All Wales departure checklist audit for interhospital critical care transfers Dr James Williams...
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Transcript of All Wales departure checklist audit for interhospital critical care transfers Dr James Williams...
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All Wales departure checklist audit for
interhospital critical care transfers
Dr James Williams ST6Dr D Harvie CT2
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BackgroundInterhospital transfers in Wales
2009 6252011 689
Crit Care 2005 Litenberg et al100 consecutive transfersAdverse events 1/3
70% avoidable 30% technical problems
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Audit aimsAudit the availability and use of departure
checklists for critical care transfers in WalesHigh number of transfersPotential for adverse eventsTo improve/maintain patient safetyTo make transfer easier
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Departure check lists should be used to ensure that all the necessary preparations have been completed. (See appendix 5)
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Method1. Initial audit period July – September 20122. Phone survey all permanent Welsh intensive
cares 15 in Wales
3. Collected data from the Welsh critical care network
Transfer sheets 100 consecutive transfers
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Results
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Discussion1. Availability of Departure Checklists is poor2. Used < 50%3. Much room for improvement4. Weaknesses
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Re-auditDecember 2012 – March 2013 (4 month)
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ConclusionDeparture Checklists should be available for useSignificant increase in departure checklist
availability Marginal increase in there recorded useOn-going transfer training by the Welsh CCN is the
optimum forum to increase awareness
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Thank You
With thanks to Raymond LewisCritical Care Network Data Administrator