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- 2024-08-13 (2)
- 2024-08-13 (1)
Keywords
Unidades de Terapia Intensiva
Fisioterapia Transportation of Patients
Intensive Care Units
How to Cite
Abstract
Aims: To identify incidents to the intra-hospital transportation of critically ill patients. Methods: This is a prospective, observational, descriptive and quantitative study, whose data collection took place through a structured script between July and October 2019 in an Intensive Care Unit of a hospital in the Vale dos Sinos Region/RS. Results: There were 54 predominantly low-risk transportation (44.4%) and destined for internal transfer (48.1%). The main outcome was hospital discharge (77.8%). The nursing class was the one that was most present in transportation. Monitoring of vital signs was used in less than half of the transportation performed (40.7%). It was found that the devices and equipment were directly related to the risk classification for intra-hospital transportation, except for the continuous infusion pump, which was present in most. Twenty-one (38.9%) incidents were detected in the transfer phase, with team and equipment failures prevalent. The duration of in-hospital transportation showed a significant correlation with the occurrence of incidents (r=-0.454; p=0.001), while the intensive care unit (r=0.200; p=0.146) and hospitalization times (r=0.084; p=0.546), as well as the outcome (r=0.030; p=0.827) did not present. Conclusions: It is concluded that transportation safety is still a challenge, so the decision to transportation should be based on clinical risk-benefit assessment, multidisciplinary team training and standardization of practices.
References
Almeida ACG, Neves ALD, Souza CLB, Garcia JH, Lopes JL, Barros ALBL. Transporte intra-hospitalar de pacientes adultos em estado crítico: complicações relacionadas à equipe, equipamentos e fatores fisiológicos. Acta Paul Enferm 2012; 25(3):471-476.
Gimenez FMP, Camargo WHB, Gomes ACB, Nihei TS, Andrade MWM, Valverde MLAFS, et al. Analysis of Adverse Events during Intrahospital Transportation of Critically Ill Patients. Crit Care Res Pract 2017; 2017:1-7.
Knight PH, Maheshwari N, Hussain J, Scholl M, Hughes M, Papadimos TJ, et al. Complications during intrahospital transport of critically ill patients: Focus on risk identification and prevention. Int J Crit Illn Inj Sci 2015; 5(4):256-264.
Morais SA, Almeida LF. Por uma rotina no transporte intra-hospitalar: elementos fundamentais para a segurança do paciente crítico. Rev HUPE 2013; 12(3): 138-146.
Teles MA, Neto JS, Puster RA, Beltrão BA, Araújo VN, Farias JLM, et al. Protocolo para transporte intra-hospitalar de pacientes da Unidade de Terapia Intensiva do Hospital Universitário Walter Cantídio. Rev Med Univ Fed Ceará 2018; 58(4): 83-89.
Vasconcelos MCC, Pimentel IM, Lima EP, Tavares R, Teixeira R. Criação e validação de um Checklist para triagem de pacientes críticos no transporte intra-hospitalar. Rev Eletron Acervo Saúde [Internet] 2018 [acessado 2019 Abr 08]; 10(3): 1933-1941. Disponível em https://www.acervosaude.com.br/doc/REAS295.pdf
Figueiredo ML, Oliveira e Silva CS, Brito MFSF, D’Innocenzo M. Análise da ocorrência de incidentes notificados em hospital-geral. Rev Bras Enferm 2018; 71(1):121-130.
Silva R, Amante LN, Salum NC, Martins T, Werner J. Eventos adversos durante o transporte intra-hospitalar em unidade de terapia intensiva. Rev. Enferm UFPE online [Internet] 2016 [acessado 2019 Abr 08]; 10(12): 4459-4465. Disponível em https://periodicos.ufpe.br/revistas/revistaenfermagem/article/viewFile/11510/13389
Jia L, Wang H, Gao Y, Liu H, Yu K. High incidence of adverse events during intra-hospital transport of critically ill patients and new related risk factors: a prospective, multicenter study in China. Crit Care 2016; 20:12.
Carneiro TA, Duarte TTP, Magro MCS. Transporte de paciente crítico: um desafio do século XXI. Rev Enferm UFPE online [Internet] 2017 [acessado 2019 Abr 08];11(1): 70-77. Disponível em: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/download/11879/14335.
Venkategowda PM, Rao SM, Mutkule DP, Taggu AN. Unexpected events occurring during the intra-hospital transport of critically ill ICU patients. Indian J Crit Care Med 2014;18(6):354–357.
Silva R, Amante LN, Salum NC, Girondi JBR, Sebold LF. Incidentes e eventos adversos no transporte intra-hospitalar em terapia intensiva. Rev Enferm Centro-Oeste Mineiro 2018; 8:e2805.
Ordem dos Médicos (Comissão da Competência em Emergência Médica); Sociedade Portuguesa de Cuidados Intensivos. Transporte de doentes críticos: recomendações, 2008.
Assobrafir. Parecer Nº 001/2015. Atuação do Fisioterapeuta no transporte intraou extra hospitalar. Associação Brasileira de Fisioterapia Cardiorrespiratória e Fisioterapia em Terapia Intensiva 2015; 24 mar.
Coffito. Resolução Nº 402 de 03 de agosto de 2011. Disciplina a Especialidade Profissional Fisioterapia em Terapia Intensiva e dá outras providências. Conselho Federal de Fisioterapia e Terapia Ocupacional 2011; 03 ago.
Silva R, Amante LN. Checklist para o transporte intra-hospitalar de pacientes internados na Unidade de Terapia Intensiva. Texto Contexto Enferm 2015; 24(2): 539-547.
Zuchelo LTS, Chiavone PA. Transporte intra-hospitalar de pacientes sob ventilação invasiva: repercussões cardiorrespiratórias e eventos adversos. J Bras Pneumol 2009; 35(4): 367-374.
Cofen. Resolução nº 588 de 3 de outubro de 2018. Atualiza e normatiza a atuação da equipe de Enfermagem no processo de transporte de pacientes em ambiente interno aos serviços de saúde. Conselho Federal de Enfermagem 2018; 03 out.
Pereira Júnior GA, Carvalho JB, Ponte Filho AD, Malzone DA, Pedersoli CE. Transporte intra-hospitalar do paciente crítico. Medicina (Ribeirao Preto Online) [Internet]. 2007 [acessado 2019 Abr 08];40(4):500-508. Disponível em http://www.revistas.usp.br/rmrp/article/view/346
Parmentier-Decrucq E, Poissy J, Favory R, Nseir S, Onimus T, Guerry MJ, et al. Adverse events during intrahospital transport of critically ill patients: Incidence and risk factors. Ann Intensive Care 2013; 3(1):1-10.
Meneguin S, Alegre PHC, Luppi CHB. Caracterização do transporte de pacientes críticos na modalidade intra-hospitalar. Acta Paul Enfem 2014; 27(2):115-119.
Yang SH, Jerng Js, Chen LC, Li YT, Huang HF, Wu CL, et al. Incidence of patient safety events and process-related human failures during intra-hospital transportation of patients: retrospective exploration from the institutional incident reporting system. BMJ Open 2017; 7(11):e017932.
Hajjej Z, Gharsallah H, Boussaidi I, Daiki M, Labbene I, Ferjanu M. Risk of mishaps during intrahospital transport of critically ill patients. Tunis Med 2015; 93(11):708-713.
Graça ACG, Silva NAP, Correia TIG, Martins MDS. Transporte inter-hospitalar do doente crítico: a realidade de um hospital do nordeste de Portugal. Rev Enferm Ref 2017; serIV(15): 133-144.
Hospital de Clínicas da Universidade Federal do Triângulo Mineiro (HC-UFTM), administrado pela Empresa Brasileira de Serviços Hospitalares (Ebserh) – Ministério da Educação. Protocolo Assistencial Multiprofissional: Transporte intra-hospitalar de clientes. Uberaba: HCUFTM/Ebserh; 2017.
Harish MM, Janarthanam S, Siddiqui SS, Chaudhary HK, Prabu NR, Divatia JV, et al. Complications and benefits of intrahospital transport of adult intensive care unit patients. Indian J Crit Care Med 2016; 20(8): 448-452.
Veiga VC, Postalli NF, Alvarisa TK, Travassos PP, Vale RTDS, Oliveira CZ, Rojas SSO. Adverse events during intrahospital transport of critically ill patients in a large hospital. Rev Bras Ter Intensiva 2019; 31(1):15-20.