Transfer of patients--from the spoke to the hub.

Hdl Handle:
http://hdl.handle.net/10147/209260
Title:
Transfer of patients--from the spoke to the hub.
Authors:
Deasy, C; O'Sullivan, I
Affiliation:
Department of Emergency Medicine, Cork University Hospital, Cork., conordeasy@hotmail.com
Citation:
Ir Med J. 2007 Jul-Aug;100(7):538-9.
Journal:
Irish medical journal
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209260
PubMed ID:
17886529
Abstract:
We describe the nature, frequency, and characteristics of transfers to a regional centre. This was a three month prospective descriptive study of all transfers into the hospital through the ED and a further sample survey of 100 patients received into the resuscitation room over a 2 year period. 105 patient transfers were surveyed over the three month period. A significant number (43 patients) arrived at the ED without prior notification being received by ED staff, a proportion (7 patients) warranting resuscitation room assessment. The rate of Doctor Transfer was 22%. Of the 23 patients that warranted assessment in the resuscitation room 10 were unaccompanied by a Doctor and 5 were unaccompanied by either a Doctor or a Nurse. 11% of transfers had no transfer letter or radiographs. Only 51% of transferred patients had an IV line in situ. 4 out of the 8 transfers into the resuscitation room performed by interns were associated with adverse events. There continues to be problems with the quality of care that these patients receive. Clinicians must be actively involved in the development of regional transfer protocols and interfacility agreements to ensure the safe transfer of patients to definitive care.
Language:
eng
MeSH:
Acute Disease; Critical Illness; Emergency Service, Hospital/utilization; Health Care Surveys; Hospitals, University; Humans; Interdisciplinary Communication; Ireland; *Outcome and Process Assessment (Health Care); Patient Transfer/organization & administration/*standards/utilization; Prospective Studies; Regional Medical Programs/*organization & administration/standards; Resuscitation; Transportation of Patients/organization & administration/*standards/utilization
ISSN:
0332-3102 (Print); 0332-3102 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorDeasy, Cen_GB
dc.contributor.authorO'Sullivan, Ien_GB
dc.date.accessioned2012-02-03T15:16:29Z-
dc.date.available2012-02-03T15:16:29Z-
dc.date.issued2012-02-03T15:16:29Z-
dc.identifier.citationIr Med J. 2007 Jul-Aug;100(7):538-9.en_GB
dc.identifier.issn0332-3102 (Print)en_GB
dc.identifier.issn0332-3102 (Linking)en_GB
dc.identifier.pmid17886529en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209260-
dc.description.abstractWe describe the nature, frequency, and characteristics of transfers to a regional centre. This was a three month prospective descriptive study of all transfers into the hospital through the ED and a further sample survey of 100 patients received into the resuscitation room over a 2 year period. 105 patient transfers were surveyed over the three month period. A significant number (43 patients) arrived at the ED without prior notification being received by ED staff, a proportion (7 patients) warranting resuscitation room assessment. The rate of Doctor Transfer was 22%. Of the 23 patients that warranted assessment in the resuscitation room 10 were unaccompanied by a Doctor and 5 were unaccompanied by either a Doctor or a Nurse. 11% of transfers had no transfer letter or radiographs. Only 51% of transferred patients had an IV line in situ. 4 out of the 8 transfers into the resuscitation room performed by interns were associated with adverse events. There continues to be problems with the quality of care that these patients receive. Clinicians must be actively involved in the development of regional transfer protocols and interfacility agreements to ensure the safe transfer of patients to definitive care.en_GB
dc.language.isoengen_GB
dc.subject.meshAcute Diseaseen_GB
dc.subject.meshCritical Illnessen_GB
dc.subject.meshEmergency Service, Hospital/utilizationen_GB
dc.subject.meshHealth Care Surveysen_GB
dc.subject.meshHospitals, Universityen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInterdisciplinary Communicationen_GB
dc.subject.meshIrelanden_GB
dc.subject.mesh*Outcome and Process Assessment (Health Care)en_GB
dc.subject.meshPatient Transfer/organization & administration/*standards/utilizationen_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshRegional Medical Programs/*organization & administration/standardsen_GB
dc.subject.meshResuscitationen_GB
dc.subject.meshTransportation of Patients/organization & administration/*standards/utilizationen_GB
dc.titleTransfer of patients--from the spoke to the hub.en_GB
dc.contributor.departmentDepartment of Emergency Medicine, Cork University Hospital, Cork., conordeasy@hotmail.comen_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceMunster-

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