Audit of neonatal intensive care transport--closing the loop

Acta Paediatr. 1997 Nov;86(11):1253-6. doi: 10.1111/j.1651-2227.1997.tb14856.x.


To audit the effectiveness of changes in transport arrangements, data on babies ventilated during transfer into a neonatal unit were compared between two periods. During the first period, August 1991-February 1993, an ad hoc transport team operated. Transport practice was changed in 1993 by forming a nine-person nursing transport team, improving training and upgrading monitoring. The second audit period was January 1994-July 1995. The groups were not significantly different for birthweight, gestation or levels of ventilation. Physiological variables were assessed with a "transport score". Improved scores for temperature and pH were achieved on completion of transfer in 1994-95 compared to 1991-93. Stabilizing prior to transfer took longer in the 1994-95 period. No serious deteriorations occurred in transit in the 1994-95 period, three in 1991-93. Audit facilitates identification of problems in transport. Staff, education and equipment changes were associated with improved audited outcomes.

Publication types

  • Comparative Study

MeSH terms

  • Birth Weight
  • Blood Glucose
  • Blood Pressure
  • Cohort Studies
  • Humans
  • Infant Mortality
  • Infant, Newborn
  • Intensive Care Units, Neonatal*
  • Medical Audit*
  • Patient Care Team
  • Patient Transfer
  • Transportation of Patients / methods*


  • Blood Glucose