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The aim is to provide an efficient and timely transport service to patients between several locations in a hospital campus. Transportation requests arrive in a dynamic fashion and the solution methodology must therefore be capable of quickly inserting new requests in the current vehicle routes. Contrary to standard dial-a-ride problems, the problem under study includes several complicating constraints which are specific to a hospital context. The study provides a detailed description of the problem and proposes a two-phase heuristic procedure capable of handling its many features. In the first phase a simple insertion scheme is used to generate a feasible solution, which is improved in the second phase with a tabu search algorithm. The heuristic procedure was extensively tested on real data provided by a German hospital. Results show that the algorithm is capable of handling the dynamic aspect of the problem and of providing high-quality solutions. In particular, it succeeded in reducing waiting times for patients while using fewer vehicles.", "publicationTitle": "OR Spectrum", "publisher": "", "place": "", "date": "2010/01/01", "volume": "32", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "77-107", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "OR Spectrum", "DOI": "10.1007/s00291-008-0135-6", "citationKey": "", "url": "http://link.springer.com/article/10.1007/s00291-008-0135-6", "accessDate": "2013-07-15T14:59:50Z", "PMID": "", "PMCID": "", "ISSN": "0171-6468, 1436-6304", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "en", "libraryCatalog": "link.springer.com", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Business/Management Science, general", "type": 1 }, { "tag": "Calculus of Variations and Optimal Control; Optimization", "type": 1 }, { "tag": "Dial-a-ride", "type": 1 }, { "tag": "Dynamic mode", "type": 1 }, { "tag": "In-house hospital transportation", "type": 1 }, { "tag": "Operations Research/Decision Theory", "type": 1 }, { "tag": "Tabu search", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-07-15T14:59:50Z", "dateModified": "2013-07-15T14:59:50Z" } }, { "key": "2H8KIKTQ", "version": 2, "library": { "type": "group", "id": 185090, "name": "transportation_patients_sources_diverses", "links": { "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/185090/items/2H8KIKTQ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses/items/2H8KIKTQ", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/185090/items/KM9NXB9T", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1234830, "username": "chumtransformation", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/chumtransformation", "type": "text/html" } } } }, "data": { "key": "2H8KIKTQ", "version": 2, "parentItem": "KM9NXB9T", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-07-15T14:57:45Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/17087174", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-07-15T14:57:45Z", "dateModified": "2013-07-15T14:57:45Z" } }, { "key": "KM9NXB9T", "version": 2, "library": { "type": "group", "id": 185090, "name": "transportation_patients_sources_diverses", "links": { "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/185090/items/KM9NXB9T", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses/items/KM9NXB9T", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1234830, "username": "chumtransformation", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/chumtransformation", "type": "text/html" } } }, "creatorSummary": "Esmail et al.", "parsedDate": "2006-10", "numChildren": 1 }, "data": { "key": "KM9NXB9T", "version": 2, "itemType": "journalArticle", "title": "Is your patient ready for transport? Developing an ICU patient transport decision scorecard", "creators": [ { "creatorType": "author", "firstName": "Rosmin", "lastName": "Esmail" }, { "creatorType": "author", "firstName": "Deborah", "lastName": "Banack" }, { "creatorType": "author", "firstName": "Cheryl", "lastName": "Cummings" }, { "creatorType": "author", "firstName": "Judy", "lastName": "Duffett-Martin" }, { "creatorType": "author", "firstName": "Karen", "lastName": "Rimmer" }, { "creatorType": "author", "firstName": "Jonas", "lastName": "Shultz" }, { "creatorType": "author", "firstName": "Teresa", "lastName": "Thurber" }, { "creatorType": "author", "firstName": "Terrance", "lastName": "Hulme" }, { "creatorType": "author", "name": "Patient Safety and Adverse Events Team" } ], "abstractNote": "Transport of patients from the intensive care unit (ICU) to another area of the hospital can pose serious risks if the patient has not been assessed prior to transport. Recently, the Department of Critical Care Medicine, Calgary Health Region, experienced two adverse events during transport. A subgroup of the Department's Patient Safety and Adverse Events team developed an ICU patient transport decision scorecard. This tool was tested through Plan-Do-Study-Act cycles and further revised using human factors principles. Staff, especially novice nurses, found the tool extremely useful in determining patient preparedness for transport.", "publicationTitle": "Healthcare quarterly (Toronto, Ont.)", "publisher": "", "place": "", "date": "Oct 2006", "volume": "9 Spec No", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "80-86", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Healthc Q", "DOI": "", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1710-2774", "archive": "", "archiveLocation": "", "shortTitle": "Is your patient ready for transport?", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 17087174", "tags": [ { "tag": "Alberta", "type": 1 }, { "tag": "Decision Making", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Intensive Care Units", "type": 1 }, { "tag": "Organizational Case Studies", "type": 1 }, { "tag": "Patient Transfer", "type": 1 }, { "tag": "Program Development", "type": 1 }, { "tag": "Safety Management", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-07-15T14:57:45Z", "dateModified": "2013-07-15T14:57:45Z" } }, { "key": "GJBWSAG6", "version": 2, "library": { "type": "group", "id": 185090, "name": "transportation_patients_sources_diverses", "links": { "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/185090/items/GJBWSAG6", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses/items/GJBWSAG6", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/185090/items/QPGZ2EXX", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1234830, "username": "chumtransformation", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/chumtransformation", "type": "text/html" } } } }, "data": { "key": "GJBWSAG6", "version": 2, "parentItem": "QPGZ2EXX", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-07-15T14:54:31Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/18283432", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-07-15T14:54:31Z", "dateModified": "2013-07-15T14:54:31Z" } }, { "key": "M6EUF6PG", "version": 2, "library": { "type": "group", "id": 185090, "name": "transportation_patients_sources_diverses", "links": { "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/185090/items/M6EUF6PG", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses/items/M6EUF6PG", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/185090/items/WEK27RDI", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1234830, "username": "chumtransformation", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/chumtransformation", "type": "text/html" } } } }, "data": { "key": "M6EUF6PG", "version": 2, "parentItem": "WEK27RDI", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-07-15T14:54:31Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23587445", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-07-15T14:54:31Z", "dateModified": "2013-07-15T14:54:31Z" } }, { "key": "8FAPTAJT", "version": 2, "library": { "type": "group", "id": 185090, "name": "transportation_patients_sources_diverses", "links": { "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/185090/items/8FAPTAJT", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses/items/8FAPTAJT", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1234830, "username": "chumtransformation", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/chumtransformation", "type": "text/html" } } }, "creatorSummary": "Fanara et al.", "parsedDate": "2010", "numChildren": 1 }, "data": { "key": "8FAPTAJT", "version": 2, "itemType": "journalArticle", "title": "Recommendations for the intra-hospital transport of critically ill patients", "creators": [ { "creatorType": "author", "firstName": "Benoît", "lastName": "Fanara" }, { "creatorType": "author", "firstName": "Cyril", "lastName": "Manzon" }, { "creatorType": "author", "firstName": "Olivier", "lastName": "Barbot" }, { "creatorType": "author", "firstName": "Thibaut", "lastName": "Desmettre" }, { "creatorType": "author", "firstName": "Gilles", "lastName": "Capellier" } ], "abstractNote": "INTRODUCTION: This study was conducted to provide Intensive Care Units and Emergency Departments with a set of practical procedures (check-lists) for managing critically-ill adult patients in order to avoid complications during intra-hospital transport (IHT).\nMETHODS: Digital research was carried out via the MEDLINE, EMBASE, CINAHL and HEALTHSTAR databases using the following key words: transferring, transport, intrahospital or intra-hospital, and critically ill patient. The reference bibliographies of each of the selected articles between 1998 and 2009 were also studied.\nRESULTS: This review focuses on the analysis and overcoming of IHT-related risks, the associated adverse events, and their nature and incidence. The suggested preventive measures are also reviewed. A check-list for quick execution of IHT is then put forward and justified.\nCONCLUSIONS: Despite improvements in IHT practices, significant risks are still involved. Basic training, good clinical sense and a risk-benefit analysis are currently the only deciding factors. A critically ill patient, prepared and accompanied by an inexperienced team, is a risky combination. The development of adapted equipment and the widespread use of check-lists and proper training programmes would increase the safety of IHT and reduce the risks in the long-term. Further investigation is required in order to evaluate the protective role of such preventive measures.", "publicationTitle": "Critical care (London, England)", "publisher": "", "place": "", "date": "2010", "volume": "14", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "R87", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Crit Care", "DOI": "10.1186/cc9018", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1466-609X", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 20470381", "tags": [ { "tag": "Checklist", "type": 1 }, { "tag": "Critical Illness", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Patient Transfer", "type": 1 }, { "tag": "Review Literature as Topic", "type": 1 }, { "tag": "Risk Factors", "type": 1 }, { "tag": "Risk Management", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-07-15T14:54:31Z", "dateModified": "2013-07-15T14:54:31Z" } }, { "key": "63W2MCZR", "version": 2, "library": { "type": "group", "id": 185090, "name": "transportation_patients_sources_diverses", "links": { "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/185090/items/63W2MCZR", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses/items/63W2MCZR", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1234830, "username": "chumtransformation", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/chumtransformation", "type": "text/html" } } }, "creatorSummary": "Droogh et al.", "parsedDate": "2012", "numChildren": 1 }, "data": { "key": "63W2MCZR", "version": 2, "itemType": "journalArticle", "title": "Inter-hospital transport of critically ill patients; expect surprises", "creators": [ { "creatorType": "author", "firstName": "Joep M", "lastName": "Droogh" }, { "creatorType": "author", "firstName": "Marije", "lastName": "Smit" }, { "creatorType": "author", "firstName": "Jakob", "lastName": "Hut" }, { "creatorType": "author", "firstName": "Ronald", "lastName": "de Vos" }, { "creatorType": "author", "firstName": "Jack J M", "lastName": "Ligtenberg" }, { "creatorType": "author", "firstName": "Jan G", "lastName": "Zijlstra" } ], "abstractNote": "INTRODUCTION: Inter-hospital transport of critically ill patients is increasing. When performed by specialized retrieval teams there are less adverse events compared to transport by ambulance. These transports are performed with technical equipment also used in an Intensive Care Unit (ICU). As a consequence technical problems may arise and have to be dealt with on the road. In this study, all technical problems encountered while transporting patients with our mobile intensive care unit service (MICU) were evaluated.\nMETHODS: From March 2009 until August 2011 all transports were reviewed for technical problems. The cause, solution and, where relevant, its influence on protocol were stated.\nRESULTS: In this period of 30 months, 353 patients were transported. In total 55 technical problems were encountered. We provide examples of how they influenced transport and how they may be resolved.\nCONCLUSION: The use of technical equipment is part of intensive care medicine. Wherever this kind of equipment is used, technical problems will occur. During inter-hospital transports, without extra personnel or technical assistance, the transport team is dependent on its own ability to resolve these problems. Therefore, we emphasize the importance of having some technical understanding of the equipment used and the importance of training to anticipate, prevent and resolve technical problems. Being an outstanding intensivist on the ICU does not necessarily mean being qualified for transporting the critically ill as well. Although these are lessons derived from inter-hospital transport, they may also apply to intra-hospital transport.", "publicationTitle": "Critical care (London, England)", "publisher": "", "place": "", "date": "2012", "volume": "16", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "R26", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Crit Care", "DOI": "10.1186/cc11191", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1466-609X", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 22326110", "tags": [ { "tag": "Critical Illness", "type": 1 }, { "tag": "Emergency Medical Services", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Intensive Care Units", "type": 1 }, { "tag": "Mobile Health Units", "type": 1 }, { "tag": "Patient Transfer", "type": 1 }, { "tag": "Professional Competence", "type": 1 }, { "tag": "Retrospective Studies", "type": 1 }, { "tag": "Transportation of Patients", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-07-15T14:54:31Z", "dateModified": "2013-07-15T14:54:31Z" } }, { "key": "AGAGB4SE", "version": 2, "library": { "type": "group", "id": 185090, "name": "transportation_patients_sources_diverses", "links": { "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/185090/items/AGAGB4SE", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses/items/AGAGB4SE", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/185090/items/W3UTNTBT", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1234830, "username": "chumtransformation", "name": "", "links": { "alternate": { "href": 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"href": "https://api.zotero.org/groups/185090/items/8FAPTAJT", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1234830, "username": "chumtransformation", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/chumtransformation", "type": "text/html" } } } }, "data": { "key": "NRBEW3FS", "version": 2, "parentItem": "8FAPTAJT", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-07-15T14:54:31Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/20470381", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-07-15T14:54:31Z", "dateModified": "2013-07-15T14:54:31Z" } }, { "key": "KCHSQNIT", "version": 2, "library": { "type": "group", "id": 185090, "name": "transportation_patients_sources_diverses", "links": { "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/185090/items/KCHSQNIT", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses/items/KCHSQNIT", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/185090/items/RH8RJ9W3", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1234830, "username": "chumtransformation", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/chumtransformation", "type": "text/html" } } } }, "data": { "key": "KCHSQNIT", "version": 2, "parentItem": "RH8RJ9W3", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-07-15T14:54:31Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/21666851", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-07-15T14:54:31Z", "dateModified": "2013-07-15T14:54:31Z" } }, { "key": "AEDEH7QI", "version": 2, "library": { "type": "group", "id": 185090, "name": "transportation_patients_sources_diverses", "links": { "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/185090/items/AEDEH7QI", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses/items/AEDEH7QI", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/185090/items/63W2MCZR", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1234830, "username": "chumtransformation", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/chumtransformation", "type": "text/html" } } } }, "data": { "key": "AEDEH7QI", "version": 2, "parentItem": "63W2MCZR", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-07-15T14:54:31Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/22326110", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-07-15T14:54:31Z", "dateModified": "2013-07-15T14:54:31Z" } }, { "key": "W3UTNTBT", "version": 2, "library": { "type": "group", "id": 185090, "name": "transportation_patients_sources_diverses", "links": { "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/185090/items/W3UTNTBT", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses/items/W3UTNTBT", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1234830, "username": "chumtransformation", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/chumtransformation", "type": "text/html" } } }, "creatorSummary": "Ligtenberg et al.", "parsedDate": "2005-08", "numChildren": 1 }, "data": { "key": "W3UTNTBT", "version": 2, "itemType": "journalArticle", "title": "Quality of interhospital transport of critically ill patients: a prospective audit", "creators": [ { "creatorType": "author", "firstName": "Jack J M", "lastName": "Ligtenberg" }, { "creatorType": "author", "firstName": "L Gert", "lastName": "Arnold" }, { "creatorType": "author", "firstName": "Ymkje", "lastName": "Stienstra" }, { "creatorType": "author", "firstName": "Tjip S", "lastName": "van der Werf" }, { "creatorType": "author", "firstName": "John H J M", "lastName": "Meertens" }, { "creatorType": "author", "firstName": "Jaap E", "lastName": "Tulleken" }, { "creatorType": "author", "firstName": "Jan G", "lastName": "Zijlstra" } ], "abstractNote": "INTRODUCTION: The aim of transferring a critically ill patient to the intensive care unit (ICU) of a tertiary referral centre is to improve prognosis. The transport itself must be as safe as possible and should not pose additional risks. We performed a prospective audit of the quality of interhospital transports to our university hospital-based medical ICU.\nMETHODS: Transfers were undertaken using standard ambulances. On departure and immediately after arrival, the following data were collected: blood pressure, heart rate, body temperature, oxygen saturation, arterial blood gas analysis, serum lactic acid, plasma haemoglobin concentration, blood glucose, mechanical ventilation settings, use of vasopressor/inotropic drugs, and presence of venous and arterial catheters. Ambulance personnel completed forms describing haemodynamic and ventilatory data during transport. Data were collected by our research nurse and analyzed.\nRESULTS: A total of 100 consecutive transfers of ICU patients over a 14-month period were evaluated. Sixty-five per cent of patients were mechanically ventilated; 38% were on vasoactive drugs. Thirty-seven per cent exhibited an increased number of vital variables beyond predefined thresholds after transport compared with before transport; 34% had an equal number; and 29% had a lower number of vital variables beyond thresholds after transport. The distance of transport did not correlate with the condition on arrival. Six patients died within 24 hours after arrival; vital variables in these patients were not significantly different from those in patients who survived the first 24 hours. ICU mortality was 27%. Adverse events occurred in 34% of transfers; in 50% of these transports, pretransport recommendations given by the intensivist of our ICU were ignored. Approximately 30% of events may be attributed to technical problems.\nCONCLUSION: On aggregate, the quality of transport in our catchment area carried out using standard ambulances appeared to be satisfactory. However, examination of the data in greater detail revealed a number of preventable events. Further improvement must be achieved by better communication between referring and receiving hospitals, and by strict adherence to checklists and to published protocols. Patients transported between ICUs are still critically ill and should be treated as such.", "publicationTitle": "Critical care (London, England)", "publisher": "", "place": "", "date": "Aug 2005", "volume": "9", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "R446-451", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Crit Care", "DOI": "10.1186/cc3749", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1466-609X", "archive": "", "archiveLocation": "", "shortTitle": "Quality of interhospital transport of critically ill patients", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 16137359", "tags": [ { "tag": "Ambulances", "type": 1 }, { "tag": "Critical Care", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Intensive Care Units", "type": 1 }, { "tag": "Netherlands", "type": 1 }, { "tag": "Patient Transfer", "type": 1 }, { "tag": "Prospective Studies", "type": 1 }, { "tag": "Quality of Health Care", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-07-15T14:54:31Z", "dateModified": "2013-07-15T14:54:31Z" } }, { "key": "QPGZ2EXX", "version": 2, "library": { "type": "group", "id": 185090, "name": "transportation_patients_sources_diverses", "links": { "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/185090/items/QPGZ2EXX", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/transportation_patients_sources_diverses/items/QPGZ2EXX", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1234830, "username": "chumtransformation", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/chumtransformation", "type": "text/html" } } }, "creatorSummary": "van Lieshout et al.", "parsedDate": "2008-07", "numChildren": 1 }, "data": { "key": "QPGZ2EXX", "version": 2, "itemType": "journalArticle", "title": "Decision making in interhospital transport of critically ill patients: national questionnaire survey among critical care physicians", "creators": [ { "creatorType": "author", "firstName": "Erik Jan", "lastName": "van Lieshout" }, { "creatorType": "author", "firstName": "Rien", "lastName": "de Vos" }, { "creatorType": "author", "firstName": "Jan M", "lastName": "Binnekade" }, { "creatorType": "author", "firstName": "Rob", "lastName": "de Haan" }, { "creatorType": "author", "firstName": "Marcus J", "lastName": "Schultz" }, { "creatorType": "author", "firstName": "Margreeth B", "lastName": "Vroom" } ], "abstractNote": "OBJECTIVE: This study assessed the relative importance of clinical and transport-related factors in physicians' decision-making regarding the interhospital transport of critically ill patients.\nMETHODS: The medical heads of all 95 ICUs in The Netherlands were surveyed with a questionnaire using 16 case vignettes to evaluate preferences for transportability; 78 physicians (82%) participated. The vignettes varied in eight factors with regard to severity of illness and transport conditions. Their relative weights were calculated for each level of the factors by conjoint analysis and expressed in beta. The reference value (beta = 0) was defined as the optimal conditions for critical care transport; a negative beta indicated preference against transportability.\nRESULTS: The type of escorting personnel (paramedic only: beta = -3.1) and transport facilities (standard ambulance beta = -1.21) had the greatest negative effect on preference for transportability. Determinants reflecting severity of illness were of relative minor importance (dose of noradrenaline beta = -0.6, arterial oxygenation beta = -0.8, level of peep beta = -0.6). Age, cardiac arrhythmia, and the indication for transport had no significant effect.\nCONCLUSIONS: Escorting personnel and transport facilities in interhospital transport were considered as most important by intensive care physicians in determining transportability. When these factors are optimal, even severely critically ill patients are considered able to undergo transport. Further clinical research should tailor transport conditions to optimize the use of expensive resources in those inevitable road trips.", "publicationTitle": "Intensive care medicine", "publisher": "", "place": "", "date": "Jul 2008", "volume": "34", "issue": "7", "section": "", "partNumber": "", "partTitle": "", "pages": "1269-1273", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Intensive Care Med", "DOI": "10.1007/s00134-008-1023-x", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "0342-4642", "archive": "", "archiveLocation": "", "shortTitle": "Decision making in interhospital transport of critically ill patients", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 18283432", "tags": [ { "tag": "APACHE", "type": 1 }, { "tag": "Adult", "type": 1 }, { "tag": "Aged, 80 and over", "type": 1 }, { "tag": "Attitude of Health Personnel", "type": 1 }, { "tag": "Critical Illness", "type": 1 }, { "tag": "Decision Making", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Netherlands", "type": 1 }, { "tag": "Patient Transfer", "type": 1 }, { "tag": "Physicians", "type": 1 }, { "tag": "Questionnaires", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-07-15T14:54:31Z", "dateModified": "2013-07-15T14:54:31Z" } } ]