This quality and safety issue breakdown began from a serious safety event (SSE) occurring from the absence of monitoring while a patient was off their home unit for diagnostic testing. For this SSE, I lead an interprofessional team of content experts to determine root cause and to develop a hospital wide solution to prevent these types of events from occurring again. DNP Essential VI which involves the interprofessional collaboration for improving patient and population health outcomes applies to this quality and safety issue. The team discovered the root cause stemming from a transportation order placed for cardiac monitoring removal to prevent the delay of the diagnostic test.
Most of the literature which exists on patient transportation involves intensive care or pediatric patients. The Pennsylvania Patient Safety Reporting System published the most beneficial resource regarding safe transport of the non-ICU patient; which focused on handoff communication and transportation teams (Huber, 2010).
Huber C. (2010). Safe intrahospital transport of non-ICU patients. The American journal of
nursing, 110(11), 66–69. https://doi-org./10.1097/01.NAJ.0000390531.14314.1c