A Systematic Review of the Prevalence and Types of Adverse Events in Interfacility Critical Care Transfers by Paramedics

Abstract Objective The aim of this study was to investigate if paramedics can safely transfer interfacility critically ill adult patients and to determine the prevalence and types of adverse events when paramedics lead interfacility critical care transfers. Methods MEDLINE, Web of Science, Embase, a...

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Bibliographic Details
Published in:Air medical journal 2017-05, Vol.36 (3), p.116-121
Main Authors: Alabdali, Abdullah, MSc, Fisher, Joanne D., PhD, Trivedy, Chetan, BDS, FDS, RCS(Eng), MBBS, PhD, FRCEM, Lilford, Richard J., DSc, PhD, FRCOG, FRCP, FFPH
Format: Article
Language:English
Subjects:
Allied Health Personnel
APACHE
Critical Care
Emergency
Emergency Medical Technicians
Health administration
Hemorrhage - epidemiology
Humans
Hypertension - epidemiology
Hypotension - epidemiology
Internal Medicine
Mortality
Patient Safety
Patient Transfer
Prevalence
Resuscitation - statistics & numerical data
Transportation of Patients
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Summary:Abstract Objective The aim of this study was to investigate if paramedics can safely transfer interfacility critically ill adult patients and to determine the prevalence and types of adverse events when paramedics lead interfacility critical care transfers. Methods MEDLINE, Web of Science, Embase, and CINAHL databases were searched from 1990 up to February 2016. Eligibility criteria were adult patients (16 years and over), interfacility transfer (between two health care facilities), quantitative or qualitative description of adverse events, and a paramedic as the primary care provider or the sole health care provider. Results Seven publications had paramedics as the sole health care provider conducting interfacility critical care transfers. All seven studies were observational studies published in the English language. The study duration ranged from 14 months to 10 years. The frequency of adverse events seen by paramedics in interfacility transfers ranges from 5.1% to 18%. Conclusion There is a gap in literature on the safety and adverse events in interfacility transfers by paramedics. The prevalence of in-transit adverse events is well established; however, because the published literature is lacking longitudinal monitoring of patients and only reporting in-transit events, we believe that further research in this area might provide the basis of paramedics safety in interfacility transfers.
ISSN:1067-991X
1532-6497
DOI:10.1016/j.amj.2017.01.011