Use of an assessment system for the allocation of human resources in the intrahospital transport of the patient admitted to an intensive care unit.
Enferm Intensiva (Engl Ed)
; 2024 Apr 27.
Article
en En
| MEDLINE
| ID: mdl-38679521
ABSTRACT
INTRODUCTION:
Currently, in intensive care units (ICUs), the in-hospital transport (HIT) of patients is carried out without a unified criterion of personnel necessary for it.OBJECTIVE:
To evaluate the concordance of the Patient Assessment System for Transport-ICU (PAST-ICU) with the medical criteria (CM) to determine the Human Resources (HR) and identify Adverse Effects (AE).METHODS:
Descriptive, cross-sectional and prospective study of the IHT of patients admitted to an area of adult medical-surgical critical patients. The PAST-ICU instrument was created to recommend the HR of HIT. Through the assessment of clinical parameters, the Past-ICU indicates whether the HIT should be performed with (1) a stretcher-bearer (2) Stretcher-bearer/nurse or (3) stretcher-bearer/nurse/doctor. AE were recorded during the hospital transfer. Prior to the IHT, the nurse performed the PAST-ICU and the result was contrasted with the Medical Criteria (MC) responsible for the patient, the latter prevailing. STUDY PERIOD Phase 1 pilot test 2013-2014. Phase 2 2015-2021. VARIABLES Reason and duration HIT, PAST-ICU sheet, checklist, AE.RESULTS:
Phase 1 458 IHT were analyzed. The concordance index between the PAST-ICU and the MC was 84,9% (389 IHT). The Cohen Kappa of 58,5% and p < 0,001. There were a total of 16 AE. Phase 2 3423 IHT. The Concordance index of 87,2% (2984 TIH). The Cohen Kappa of 63%and the P < 0,001. Registered 49 AE.CONCLUSION:
The PAST-ICU could be a useful, safe and reliable tool to adapt the necessary HR. There was good concordance between the PAST-ICU vs the MC to determine the HR in the HIT. The percentage of AE was low.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Enferm Intensiva (Engl Ed)
Año:
2024
Tipo del documento:
Article
País de afiliación:
España
Pais de publicación:
España