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• W4384522266 abstract "<h3>Objectives</h3> North Thames Paediatric Network developed the Safe Transfer of Paediatric Patients (STOPP) tool to provide protocolised risk-assessment with prompts/checklist for documentation to ensure safety for transporting children between different hospitals.[1,2] We adopted the STOPP tool for all intra- and inter-hospital transfers to minimise variation of transfer documents. Our aim is to increase uptake of standardized approach and implement safety checklist with STOPP tool for all intra-hospital transfers of our cardiorespiratory paediatric intensive care unit (PICU) patients. <h3>Methods</h3> The local version of STOPP tool was introduced for intra-hospital transfers at our PICU utilizing a quality improvement approach, using the PDSA (plan-do-study-act) model. This was implemented through a two-phased PDSA cycles between March and December 2022 focusing on awareness and responsibilities. Data collection included review of electronic medical documentation system, and continuous auditing of STOPP tool use with documentation checklist for all intra-hospital transfers. <h3>Results</h3> During the 10-month study period, our PCRICU conducted 111 level 3 intrahospital transports for 70 patients (age range 1day to 16.8years). Most common indication was diagnostic imaging (32% for neuro-imaging) and <6% for interventions (cardiovascular, fluoroscopic). All transfers required use of hospital lifts. Eighteen transfers (16%) included highly specialized equipment for ECMO (extracorporeal-membrane-oxygenation) support. Nine transfers (8%) required additional safety screen and checklists for magnetic resonance imaging suite. No transport-related adverse events were reported during the study period. Methods to raise awareness included word-of-mouth, then feedback on checklist use rate of 11.4% (4/35), and staff questionnaire survey. After email reminders and visibility of the STOPP document as part of the first PDSA cycle, 41.5% (17/41) transfers had completed checklist documents. Behavioural change interventions to embed responsibilities included education at staff forum, and role allocation at morning handovers. With team-based championing as part of the second PDSA cycle, transfer checklists use increase to 62.9% (22/35). The results revealed a cluster after reminders which degraded with time.(figure 1) Percentage of staff reporting never to have used STOPP tool reduced from 50% to 10% on repeat survey. <h3>Conclusion</h3> Transferring critically ill children to and from our PICU presents a logistical challenge. Impersonal email communications followed by inter-personal staff-based interventions within our multidisciplinary teams strengthened engagement in best practice standards for patient transport. Feedback from staff on experience and time impact of workload especially with highly complex patients on ECMO support may help to plan ongoing interventions to include organisational measures. <h3>References</h3> Quality Standards for the Care of Critically Ill or Injured Children, 6th Edition. Paediatric Critical Care Society, October 2021. North Thames Paediatric Network — NHS Networks." @default.
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• W4384522266 date "2023-06-19" @default.
• W4384522266 modified "2023-09-25" @default.
• W4384522266 title "236 Implementing an intra-hospital transfer checklist at a cardiorespiratory paediatric intensive care unit: a quality improvement initiative" @default.
• W4384522266 doi "https://doi.org/10.1136/archdischild-2023-rcpch.528" @default.
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