PMID- 30153186
OWN - NLM
STAT- MEDLINE
DCOM- 20181126
LR  - 20181126
IS  - 1550-5111 (Electronic)
IS  - 0887-9303 (Linking)
VI  - 41
IP  - 4
DP  - 2018 Oct/Dec
TI  - Transport of Critically Ill Cardiovascular Patients.
PG  - 413-425
LID - 10.1097/CNQ.0000000000000229 [doi]
AB  - Intra-hospital transport (IHT) of intensive care unit (ICU) patients is 
      associated with a 30% to 60% incidence of adverse events (AEs). This prospective 
      observational study collected data from 200 patient transports from a 24-bed 
      cardiovascular intensive care unit (ICU) between July 2017 and December 2017. 
      Phase 1 of the study focused on identifying and correcting deficiencies in 
      nurses' knowledge regarding IHT. Phase 2 observed the occurrence and type of AEs 
      during the IHT of ICU patients with and without physician accompaniment. The 
      preeducation mean nursing knowledge score was 30.8 +/- 10.2 (scale 0-100), and 
      postcurriculum test mean score was 80 +/- 20.2 (p < .001). In a series of 200 ICU 
      transports, the incidence of AEs was 21.5% (n = 43). In patients who were 
      unstable prior to transport, there was no difference in complications with or 
      without a physician present (p = 0.40, chi = 0.696, odds ratio = 0.643, 95% 
      confidence interval: 0.245-1.96). Patient needs during transport were met with 
      preexisting orders or treatment orders received telephonically. Nurses' knowledge 
      of transport standards improved significantly with education. Physician presence 
      did not affect outcomes. The interventions needed to respond to complications did 
      not require physician presence. In this cohort, there was no statistically 
      significant benefit from physician attendance in transport.
FAU - Ignatyeva, Yelena
AU  - Ignatyeva Y
AD  - Sulpizio Cardiovascular Intensive Care Unit, University of California San Diego 
      Medical Center (Ms Ignatyeva); and Department of Anesthesiology UC San Diego 
      Medical Center (Drs Nguyen and Barak), Peri-Operative Medicine and Anesthesiology 
      UCSD Medical Center (Dr Schmidt), UCSD-School, volunteer CVC/ICU (Mr Agarwal), 
      and University of California San Diego Health (Dr Davidson), San Diego, 
      California.
FAU - Nguyen, Albert Phan
AU  - Nguyen AP
FAU - Schmidt, Ulrich
AU  - Schmidt U
FAU - Barak, Ron
AU  - Barak R
FAU - Agarwal, Ravi
AU  - Agarwal R
FAU - Davidson, Judy E
AU  - Davidson JE
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Crit Care Nurs Q
JT  - Critical care nursing quarterly
JID - 8704517
MH  - Cardiovascular Diseases/*therapy
MH  - Critical Care/*standards
MH  - Critical Care Nursing
MH  - Critical Illness/*therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Transportation of Patients
EDAT- 2018/08/29 06:00
MHDA- 2018/11/27 06:00
CRDT- 2018/08/29 06:00
PHST- 2018/08/29 06:00 [entrez]
PHST- 2018/08/29 06:00 [pubmed]
PHST- 2018/11/27 06:00 [medline]
AID - 00002727-201810000-00012 [pii]
AID - 10.1097/CNQ.0000000000000229 [doi]
PST - ppublish
SO  - Crit Care Nurs Q. 2018 Oct/Dec;41(4):413-425. doi: 10.1097/CNQ.0000000000000229.