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    Safe transfer of pediatric patients from hematopoietic stem cell transplant unit into the pediatric intensive care unit: views of nurses and physicians

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    Authors
    Hutt, D.
    Arjona, E. T.
    Mekelenkamp, H.
    Galimard, J. E.
    Kozijn, A.
    Schröder, T.
    Gjergji, M.
    Dalissier, A.
    Liptrott, S. J.
    Murray, J.
    Kenyon, M.
    van Gestel, J. P. J.
    Corbacioglu, S.
    Bader, P.
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    Affiliation
    Division of Pediatric Hematology and Oncology, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat Gan, 52621, Israel. zeevlic@gmail.com. Paediatric Transplant Unit, Hospital University and Polytechnic Hospital LA FE, Valencia, Spain. Willem-Alexander Children's Hospital, Department of Pediatrics, Leiden University Medical Centre, Leiden, The Netherlands. EBMT Statistical Unit, Paris, France. EBMT Leiden Data Unit, Leiden, The Netherlands. New Children's Hospital, Helsinki, Finland. Ospedale Pediatrico Bambino Gesù, Rome, Italy. EBMT Paris Data Unit, Paris, France. IEO, European Institute of Oncology IRCCS, Milan, Italy. Christie Hospital NHS Foundation Trust, Manchester, United Kingdom. Department of Haematology, King's College Hospital NHS Foundation Trust, London, UK. Department of Pediatric Intensive Care, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands. Department of Pediatric Hematology, Oncology and Stem Cell Transplantation, University of Regensburg, Regensburg, Germany. Center for Child Health, Dept. of Oncology, Immunology and Stem Cell Transplantation, Goethe University, Frankfurt, Germany.
    Issue Date
    2022
    
    Metadata
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    Abstract
    Sufficient communication between hematopoietic stem cell transplantation (HSCT) and pediatric intensive care unit (PICU) teams is pivotal for a successful advanced support in the PICU for HSCT-related complications. We evaluated perceived communication and barriers between both teams with the aim of providing recommendations for improvement. In this cross‐sectional survey, a self‐designed online questionnaire was distributed among ESPNIC and EBMT members. Data were analyzed using descriptive statistics. Over half of HSCT respondents employed a transfer indication protocol and patient assessment tool, but less structured checklist prior to patient transfer. Nearly all PICU respondents perceived this checklist as improvement for communication. Most HSCT and PICU physicians have daily rounds upon patient transfer while this is mostly missing between nursing teams. Half of both HSCT and PICU nurses indicated that HSCT training for PICU nurses could improve communication and patient transfer. Most respondents indicated that structured meetings between HSCT and PICU nurses could improve communication. Overall there is good communication between HSCT and PICU units, although barriers were noted between members of both teams. Based on our findings, we recommend use of a structured and specific checklist by HSCT teams, HSCT training for PICU personnel, and structured meetings between HSCT and PICU nurses.
    Citation
    Hutt D, Arjona ET, Mekelenkamp H, Galimard J-E, Kozijn A, Schröder T, et al. Safe transfer of pediatric patients from hematopoietic stem cell transplant unit into the pediatric intensive care unit: views of nurses and physicians [Internet]. Bone Marrow Transplantation. Springer Science and Business Media LLC; 2022.
    Journal
    Bone Marrow Transplant
    URI
    http://hdl.handle.net/10541/625124
    DOI
    10.1038/s41409-021-01559-5
    PubMed ID
    35190674
    Additional Links
    https://dx.doi.org/10.1038/s41409-021-01559-5
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1038/s41409-021-01559-5
    Scopus Count
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