HFMEA reduced pediatric transport accidents from 35% to 6.7%, enhancing safety.

Nursing quality improved to 95.8%, ensuring better care during critical transfers.

Medical team cooperation satisfaction increased to 97.5% post-HFMEA integration.

Standardized checklists streamlined handovers, reducing errors and information gaps.

HFMEA optimized pediatric critical care transport, improving efficiency and outcomes.

To study the effectiveness of HFMEA in integrated transport for critically ill pediatric patients.

Since January 2024, HFMEA has been implemented in our hospital to facilitate the integrated transport of critically ill children. The study observed and compared the incidence of transport accidents, nursing quality, and satisfaction with medical team cooperation over four months before and after HFMEA implementation.

The transport accident rate was 35 % in the control group and 6.7 % in the experimental group, demonstrating a significantly lower incidence of transport accidents (P < 0.001). The nursing quality score in the experimental group was 95.8 %, markedly higher than in the control group. Satisfaction with medical team cooperation in the experimental group was 97.5 %, compared to 88.1 % in the control group, a statistically significant difference (P < 0.001).

HFMEA improves the safety of transport for critically ill pediatric patients in emergency settings, thereby enhancing nursing quality.

Implications for Clinical Practice: HFMEA significantly enhances pediatric critical care transport safety, improving nursing quality, efficiency, and multidisciplinary team collaboration.

HFMEA

Continuous quality management

Acute critical illness in infants

Intrahospital Transport

Nursing

© 2026 The Authors. Published by Elsevier Ltd.