Clinical setting of reported patient safety events during intra-hospital transportation
| Care setting characteristics | Number (%) | ||
| Departments | |||
| Inpatient | Internal medicine | 56 (27.2) | |
| Surgery | 23 (11.2) | ||
| Intensive care | 14 (6.8) | ||
| Oncology | 12 (5.8) | ||
| Other | 58 (28.2) | ||
| Emergency department | Emergency medicine | 41 (19.9) | |
| Outpatient department | Outpatients | 2 (1.0) | |
| Transportation settings | Location of departure | General ward | 122 (59.2) |
| Emergency room | 51 (24.8) | ||
| Intensive care unit | 11 (5.3) | ||
| Radiology | 9 (4.4) | ||
| Operating room | 5 (2.4) | ||
| Other locations | 8 (3.9) | ||
| Location of arrival | Radiology | 89 (43.2) | |
| General ward | 35 (17.0) | ||
| Intensive care unit | 28 (13.6) | ||
| Sonography | 18 (8.7) | ||
| Angiography | 10 (4.9) | ||
| MRI | 6 (2.9) | ||
| Operating room | 5 (2.4) | ||
| Other locations | 15 (7.3) | ||
| Safety events | Process events | 147 (71.4) | |
| Delayed departure | 27 (13.1) | ||
| Error in the process | 25 (12.1) | ||
| Prolonged waiting after arrival | 19 (9.2) | ||
| Standard sub-process not completed | 15 (7.3) | ||
| Standard sub-process not performed | 15 (7.3) | ||
| Wrong patient transported | 9 (4.3) | ||
| Wrong destination | 8 (3.9) | ||
| Delayed intervention | 8 (3.9) | ||
| Wrong procedure performed | 6 (2.9) | ||
| Wrong request sheet | 3 (1.5) | ||
| Transporting personnel inadequate | 3 (1.5) | ||
| Delayed arrival | 2 (1.0) | ||
| Lack of notification for transport | 2 (1.0) | ||
| Others | 5 (2.4) | ||
| Physiologic changes | 32 (15.5) | ||
| Respiratory distress and desaturation | 13 (6.3) | ||
| Consciousness disturbance | 6 (2.9) | ||
| Hypotension | 6 (2.9) | ||
| Seizures | 4 (1.9) | ||
| Delirium | 2 (1.0) | ||
| Adverse reaction to medication | 1 (0.5) | ||
| Equipment events | 17 (8.3) | ||
| Tube and line removal | 12 (5.8) | ||
| Equipment malfunction | 1 (0.5) | ||
| Equipment fall | 1 (0.5) | ||
| Facility malfunction | 1 (0.5) | ||
| Ventilator not prepared | 1 (0.5) | ||
| Oxygen supply not sufficient | 1 (0.5) | ||
| Other events | 10 (4.9) | ||
| Contusion trauma of the patient | 8 (3.9) | ||
| Patient fall | 1 (0.5) | ||
| Patient elopement | 1 (0.5) | ||
| Outcome of the events | Severity | ||
| Near miss | 7 (3.4) | ||
| No harm | 141 (68.4) | ||
| Mild | 35 (17.0) | ||
| Moderate | 23 (11.2) |