PREVALENCE OF ADVERSE EVENTS DURING TRANSPORT OF CRITICALLY ILL PATIENTS FROM THE EMERGENCY DEPARTMENT TO THE INTENSIVE CARE UNIT
Background: The process of Intra Hospital Transports (IHTs) of critically ill patients is at high risk of changing patient conditions. Emergency transportation causes complications and may affect patient safety. This study aims to describe the prevalence of adverse events during the transport of critically ill patients from the Emergency Department (ED) to the Intensive Care Unit.
Method: This study applied an analytic observational design with a prospective cohort approach. The study examined 151 emergency patients. The inclusion criteria are patients aged >16 years and the issued decision to transfer the patients to the Intensive Care Unit at levels 2 and 3.
Results: From 151 observed-transfer processes, 119 (78.8%) respondents experienced adverse events. Among them 54 (45.5%) were non-physiological cases, 33 (27.7%) physiological, and 32 (26.8%) combination of physiological and non-physiological adverse events. Most of the physiological adverse events were nausea (12 or 13.3%), while most non-physiological adverse events were temporary cessation of therapy in the course of 65 (57%). There is a significant relationship among age (p=0.012, r=0.351), sex (p=0.019, r= 0.249), suitability of transfer companion (p=0.005, r=0.281) with the adverse events during the transport of critically ill patients from the Emergency Department to the Intensive Care Unit.
Conclusion: Furthermore, risk management is required to reduce the complication at the time of transfer. During the transfer procedure continuous intravenous access must be ensured to minimize risk.