all wales departure checklist audit for interhospital critical care transfers dr james williams...
TRANSCRIPT
All Wales departure checklist audit for
interhospital critical care transfers
Dr James Williams ST6Dr D Harvie CT2
BackgroundInterhospital transfers in Wales
2009 6252011 689
Crit Care 2005 Litenberg et al100 consecutive transfersAdverse events 1/3
70% avoidable 30% technical problems
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
Departure check lists should be used to ensure that all the necessary preparations have been completed. (See appendix 5)
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
Results
Discussion1. Availability of Departure Checklists is poor2. Used < 50%3. Much room for improvement4. Weaknesses
Re-auditDecember 2012 – March 2013 (4 month)
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
Thank You
With thanks to Raymond LewisCritical Care Network Data Administrator