Emily Colyer1, Megan Sorensen2, Shirley Wiggins3, Leeza Struwe4. 1. Pediatric/Neonatal Critical Care Transport Team, Children's Hospital & Medical Center, Omaha, NE. Electronic address: ecolyer@childrensomaha.org. 2. Pediatric/Neonatal Critical Care Transport Team, Children's Hospital & Medical Center, Omaha, NE. 3. College of Nursing, University of Nebraska Medical Center, Lincoln, NE. 4. College of Nursing, University of Nebraska Medical Center, Lincoln, NE; Niedfelt Nursing Research Center, University of Nebraska Medical Center, Lincoln, NE.
Abstract
OBJECTIVE: Specialty pediatric transport teams are widely used for pediatric interfacility transport in the United States, with little industry consensus on optimal team configuration. The aim of this study is to assess the quality of the nurse/paramedic specialty team configuration as indirectly measured by the rate of adverse events in these transports. METHODS: Retrospective analysis of pediatric transport data from a hospital-based dedicated pediatric/neonatal transport team was conducted for patients transported in 2016. Data were categorized by general characteristics of transport and analyzed for the occurrence of adverse events. RESULTS: Five hundred sixty-four cases were analyzed. Cases were described by team configuration and then by transport mode, duration, time, patient age and acuity, and disposition. The overall rate of adverse event incidence was 8.3%, chiefly centered in device and process domains. There was no significant difference in the rate of adverse events between team configurations. CONCLUSION: There was no significant difference in the rate of adverse event occurrence in nurse/paramedic team configurations versus nurse/nurse configuration. Using critical care paramedics on pediatric transport teams enables a larger volume of patients to be transported to definitive care without concerns for decrease in quality or safety.
OBJECTIVE: Specialty pediatric transport teams are widely used for pediatric interfacility transport in the United States, with little industry consensus on optimal team configuration. The aim of this study is to assess the quality of the nurse/paramedic specialty team configuration as indirectly measured by the rate of adverse events in these transports. METHODS: Retrospective analysis of pediatric transport data from a hospital-based dedicated pediatric/neonatal transport team was conducted for patients transported in 2016. Data were categorized by general characteristics of transport and analyzed for the occurrence of adverse events. RESULTS: Five hundred sixty-four cases were analyzed. Cases were described by team configuration and then by transport mode, duration, time, patient age and acuity, and disposition. The overall rate of adverse event incidence was 8.3%, chiefly centered in device and process domains. There was no significant difference in the rate of adverse events between team configurations. CONCLUSION: There was no significant difference in the rate of adverse event occurrence in nurse/paramedic team configurations versus nurse/nurse configuration. Using critical care paramedics on pediatric transport teams enables a larger volume of patients to be transported to definitive care without concerns for decrease in quality or safety.
Authors: Vishnu Priya Akula; Laura C Hedli; Krisa Van Meurs; Jeffrey B Gould; Kan Peiyi; Henry C Lee Journal: J Perinatol Date: 2019-07-03 Impact factor: 2.521