Implementation Study of Intra-hospital Transfer of Pediatric Inpatients

Summary

This study implemented the "Clinical Practice Guidelines for In-hospital Transfer of Pediatric Inpatients (2023 edition)" released by the research team in June 2023 in real clinical settings. It employed an effectiveness-implementation hybrid research design to evaluate the process and effects of the guidelines in clinical practice. The research objectives include the following aspects:

Identifying barriers to the implementation of the guidelines in clinical practice.

Constructing implementation strategies to facilitate the application of the guidelines based on identified barriers.

Evaluating the impact of implementation strategies on clinical healthcare personnel and the clinical environment.

Assessing the effect of in-hospital transfer of pediatric inpatients based on the guidelines on reducing adverse events related to in-hospital transfers and other clinical outcomes.

Participants will:

In the control group, healthcare personnel conduct transfers according to the routine management and working mode of the emergency department and pediatric intensive care unit (PICU).

In the intervention group, nurses receive implementation strategies developed during the preparation phase. These strategies are aimed at modifying the behavior of healthcare personnel through implementation, thereby conducting in-hospital transfers for pediatric patients based on the guidelines.

Conditions

• Implementation Science
• Transportation of Patients

Interventions

BEHAVIORAL

Routine transport

1. Before the transfer of the patient: ① The doctor determines the destination of the patient based on the patient's condition and issues transfer orders. * The responsible nurse assesses the patient's consciousness, circulation, respiration, etc., and fills out the "Transfer Patient Handover Record" in the transferring department section. * The responsible nurse prepares the equipment, medications, and patient's belongings required for the transfer. 2. During the transfer: Monitor the patient's vital signs. 3. Upon arrival at the receiving department: * Place the patient with the receiving department nurse. ② Verbally hand over the patient's condition to the receiving department nurse and hand over the patient's belongings and medications. * The responsible nurse of the receiving department completes the remaining part of the "Transfer Patient Handover Record."

BEHAVIORAL

Post-guideline transfer

In the intervention group, nurses receive implementation strategies developed during the preparation phase. These strategies aim to modify the behavior of healthcare personnel through implementation, thereby conducting evidence-based (based on the guidelines) in-hospital transfer interventions for pediatric patients.The interventions received by pediatric patients are derived from the recommended practices evaluated for evidence availability in the guidelines. These include specific transfer procedures, the "Transfer Risk Level Classification Criteria," "Personnel Qualifications, Equipment, and Medications Allocation Based on Transfer Risk Level," "Transfer Preparation Checklist," and "Transfer Handover Checklist 2.0."

Sponsors & Collaborators

• Children's Hospital of Fudan University

  lead OTHER

Principal Investigators

• Ying Gu, Doctor · Children's Hospital of Fudan University

Study Design

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

NONE

Model

SEQUENTIAL

Eligibility

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2024-04-01

Primary Completion

2024-12-31

Completion

2024-12-31

Countries

• China

Study Locations