Quality Improvement of Patient Transfer After Open Heart Surgery, Cardio thoracic Surgical Intensive Care Unit, Buddhachinnaraj Phitsanulok Hospital
Keywords:
Patient transfer, Cardio thoracic Surgical Intensive Care Unit, NursingAbstract
This research and development aimed to enhance the quality of postoperative cardiac patient transfer by applying the continuous quality improvement concept through the Focus–PDCA (Plan–Do–Check–Act) cycle. The process consisted of nine steps: identifying processes requiring improvement, building a knowledgeable team, fostering understanding of the clinical situation, analyzing root causes, selecting processes for improvement, planning interventions, implementing corrective actions, evaluating outcomes, and integrating results into ongoing improvement. The study population included 17 professional nurses and 6 nurse assistants working in the Cardiothoracic Intensive Care Unit at Buddhachinnaraj Hospital, Phitsanulok. Four research instruments were employed: (1) guidelines for postoperative cardiac patient transfer, (2) a transfer recording form, (3) an observation checklist for adherence to transfer guidelines, and (4) an incident report form for adverse events during transfer. Data was collected from 30 patients who underwent transfer and analyzed using descriptive statistics.
The results revealed that after training nurses on the standardized transfer guidelines, adherence reached 99.74%, exceeding the target benchmark of 80%. Additionally, during transfers, 3 out of 30 patients (10%) experienced adverse events: two cases of cardiac arrhythmia and one case of abnormal blood pressure. All three patients received immediate and appropriate interventions according to the transfer protocol and were safely returned to the intensive care unit.
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