Inter-hospital transfer of critically ill patients (how the deficiencies in the system can be overcome) / [thesis] by Dr. Mohammad Faheem

Hdl Handle:
http://hdl.handle.net/10147/58573
Title:
Inter-hospital transfer of critically ill patients (how the deficiencies in the system can be overcome) / [thesis] by Dr. Mohammad Faheem
Authors:
Faheem, Mohammad
Affiliation:
Health Service Executive (HSE)
Publisher:
Institute of Public Administration (IPA)
Issue Date:
May-2003
URI:
http://hdl.handle.net/10147/58573
Item Type:
Thesis
Language:
en
Description:
This dissertation is attempting to asses the current deficiencies in the critically ill patients transfer service in Western Health Board hospitals generally and particularly in smaller hospitals like Roscommon General Hospital and to recommend remedies. To get the perspective from the clinicians a postal survey was sent to the consultant anaesthetists in the region and also to county hospitals of other Irish hospitals. Our survey shows that all the clinicians realise that critical case transfer is a high risk event and most agree that there should be special arrangements like Retrieval teams from the tertiary centres, Trauma teams or Regional Transfer teams. More-over most of the people feel that protocols for such arrangements are ad hoc and need to be properly implemented. The questionnaire from different county hospitals, showed that even hospitals with inadequate number of anaesthetists, do get involve with the critical case transfer activity and either end up in unrostered person usually anaesthetic consultant covering the hospital or no anaesthetic cover at all during the period of transfer. Special efforts are performed to deal the particular problem at Roscommon site. Initially a regional team was suggested in the form of registrars from Roscommon and Merlin Park hospitals, but it did not get favour of Merlin Park hospital’s anaesthetic department. Extensive meetings and communications between the management teams and anaesthetic departments of Roscommon and Portiuncula hospitals suggested a stand-bye roster between the current registrars of Roscommon and Portiuncula hospitals. This roster although involved minimal funding, required extra working hours of Portiuncula registrars and in the wake of European working time directive was not considered long-term viable option. Pressure to sort out the problem was maintained on the management team and Irish Medical Organisation was 3 also involved to show the gravity of situation. This led to agreement of making a joint anaesthetic department between Portiuncula and Roscommon hospitals with additional registrars’ appointment who would have commitment on both sites with elective commitment at Portiuncula and on-call commitment at Roscommon but with provision of transfer service to Portiuncula site also. Funding of these posts has been approved and we are currently busy in getting the recognition of College of Anaesthtists for these extra posts. Once we get recognition then we will be able to get temporarily registered doctors appointed on these posts and the deficiencies in critical case transfer services will be over come. ACKNOWLEGDEMENT; Efforts of all the colleagues who took their time out to respond to the questionnaire and the management teams of the Portiuncula and Roscommon hospitals are sincerely acknowledged.
Keywords:
HOSPITALS; HOSPITAL DISCHARGE; PATIENT TRANSFER

Full metadata record

DC FieldValue Language
dc.contributor.authorFaheem, Mohammaden
dc.date.accessioned2009-04-01T13:36:52Zen
dc.date.available2009-04-01T13:36:52Zen
dc.date.issued2003-05en
dc.identifier.urihttp://hdl.handle.net/10147/58573en
dc.descriptionThis dissertation is attempting to asses the current deficiencies in the critically ill patients transfer service in Western Health Board hospitals generally and particularly in smaller hospitals like Roscommon General Hospital and to recommend remedies. To get the perspective from the clinicians a postal survey was sent to the consultant anaesthetists in the region and also to county hospitals of other Irish hospitals. Our survey shows that all the clinicians realise that critical case transfer is a high risk event and most agree that there should be special arrangements like Retrieval teams from the tertiary centres, Trauma teams or Regional Transfer teams. More-over most of the people feel that protocols for such arrangements are ad hoc and need to be properly implemented. The questionnaire from different county hospitals, showed that even hospitals with inadequate number of anaesthetists, do get involve with the critical case transfer activity and either end up in unrostered person usually anaesthetic consultant covering the hospital or no anaesthetic cover at all during the period of transfer. Special efforts are performed to deal the particular problem at Roscommon site. Initially a regional team was suggested in the form of registrars from Roscommon and Merlin Park hospitals, but it did not get favour of Merlin Park hospital’s anaesthetic department. Extensive meetings and communications between the management teams and anaesthetic departments of Roscommon and Portiuncula hospitals suggested a stand-bye roster between the current registrars of Roscommon and Portiuncula hospitals. This roster although involved minimal funding, required extra working hours of Portiuncula registrars and in the wake of European working time directive was not considered long-term viable option. Pressure to sort out the problem was maintained on the management team and Irish Medical Organisation was 3 also involved to show the gravity of situation. This led to agreement of making a joint anaesthetic department between Portiuncula and Roscommon hospitals with additional registrars’ appointment who would have commitment on both sites with elective commitment at Portiuncula and on-call commitment at Roscommon but with provision of transfer service to Portiuncula site also. Funding of these posts has been approved and we are currently busy in getting the recognition of College of Anaesthtists for these extra posts. Once we get recognition then we will be able to get temporarily registered doctors appointed on these posts and the deficiencies in critical case transfer services will be over come. ACKNOWLEGDEMENT; Efforts of all the colleagues who took their time out to respond to the questionnaire and the management teams of the Portiuncula and Roscommon hospitals are sincerely acknowledged.en
dc.language.isoenen
dc.publisherInstitute of Public Administration (IPA)en
dc.subjectHOSPITALSen
dc.subjectHOSPITAL DISCHARGEen
dc.subjectPATIENT TRANSFERen
dc.titleInter-hospital transfer of critically ill patients (how the deficiencies in the system can be overcome) / [thesis] by Dr. Mohammad Faheemen
dc.typeThesisen
dc.contributor.departmentHealth Service Executive (HSE)en
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