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  1. Interhospital transfers : Decision-making in critical care areas.

    Article - En anglais

    Objectives 

    To evaluate the training of clinical staff in the use of interhospital transfer guidelines and to examine the underlying decision-making behavior in organizing patient transfers between hospitals.

    Design 

    Prospective assessment of clinical scenarios, given before (time 1), immediately after (time 2), and 3 months after (time 3) a program informing clinical staff about the use of interhospital transfer guidelines.

    Setting 

    Three emergency departments and one intensive care unit at three hospitals and a medical retrieval service in Sydney, Australia.

    Subjects 

    Physicians, nurses, and a paramedic working in critical care areas and at a medical retrieval service.

    Interventions 

    Fifteen minutes of training in the use of interhospital transfer guidelines, conducted by a trained nurse.

    Measurements and Main results 

    A questionnaire containing clinical scenarios was administered to clinical staff.

    There was a significant difference in mean scores for selecting the appropriate escort levels across time (F2,78=24.2 ; p<. 01) and for participant's experience with interhospital transfer (F2,39=4.63 ; p=02).

    Significant improvement in mean scores occurred between time 1 (7.55 ± 1.84) and time 2 (9.48 ± 1.47) (t41=-6.21 ; p<. 01).

    The improvement in selecting appropriate escorts was maintained at time 3 (mean score 9.86 ± 2.01).

    The error rate for inappropriate assignment of low levels of escorts decreased from 35% (time 1) to 10% (time 2) and 14% (tim...

    Mots-clés Pascal : Transfert, Malade, Hôpital, Recommandation, Gestion personnel, Prise décision, Personnel sanitaire, Unité soin intensif, Programme éducatif, Homme

    Mots-clés Pascal anglais : Transfer, Patient, Hospital, Recommendation, Staff management, Decision making, Health staff, Intensive care unit, Educational schedule, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0238344

    Code Inist : 002B27B14C. Création : 199608.