Evidence-Based Guideline on Critical Patient Transport and Handover to ICU

Table 1

Summary of the characteristics of included studies.

S.N	Author	Year	Study design	No. of patients/studies	Study intervention	Result/outcome	Recommendation
1.	Segall et. al	2012	Systematic review	31	Transfer and handover to ICU	(i) Urgent task before handover; (ii) Resuscitation and stabilization; (iii) Allow patient-specific handover; (iv) Use minimum standard monitoring; (v) All things must be cleared out	Strongly recommended
2.	Møller et. al	2013	Systematic review	23	Postoperative handover	(i) Postoperative handovers are complex work process; (ii) Handover leads to effective decision-making; (iii) Use standard protocol	Strongly recommended
3.	Robertson et. al	2014	Systematic review	29	Interventions employed to improve intrahospital handover	Information on; (i) Postoperative orders and investigations; (ii) Critical patient monitoring plan; (iii) Plan for IV fluids and; (iv) Surgical site complications and interventions.	Recommended
4.	Pucher et. al	2015	Systematic review		Effectiveness of interventions to improve patient handover	(i) SHARE protocol for handover; (ii) Standardization of critical patient handover content; (iii) Hardwiring within the hospital system through use of uniform tools and methods	Highly recommended
5.	Foronda et. al	2016	Integrated review	40	Handover and transport of critically ill children	(i) Gap in transport and handover; (ii) Use of standard communication handoff tool; (iii) Communication between the operating room and intensive care staff; (iv) Involving specialized teams decreases the morbidity	Recommended
6.	Salzwedel et. al	2016	RCT	134	The effect of a checklist on the quality of patient handover	(i) Checklist increases the quality and quantity of information handover; (ii) Increase handover quality from 75% to 85.4%; (iii) Check list from the Joint Commission, 2015	Highly recommended
7.	Jayasekera et. al	2015	Guideline		Transport of adult critical care patient	(i) The sequence of action during transport; (ii) Appropriate, trained, and skilled staff; (iii) Continuous (ECG) monitoring; (iv) Noninvasive blood pressure; (v) Oxygen saturation (SaO2); (vi) End-tidal carbon dioxide	Highly recommended
8.	Netes et. al	2016	Guideline		Critical patient transfer indication/admission to ICU	(i) Need of intensive care therapies; (ii) Need of invasive ventilation; (iii) Need of continuous invasive hemodynamic monitoring; (iv) Require life support therapy for organ failure; (v) Need of intensive monitoring and therapies only provided in the ICU	Highly recommended
9.	New Zealand college of anesthesia	2015	Guideline		Guidelines for the transport of critically ill patients	(i) Sources of oxygen and airway equipment; (ii) Difficult airway equipment; (iii) Use of standard monitors; (iv) Emergency and patient-specific medications	Highly recommended
10.	Knight et. al	2015	Cohort	102	Factors for complication during critical patient transport	(i) Severity of illness, comorbidity and postsurgical status; (ii) Lack of safety procedural protocol; (iii) Poor facilities structure, length of transfer; (iv) Availability of monitoring and equipment; (v) Poor communication, inadequate training, insufficient staffing	Recommended
11.	Swickard et. al	2018	Retrospective cohort study	50	Patient safety events during critical care Transport	(i) Adverse event during transport	Recommended
12.	Nagpal et. al	2010	Prospective cohort study	65	Postoperative handover	Required information; (i) Name; (ii) Age, weight; (iii) History of allergies; (iv) Diagnosis and procedure performed; (v) General condition of the patient; (vi) Previous medical history; (vii) Any coexisting disease	Recommended