Validation of a Multidisciplinary Algorithm for the Safety of Critically Ill Adult Patients During Intra-Hospital Transport
DOI:
https://doi.org/10.12707/RVI25.66.42867Keywords:
algorithms, patient safety, patient transfer, decision making, intensive care units, validation studyAbstract
Background: Intra-hospital transport of critically ill adult patients requires coordinated multidisciplinary care to ensure patient safety. The development of accessible and easily interpretable instruments, such as algorithms, may play a decisive role in this process.
Objective: To assess the content and face validity of a multidisciplinary algorithm aimed at enhancing the safety of critically ill adult patients in the context of intra-hospital transport.
Methodology: Methodological study conducted with 30 experts in a single round of validation. Items with a Content Validity Coefficient = 0.80 were considered valid.
Results: The algorithm contains 46 items divided into four blocks, covering decision flows, risk stratification, and operational instructions for each stage of transport. The Content Validity Coefficient was 0.94 in the individual evaluation of items and 0.87 in the overall evaluation.
Conclusion: The algorithm was considered a valid and relevant instrument to support patient safety during intra-hospital transport, as well as clinical decision-making.
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References
Australasian College for Emergency Medicine, Australian and New Zealand College of Anaesthetists & College of Intensive Care Medicine of Australia and New Zealand. (2024). Joint guidelines for the transport of critically ill patients (4ª ed.).
Arslan, B., Sutasir, M. N., Kapci, M., Korkut, S., & Altinarik, S. (2024). Simulation-based enhancement of patient safety during intrahospital transport of trauma patients with COVID-19: A helipad scenario. Cureus, 16(8), e67484. https://doi.org/10.7759/cureus.67484
Costa, A. C., Mendes, L. A., Santos, L. M., Marcatto, J. O., Corrêa, A. R., & Kusahara, D. M. (2024). Elaboração e validação de algoritmo para o planejamento da administração de medicamentos intravenosos em neonatos. Texto & Contexto Enfermagem, 33, e2023-0262. https://doi.org/10.1590/1980-265X-TCE-2023-0262pt
Dong, J., Yi, Y., Zhu, X., & Zhang, H. (2024). Status of knowledge, attitude and practice of clinical nurses towards the intrahospital transport of critically ill patients: A cross-sectional study. Nursing Open, 11(6), e2172. https://doi.org/10.1002/nop2.2172
Faculty of Intensive Care Medicine & Intensive Care Society. (2021). Guidance on: The transfer of the critically ill adult. https://www.ficm.ac.uk/sites/ficm/files/documents/202110/Transfer_of_Critically_ll_Adult.pdf
Hernández-Nieto, R. A. (2002). Contribuições para a análise estatística. Universidade de Los Andes.
Juneja, D., & Nasa, P. (2023). Intrahospital transport of critically ill patients: Safety first. Indian Journal of Critical Care Medicine, 27(9), 613–615. https://doi.org/10.5005/jp-journals-10071-24538
Kinnunen, A., Hagman, T., Paakkonen, H., & Saaranen, T. (2025). Constructing critical care nursing expertise: An integrative literature review. Nurse Education Today, 149, e106668. https://doi.org/10.1016/j.nedt.2025.106668
Mahran, G. S., Mekawy, M. M., Abd El-Aziz, W. W., Ali, A. F., El Demerdash, D. A., & Sayed, M. M. (2024). Developing and validating a bundle for safe intra-hospital transporting of the critically Ill patients: Mixed qualitative design with Delphi approach. Critical Care Nursing Quarterly, 47(4), 378-399. https://doi.org/10.1097/CNQ.0000000000000518
Matias, A. R., & Sá, F. L. (2022). Intervenções da equipa multiprofissional no transporte de pacientes em estado crítico: Revisão sistemática de métodos mistos. Escola Anna Nery, 26, e20210452. https://doi.org/10.1590/2177-9465-EAN-2021-0452pt
Murata, M., Nakagawa, N., Kawasaki, T., Yasuo. S., Yoshida, T., Ando, K., & Okada, Y. (2022). Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. The American Journal of Emergency Medicine, 52, 13-19. https://doi.org/10.1016/j.ajem.2021.11.021
Oliveira, C. M., Pedro, F. M., Brito, A. G., Perdigão, K. F., Cassimiro, R. O., Ferreira, A. Q., & Santos, M. C. (2023). Atenção integral ao paciente crítico: Condutas, práticas e reflexões. Revista Científica Multidisciplinar Núcleo do Conhecimento, 5(6), 58–66. https://doi.org/10.32749/nucleodoconhecimento.com.br/saude/atencao-integral
Ogrinc, G., Davies, L., Goodman, D., Batalden, P., Davidoff, F., & Stevens, D. (2016). SQUIRE 2.0 (Standards for Quality Improvement Reporting Excellence): Revised publication guidelines from a detailed consensus process. BMJ Quality & Safety, 25(12), 986–992. https://doi.org/10.1136/bmjqs-2015-004411
Pinheiro, R. V., Salomé, G. M., Miranda, F. D., Alves, J. R., Reis, F. A., & Mendonça, A. R. (2021). Algorithms for the prevention and treatment of friction injury. Acta Paulista de Enfermagem, 34, eAPE03012. http://dx.doi.org/10.37689/acta-ape/2021AO03012
Salbego, C., & Nietsche, E. A. (2023). Praxis model for technology development: A participatory approach. Revista da Escola de Enfermagem da USP, 57, e20230041. https://doi.org/10.1590/1980-220X-REEUSP-2023-0041pt
Skoglund, K., Bescher, M., Ekwall, S., & Hammar, L. M. (2024). Intrahospital transport of critically ill patients: Nurse anaesthetists’ and specialist ICU nurses’ experiences. Nursing in Critical Care, 29(5), 1142-1150. http://dx.doi.org/10.1111/nicc.13053
Wang, J., Zhang, X., Li, G., Lu, Y., Xie, R., Cui, M., Li, B., Du, L., & Ma, L. (2025). Implementing an intrahospital transport preparation (IHT) and management project for critically ill patients: Identification of barriers and facilitators using consolidated framework for implementation research (CFIR): A qualitative study. BMJ Open, 15(1), e096290. https://doi.org/10.1136/bmjopen-2024-096290
Williams, P., Karuppiah, S., Greentree, K., & Darvall, J. (2020). A checklist for intrahospital transport of critically ill patients improves compliance with transportation safety guidelines. Australian Critical Care, 33(1), 20–24. https://doi.org/10.1016/j.aucc.2019.02.004
