The safety of critically ill people in intra-hospital transport - scoping review

Authors

DOI:

https://doi.org/10.29352/mill0216e.38413

Keywords:

medical-surgical nursing; critically ill patient; intra-hospital transport; safety

Abstract

Introduction: The intra-hospital transport of critically ill patients has become an increasingly studied issue due to its complexity. The occurrence of adverse events during transport has been rising, highlighting the need to develop strategies to prevent and minimize them.

Objective: To identify strategies that nurses can use to enhance the safety of critically ill patients during intra-hospital transport.

Methods: A scoping review was conducted, with a search carried out on the B-On and EBSCOhost platforms, considering articles published between 2019 and 2023. The search terms used were “intrahospital transport,” “critically ill,” and “nurse.”

Results: Following the search, seven primary studies from various countries were selected, all of which met methodological quality criteria for inclusion in this study. The analysis identified two key strategies for improving intra-hospital transport safety: continuous training and the use of checklists.

Conclusion: Implementing these strategies significantly improves the quality and safety of intra-hospital transport, and they should be used in a complementary manner.

Downloads

References

An, Y., Tian, Z., Li, F., Lu, Q., Guan, Y., Ma, Z., ... Li, Y. (2022). Establishment of a simplified score for predicting risk during intrahospital transport of critical patients: A prospective cohort study. Journal of Critical Nursing, 32, 1125-1134. https://doi.org/10.1111/jocn.16337

Aromataris, E., & Munn, Z. (2020). JBI manual for evidence synthesis. JBI. https://doi.org/10.46658/JBIMES-20-01

Bergman, L., Pettersson, M., Chaboyer, W., Carlstrom, E., & Ringdal, M. (2018). Improving quality and safety during intrahospital transport of critically ill patients: A critical incident study. Australian Critical Care, 31(5), 1-8. https://doi.org/10.1016/j.aucc.2018.12.003

Brás, C., Ferreira, M., Figueiredo, M., & Duarte, J. (2023). Cultura de segurança do doente na prática dos enfermeiros. Revista Latino-Americana de Enfermagem, 31, e3838. https://doi.org/10.1590/1518-8345.6231.3838

Hu, Y., Shi, D., You, L., & Li, W. (2021). Intrahospital transport of critically ill patients: A survey of emergency nurses. Nursing in Critical Care, 26(5), 1-7. https://doi.org/10.1111/nicc.12601

Ordem dos Enfermeiros. (2015). Regulamento nº 361/2015: Regulamento dos padrões de qualidade dos cuidados especializados em enfermagem em pessoa em situação crítica. Diário da República, 2ª série, nº 123, de 26 de junho de 2015. https://diariodarepublica.pt/dr/detalhe/regulamento/361-2015-67613096

Ordem dos Enfermeiros. (2017). Parecer nº 09/2017: Transporte da pessoa em situação crítica. Mesa do Colégio de Especialidade em Enfermagem Médico-Cirúrgica. Ordem dos Enfermeiros. https://shre.ink/Mf6I

Ordem dos Enfermeiros. (2018). Regulamento nº 429/2018: Regulamento de competências específicas do enfermeiro especialista em enfermagem médico-cirúrgica na área de enfermagem à pessoa em situação crítica. Diário da República, 2ª série, nº 135, de 16 de julho de 2018. https://diariodarepublica.pt/dr/detalhe/regulamento/429-2018-115698617

Ordem dos Enfermeiros. (2020). Parecer do Conselho de Enfermagem nº 07/2020: Transporte in-hospitalar em pessoas em situação crítica. Ordem dos Enfermeiros. https://www.ordemenfermeiros.pt/media/18211/parecer-nº-07_ce_27022020_transporte-secundário-de-pessoas-em-situaçã.pdf

Ordem dos Médicos & Sociedade Portuguesa de Cuidados Intensivos. (2023). Transporte de doente crítico: Recomendações 2023. Ordem dos Médicos e Sociedade Portuguesa de Cuidados Intensivos. https://www2.ordemdosmedicos.pt/transporte-de-doentes-criticos-versao-atualizada-2023/

Peters, M., Godfrey, C., McInerney, P., Soares, C., Khalil, H., & Parker, D. (2017). Scoping reviews. Em E. Aromataris & Z. Munn (Eds.), Joanna Briggs Institute reviewer's manual. Joanna Briggs Institute. https://doi.org/10.46658/JBIMES-24-09

Regulamento nº 743/2019 da Ordem dos Enfermeiros. (2019). Regulamento da norma para cálculo de dotações seguras dos cuidados de enfermagem. Diário da República, 2ª série, de 25 de setembro de 2019. https://diariodarepublica.pt/dr/detalhe/regulamento/743-2019-124981040

Sharafi, R., Ghahramanian, A., Sheikhalipour, Z., Ghafourifard, M., & Ghasempour, M. (2020). Improving the safety and quality of the in-hospital transport of critically ill patients. Nursing in Critical Care, 25(6), 1-9. https://doi.org/10.1111/nicc.12527

Song, Y., Zhao, Q., Yang, M., Xie, X., Gong, M., & Chen, H. (2022). Intrahospital transport of critically ill patients: A cross-sectional survey of nurses' attitudes and experiences in adult intensive care units. Journal of Advanced Nursing, 78(10), 2775-2784. https://doi.org/10.1111/jan.15179

Williams, P., Karuppiah, S., Greentree, K., & Darvall, J. (2019). A checklist for intrahospital transport of critically ill patients improves compliance with transportation safety guidelines. Australian Critical Care, 32(4), 1-5. https://doi.org/10.1016/j.aucc.2019.02.004

Zhang, W., Lv, J., Zhao, J., Ma, X., Li, X., Gu, H., ... Zhou, R. (2022). Proactive risk assessment of intrahospital transport of critically ill patients from emergency department to intensive care unit in a teaching hospital and its implications. Journal of Clinical Nursing, 31, 2539-2552. https://doi.org/10.1111/jocn.16072

Downloads

Published

2025-04-14

How to Cite

Pires, G., & Ruivo, A. (2025). The safety of critically ill people in intra-hospital transport - scoping review. Millenium - Journal of Education, Technologies, and Health, 2(16e), e38413. https://doi.org/10.29352/mill0216e.38413

Issue

Section

Life and Healthcare Sciences