Top 10 routinely registered IHT related incidentsa | Pre-transport | During transport | Post-transport | Total |
---|---|---|---|---|
Equipment malfunction | 9 | 24 | 1 | 34 |
Preparation before transport | 30 | 0 | 0 | 30 |
Lack of communication with radiology department | 1 | 5 | 0 | 6 |
Dislocation of intravenous lines and tubing | 0 | 12 | 1 | 13 |
Oxygen tank empty | 4 | 4 | 0 | 8 |
Increase need vasopressor or inotropics | 0 | 3 | 0 | 3 |
Equipment not available at radiology department | 0 | 5 | 0 | 5 |
Lack of documentation in medical chart | 0 | 0 | 2 | 2 |
Failure reconnect humidifier on ventilator | 0 | 0 | 11 | 11 |
Hypoglycemia | 0 | 0 | 1 | 1 |
Top ten prospectively collected IHT-related incidentsb | ||||
Equipment malfunction | 7 | 24 | 2 | 33 |
Preparation before transport | 6 | 5 | 0 | 11 |
Lack of communication with radiology department | 5 | 5 | 0 | 10 |
Dislocation intravenous line | 0 | 7 | 2 | 9 |
Oxygen tank empty | 4 | 2 | 0 | 6 |
Increase need vasopressor or inotropics | 5 | 15 | 6 | 26 |
Low blood pressure§ | 21 | 44 | 18 | 83 |
Hypoxia§/increased oxygen demand | 5 | 18 | 12 | 35 |
Increased need sedatives or opiods due to agitation | 2 | 17 | 2 | 21 |
Hypertension§ | 2 | 9 | 3 | 14 |