Implementation Study of Intra-hospital Transfer of Pediatric Inpatients

NCT06512805 | Completed

• 1 other identifier: CHFudanU1218
• Study Type: interventional
• Target: 214
• Locations: 1 country
• Sites: 1

Brief 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

Outcome Measures

Primary Outcomes (6)

• The compliance of healthcare personnel with evidence-based practice.

  The compliance of each review indicator = (Number of times the indicator was correctly executed / Total number of times the indicator was reviewed) \* 100%.

  Three months before and three months after the intervention

• Intra-hospital transfer time

  The in-hospital transfer time = Time when the transfer team leaves the receiving department - Time when the transfer team leaves the transferring department.

  Three months before and three months after the intervention

• Bedside handover time

  Departure time of the transfer team from the receiving department - Start time of the handover.

  Three months before and three months after the intervention

• Completeness of information handover

  The ratio of completed items in the handover checklist to the total items in the handover checklist

  Three months before and three months after the intervention

• Rate of adverse events during in-hospital transfers

  Adverse event rate = Number of patients experiencing adverse events during transfer / Total number of patients transferred during the study period

  Three months before and three months after the intervention

• Healthcare personnel's knowledge level of in-hospital transfers

  "In-hospital Transfer Knowledge Level Questionnaire for Healthcare Personnel"

  One month before and one month after the intervention

Study Arms (2)

Routine transport group

ACTIVE COMPARATOR

During the period from April 2024 to June 2024, pediatric patients transferred from the emergency department to the pediatric intensive care unit (PICU), and from the PICU to general wards will serve as the control group. They will undergo the hospital's current in-hospital transfer process.

Behavioral: Routine transport

Post-guideline transfer group

EXPERIMENTAL

During the period from September 2024 to November 2024, pediatric patients transferred from the emergency department to the pediatric intensive care unit (PICU), and from the PICU to general wards will undergo the in-hospital transfer process based on the "Clinical Practice Guidelines for In-hospital Transfer of Pediatric Inpatients (2023 edition)."

Behavioral: Post-guideline transfer

Interventions

Routine transport BEHAVIORAL

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."

Routine transport group

Post-guideline transfer BEHAVIORAL

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."

Post-guideline transfer group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Those who had worked in the study site for more than 1 year;
• Those who can carry out intra-hospital transport independently;
• Staff on duty during the study period

You may not qualify if:

• Those who have not obtained a practicing qualification certificate;
• Refusal to participate in the study；

Sponsors & Collaborators

• Children's Hospital of Fudan University: lead

Study Sites (1)

Children's Hospital of Fudan University

Shanghai, 201102, China

Location

Study Officials

• Ying Gu, Doctor

  Children's Hospital of Fudan University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 27, 2024
• First Posted: July 22, 2024
• Study Start: April 1, 2024
• Primary Completion: December 31, 2024
• Study Completion: December 31, 2024
• Last Updated: January 17, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)