PRS Journal Club “Improving Patient Transfer Quality” with James Higgins, MD - Aug. 2025 Journal Club
Aug 13, 2025
James Higgins, MD, Chief of The Curtis National Hand Center, joins the discussion on enhancing patient transfer quality in upper extremity surgery. He shares insights from a retrospective study that reveals how improved protocols and communication can significantly reduce avoidable transfers. The conversation delves into innovative techniques in replantation and the potential to expedite surgical care by bypassing emergency departments. Ethical considerations in patient assessment and the role of telemedicine in outcomes are also thoughtfully examined, making for a compelling listen.
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Centralized Transfer Center Improves Quality
- A centralized, nurse-staffed transfer center standardized information flow and decision-making for replant/revascularization calls.
- The program increased call volume, reduced avoidable transfers, and improved photo and imaging capture rates.
Document Calls And Require Imaging First
- Do record the conversation and relevant data from referring providers to improve triage and documentation.
- Use objective transfer criteria and transmit photos/radiographs before accepting transfers.
Curtis Center Mirrors Study Experience
- James Higgins shared that his center runs a similar high-volume transfer system and wrestles with subjective surgeon thresholds for replant attempts.
- He emphasized social factors and patient preferences often alter transfer decisions.