All Wales departure checklist audit for

interhospital critical care transfers

Dr James Williams ST6Dr D Harvie CT2

BackgroundInterhospital transfers in Wales

2009 6252011 689

Crit Care 2005 Litenberg et al100 consecutive transfersAdverse events 1/3

70% avoidable 30% technical problems

Audit aimsAudit the availability and use of departure

checklists for critical care transfers in WalesHigh number of transfersPotential for adverse eventsTo improve/maintain patient safetyTo make transfer easier

Departure check lists should be used to ensure that all the necessary preparations have been completed. (See appendix 5)

Method1. Initial audit period July – September 20122. Phone survey all permanent Welsh intensive

cares 15 in Wales

3. Collected data from the Welsh critical care network

Transfer sheets 100 consecutive transfers

Results

Discussion1. Availability of Departure Checklists is poor2. Used < 50%3. Much room for improvement4. Weaknesses

Re-auditDecember 2012 – March 2013 (4 month)

ConclusionDeparture Checklists should be available for useSignificant increase in departure checklist

availability Marginal increase in there recorded useOn-going transfer training by the Welsh CCN is the

optimum forum to increase awareness

Thank You

With thanks to Raymond LewisCritical Care Network Data Administrator