Table 1

Safety measures for direct admission pathway

Safety measureDescriptionPurpose
Physician handoffAttending surgeon must receive warm handoff from referring hospital prior to transferSurgeon determines the appropriate level of intensity of care.
Nurse handoffNurse must receive warm handoff from referring hospital prior to transfer.Nurses prepare appropriate personnel and equipment for patient arrival.
Team huddleNurse and attending surgeon have the option to page for a team huddle.Team members voice and address any concerns or questions about plan of care.
Safe arrivalTeam must be at bedside on patient arrival.Team is present at the bedside when the patient arrives for timely patient assessment.
Rapid imagingIf necessary, the team calls a radiology access line to obtain immediate imaging.Team obtains urgent imaging on arrival.
Rapid retriageIf there is a concern that a patient on arrival requires a higher level of care, trauma team activates a rapid response to bring additional resources and clinicians to bedside.Team can rapidly transfer the patient to an ICU and receive additional resources for the administration of critical care prior to transfer.