Yong Nam In, Se Kwang Oh, Jin Hong Min, Jung Soo Park, Yeon Ho You, Insool Yoo, Seung Whan Kim, Jinwoong Lee, Seung Ryu, Won Joon Jeong, Yong Chul Cho, Hong Joon Ahn, Chang Shin Kang
Clin Exp Emerg Med 2023;10(2):241-245. Published online February 24, 2023
Objective Patients are often transported within the hospital, especially in cases of critical illness for which computed tomography (CT) is performed. Since increased transport time increases the risks of complications, reducing transport time is important for patient safety. This study aimed to evaluate the ability of our newly invented device, the Easy Tube Arrange Device (ETAD), to reduce transport time for CT evaluation in cases of critical illness.
Methods This prospective randomized control study included 60 volunteers. Each participant arranged five or six intravenous fluid lines, monitoring lines (noninvasive blood pressure, electrocardiography, central venous pressure, arterial catheter), and therapeutic equipment (O2 supply device, Foley catheter) on a Resusci Anne mannequin. We measured transport time for the CT evaluation by using conventional and ETAD method.
Results The median transport time for CT evaluation was 488.50 seconds (95% confidence interval [CI], 462.75 to 514.75) and, 503.50 seconds (95% CI, 489.50 to 526.75) with 5 and 6 fluid lines using the conventional method and 364.50 seconds (95% CI, 335.00 to 388.75), and 363.50 seconds (95% CI, 331.75 to 377.75) with ETAD (all P<0.001). The time differences were 131.50 (95% CI, 89.25 to 174.50) and 148.00 (95% CI, 116.00 to 177.75) (all P<0.001).
Conclusion The transport time for CT evaluation was reduced using the ETAD, which would be expected to reduce the complications that may occur during transport in cases of critical illness.
Citations
Citations to this article as recorded by
Management of Patient Tubes and Lines During Early Mobility in the Intensive Care Unit Ellen Benjamin, Lindsey Roddy, Karen K. Giuliano Human Factors in Healthcare.2022; : 100017. CrossRef
Objective Critically ill patients sometimes require transport to another location. Longer intra-hospital transport time increases the risk of hemodynamic instability and associated complications. Therefore, reducing intra-hospital transport time is critical. Our objective was to evaluate whether or not a new device the easy tube arrange device (ETAD) has the potential to reduce intra-hospital transport time of critically ill patients.
Methods We enrolled volunteers for this prospective randomized controlled study. Each participant arranged four, five, and six fluid tubings, monitoring lines, and therapeutic equipment on a cardiopulmonary resuscitation training mannequin (Resusci Anne). The time required to arrange the fluid tubings for intra-hospital transport using two different methods was evaluated.
Results The median time to arrange four, five, and six fluid tubings was 86.00 (76.50 to 98.50), 96.00 (86.00 to 113.00), and 115.50 (93.00 to 130.75) seconds, respectively, using the conventional method and 60.50 (52.50 to 72.75), 69.00 (57.75 to 80.80), and 72.50 (64.75 to 90.50) seconds using the ETAD (all P<0.001). The total duration (for preparing the basic setting and organizing before and after the transport) was 280.00 (268.75 to 293.00), 315.50 (304.75 to 330.75), and 338.00 (319.50 to 360.25) seconds for four, five, and six fluid tubings, respectively, using the conventional method and 274.50 (261.75 to 289.25), 288.00 (271.75 to 298.25), and 301.00 (284.50 to 310.75) seconds, respectively, using the new method (P=0.024, P<0.001, and P<0.001, respectively).
Conclusion The ETAD was convenient to use, reduced the time to arrange medical tubings, and is expected to assist medical staff during intra-hospital transport.
Citations
Citations to this article as recorded by
Management of patient tubes and lines during early mobility in the intensive care unit Ellen Benjamin, Lindsey Roddy, Karen K. Giuliano Human Factors in Healthcare.2022; 2: 100017. CrossRef
Intrahospital transport of critically ill patients: A survey of emergency nurses Yingli Hu, Donglei Shi, Lili You, Wei Li Nursing in Critical Care.2021; 26(5): 326. CrossRef
A fully automated inpatient transport system Joseph Mendlovic, Eli Gargir, David E. Katz Technology and Health Care.2021; 29(5): 1049. CrossRef
Improving quality and safety during intrahospital transport of critically ill patients: A critical incident study Lina Bergman, Monica Pettersson, Wendy Chaboyer, Eric Carlström, Mona Ringdal Australian Critical Care.2020; 33(1): 12. CrossRef
Is it possible to reduce intra-hospital transport time for computed tomography evaluation in critically ill cases using the Easy Tube Arrange Device? Kyung Hyeok Song, Sung Uk Cho, Jin Woong Lee, Yong Chul Cho, Won Joon Jeong, Yeon Ho You, Seung Ryu, Seung Whan Kim, In Sool Yoo, Ki Hyuk Joo Clinical and Experimental Emergency Medicine.2018; 5(1): 14. CrossRef