Problems in interhospital pediatric intensive care transport in the Netherlands : results from a survey of general pediatricians

Interhospital pediatric intensive care transport accompanied by non-trained specialists usually occurs with inadequate equipment and has been associated with high incidence of complications. These facts have serious consequences for patients but also can be very disconcerting for specialists. This s...

Full description

Saved in:
Bibliographic Details
Published in:Intensive care medicine 2003-09, Vol.29 (9), p.1555-1559
Main Authors: VOS, G. D, NIEMAN, F. H. M, MEURS, A. M. B, VAN WAARDENBURG, D. A, RAMSAY, G, DONCKERWOLCKE, R. A. M. G
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Child
Clinical Competence - statistics & numerical data
Emergency and intensive care: techniques, logistics
Health Care Surveys
Hospitals, Community - organization & administration
Hospitals, Community - statistics & numerical data
Humans
Intensive care
Intensive care medicine
Intensive Care Units, Pediatric - organization & administration
Intensive Care Units, Pediatric - statistics & numerical data
Job Satisfaction
Likert scale
Medical sciences
Netherlands
Patient Transfer - organization & administration
Patient Transfer - statistics & numerical data
Pediatrics
Pediatrics - statistics & numerical data
Perfusions. Catheterizations. Hyperbaric oxygenotherapy
Quality of Health Care - statistics & numerical data
Questionnaires
Regression Analysis
Respiratory Insufficiency - therapy
Self report
Workload
Workloads
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Interhospital pediatric intensive care transport accompanied by non-trained specialists usually occurs with inadequate equipment and has been associated with high incidence of complications. These facts have serious consequences for patients but also can be very disconcerting for specialists. This survey was undertaken to gain insight into the problems encountered in organizing pediatric intensive care transport in The Netherlands to measure the specialist's satisfaction or dissatisfaction with the current state of affairs in the organization of such transports, and additional workload and feelings of insecurity experienced during self-organized transports. Survey, retrospective. A postal questionnaire sent to all pediatricians of community hospitals in The Netherlands. Results of direct questioning are given as discrete frequencies. After factor and reliability analysis 5-point Likert scale items are summed up in scale constructions. Relationships between scales are examined in regression analysis. Pediatricians appear to be satisfied with current specialist retrieval teams if these teams are available in their region, and highly dissatisfied if not available. Many nontrained specialists consider these transports burdening tasks with a high workload, and they feel insecure during these transports, especially if they report lack of knowledge of the transport equipment. The need for pediatric specialist retrieval teams in The Netherlands is seen not only in the insufficient level of care delivered by accompanying nontrained specialists and the reported high incidence of complications as shown in the literature but also in the dissatisfaction and high stress of these specialists.
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-003-1889-6