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Table 2 Top ten most commonly reported intra-hospital transport (IHT)-related incidents

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

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

  1. aAnalysis of transport-related incidents that were identified from routinely collected incidents in an elecronic incident reporting system in Leiden University Medical Center. bFor 12 months all incidents occurring during intra-hospital transport were prospectively collected. §No definitions were used to define hypotension, hypertension and hypoxia. Physicians and nurses were able to judge whether it deviated.