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Objective <p>To design and evaluate a systems-based approach for safe, efficient, and family-centered mass intrahospital transport (M-IHT) of critically ill neonates during two planned NICU relocations.</p> Methods <p>This prospective QI initiative followed SQUIRE 2.0 guidelines. Work system design was guided by systems-based patient safety frameworks, Operations/Management Science principles, integrating context evaluation with proactive, multidisciplinary, simulation-based planning to mitigate risk and ensure real-time adaptability. Outcomes were evaluated using prospectively collected multi-source data.</p> Results <p>Both relocations were completed without clinical complications, equipment failures, or service disruption. Staff surveys showed &gt;90% positive responses across domains. Parents reported high satisfaction, perceived safety, and effective communication. Direct observations confirmed smooth coordination, role clarity, workflow adherence, and real-time responsiveness. The work system was successfully reapplied with consistent performance and improved efficiency.</p> Conclusions <p>M-IHT of critically ill infants was conducted safely and efficiently using a reliable, adaptable, and sustainable system-based framework offering transferable lessons for complex operations.</p>

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Mass intrahospital transport of the neonatal intensive care unit: a systems-based approach to safety, efficiency, and family-centered care

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月27日

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  • Pankaj Sakhuja,
  • Naveed Durrani,
  • Dhullipala Anand,
  • Nqobile Sigola,
  • Danica Causing,
  • Ernestine Yangamen Kalla Lottin,
  • Ali Alqudah,
  • Hassan Deni,
  • Haytham Ali,
  • Duane Wong,
  • Susanne Bohm-Langford,
  • Samir Gupta

摘要

Objective

To design and evaluate a systems-based approach for safe, efficient, and family-centered mass intrahospital transport (M-IHT) of critically ill neonates during two planned NICU relocations.

Methods

This prospective QI initiative followed SQUIRE 2.0 guidelines. Work system design was guided by systems-based patient safety frameworks, Operations/Management Science principles, integrating context evaluation with proactive, multidisciplinary, simulation-based planning to mitigate risk and ensure real-time adaptability. Outcomes were evaluated using prospectively collected multi-source data.

Results

Both relocations were completed without clinical complications, equipment failures, or service disruption. Staff surveys showed >90% positive responses across domains. Parents reported high satisfaction, perceived safety, and effective communication. Direct observations confirmed smooth coordination, role clarity, workflow adherence, and real-time responsiveness. The work system was successfully reapplied with consistent performance and improved efficiency.

Conclusions

M-IHT of critically ill infants was conducted safely and efficiently using a reliable, adaptable, and sustainable system-based framework offering transferable lessons for complex operations.