Multiprofessional team interventions in transporting critically ill patients: a systematic mixed-methods review

ABSTRACT

Aim

To analyze how interventions of a multidisciplinary team promote the safe transportation of critically ill patients.

Method

A systematic mixed-methods review was developed using an integrated convergent approach according to the Joanna Briggs Institute. This study was conducted using MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials electronic databases, which generated 107 references. After removing duplicates and applying inclusion and exclusion criteria, 17 articles were evaluated for methodological quality, resulting in 15 articles as the final sample. Data extraction was performed using a tool in the form of a table and synthesized through thematic analysis.

Results

Thoughtful decision, planning, problem-solving action and action for improvement are interventions that the multiprofessional team promotes the safe transportation of critically ill patients.

Conclusion and implications for practice

The standardization of transport (institutional protocols, a checklist, and equipment adequacy), continuing education, and skills training in the capacitation of teams foster a culture of safety that prevents harm to the patient. Further research is suggested on the subjective dimension and with the family in transportation.

Keywords:
Clinical Competence; Critical Illness; Patient Care Team; Safety; Transportation of Patients