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العنوان
Checklist application for intrahospital safe transfer of patients in intensive care units and its effect on patients’ outcome/
المؤلف
Elshamy, Nourhan Ahmed Elsayed.
هيئة الاعداد
باحث / نورهان أحمد السيد الشامى
مناقش / صلاح عبد الفتاح محمد إسماعيل
مناقش / تيسير محمد زيتون
مشرف / وفاء محمد محمود السحلى
الموضوع
Critical Care Medicine.
تاريخ النشر
2022.
عدد الصفحات
46 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب (متفرقات)
تاريخ الإجازة
13/4/2022
مكان الإجازة
جامعة الاسكندريه - كلية الطب - Critical Care Medicine
الفهرس
Only 14 pages are availabe for public view

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from 63

Abstract

Critically ill patients are frequently transported intra-hospital (IHT). However, because it occurs within the hospital’s facilities and is supervised by healthcare professionals, it is frequently overlooked. Despite being an unavoidable reality, it poses several risks to patient safety, not only because it is a mode of transportation, but also because critically ill patients are more vulnerable to adverse events. Such dangers can lead to instability, worsening the patients’ clinical condition. They may also result in additional complications and the possibility of insufficient action during a potential emergency situation.
The transportation of critically ill patients has a physiological impact that is caused by movement, specifically acceleration, deceleration, and vibration. Moving a patient through the hospital’s corridors and elevators can be uncomfortable. However, other aspects of transportation can also cause complications, such as patient repositioning; thermal variations in the surrounding environment, which can result in hypothermia; and noise, which can disturb or cause anxiety in the patient. It is also important to note that surveillance may be reduced during the administration of complementary diagnostic tests because the patient may be less visible in such circumstances.
Existing guidelines recommend changing clinical practice to avoid transfer complications by employing trained personnel and appropriate equipment, monitoring all movements throughout the process (including diagnostic procedures), and using a checklist to ensure the correct delivery of services and resources. Many researchers believe that medical checklists can aid in the prevention of human error, the reduction of injuries, and the reduction of various costs. The advantages of using checklists include their comprehensive nature, optimizing resource utilization, and improving the treatment team’s performance. There are undoubtedly drawbacks to checklists, including the time they require (due to the large number of items), reliance on observation criteria, the possibility of bias on the part of the person filling them, a lack of attention to details, fatigue, and improper use.