A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients

Table 1 An overview of the content of published intra-hospital (IHT) checklists

Author	Pope [ 28 ]	Fanara [ 26 ]	Jarden [ 27 ]	Roland [ 29 ]	Choi [ 25 ]	Current checklist^a
Year of publication	2003	2010	2010	2010	2011	LUMC
Pre-transport
Necessity of transport is confirmed	+
Patient assessment pre-transport		+	+
Wrist band patient or consent form		+	+	+	+
Transport team is notified	+	+	+
Equipment and materials are gathered	+	+	+	+	+	+
Check sufficient oxygen level		+		+		+
Extra intravenous fluid and medication	+	+	+	+		+
Check sufficient intravenous medication	+	+	+	+		+
Stop enteral feeding and enteral insulin						+
Check tubes and lines		+	+	+	+	+
Check and set monitor alarms		+	+			+
Check and set transport ventilator alarms		+				+
Insert intravenous cannula in case of computed tomography with contrast						+
Preparation and equipment adapted to procedure (magnetic resonance imaging)		+				+
Fill in magnetic resonance imaging safety questionnaire						+
Register baseline vital signs		+/−	+			+
Receiving department is notified	+					+
Transport route is clear		+
During transport
Check and plug in equipment at destination			+			+
Registration of administered fluids/medication			+			+
Registration vital signs every 20 minutes			+			+
Post-transport
Start enteral feeding and enteral insulin						+
Turn on humidifier						+
Change HME filter						+
Change suction bag if used			+			+
Complement transport bag						+
Report occurred incidents/events			+			+
Re-check equipment and materials			+			+

^aCurrent checklist Leiden University Medical Center (LUMC) refers to the final checklist that was based on reviewing the available literature on IHT checklists and guidelines, an analysis of transport related incidents and a structured interview with ICU physicians and ICU nurses. HME, heat and moisture exchanger.

ISSN: 1364-8535