ADVERS EVENTS OF INTRAHOSPITAL TRANSPORT AMONG CRITICALLY ILL PATIENTS AT SP.PAUL’S HOSPITAL MILLENIUM MEDICAL COLLEGE AND AaBET HOSPITAL ADULT INTENSIVE CARE UNIT

Abstract

Abstract Background: Intra-hospital transport of critically ill patients is unavoidable and is associated with an increased risk of adverse events, which may compromise patient safety. Previous studies have reported that 22%–68% of transported high-risk patients develop cardiovascular complications such as arrhythmias. Despite this, there is limited local evidence describing the Magnitude and pattern of adverse events during Intra hospital transport in Ethiopian tertiary hospitals Objective: To asses Adverse events during Intra hospital transport of critically ill patients to St.paul’ Hospital Millennium Medical College and Addis Ababa Burn, Emergency, and Trauma AaBET Hospital adult Intensive care unit. Methodology: This was a multicenter prospective cross-sectional study conducted among critically ill patients undergoing intra-hospital transport at St. Paul’s Hospital Millennium Medical College and Addis Ababa Burn, Emergency, and Trauma Hospital adult Intensive care unit. Data was collected using a self-administered questionnaire filled by assigned data collector, then It was entered and analyzed by the use of SPSS version 26 and the findings was presented in the form of tables, pie charts, and graphs. Result: Among 361 transported ICU patients, 71.7% were male, with a mean age of 44.1 years. Most transfers were from the Emergency Room during daytime on weekdays. Respiratory and cardiovascular support was the most common reason for admission. Four to five personnel, mainly nurses, conducted transfers. Vital sign monitoring was used in most cases, with 25% of patients requiring manual ventilation Adverse events occurred was, cardiovascular (arrhythmia) and neurological. Conclusion and Recommendation: Intra-hospital transport of critically ill patients was generally safe, with a low incidence of adverse events. However, the occurrence of cardiovascular and neurological complications highlights the need for , Strengthening continuous monitoring, ensuring the availability of appropriate equipment, providing regular training for transport teams, and adhering to standardized transport protocols are essential to further minimize adverse events and improve patient safety. Keywords: Intra hospital transport, critical ill patients, adverse events, patient transportation