implementation of a transfer checklist. A scoping review of 8 studies informed the development of a structured checklist to standardize care and minimize adverse events during the inter-hospital transfer of critically ill patients.
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