Implementation Study of Intra-hospital Transfer of Pediatric Inpatients
NCT Number: NCT06512805
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Implementation Science|Transportation of Patients
Interventions: BEHAVIORAL: Routine transport|BEHAVIORAL: Post-guideline transfer
Sponsor: Children's Hospital of Fudan University
Sex: ALL
Age: CHILD, ADULT, OLDER_ADULT
Enrollment: 152
Study Design: Allocation: NON_RANDOMIZED|Intervention Model: SEQUENTIAL|Masking: NONE|Primary Purpose: OTHER
Start Date: 2024-04-01
Completion Date: 2024-12-31
Locations: Children's Hospital of Fudan University, Shanghai, 201102, China

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.

Primary Outcome Measures: 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