{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T12:23:09Z","timestamp":1783686189060,"version":"3.55.0"},"reference-count":30,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Peri-procedural management of mechanically ventilated intensive care unit (ICU) patients undergoing hyperbaric oxygen therapy (HBOT) requires coordinated preparation, chamber-compatible equipment management, transfer readiness, and restoration of standard ICU support. Evidence on HBOT-specific workflow vulnerabilities remains limited. This single-centre pilot survey described staff-reported observations of omitted, delayed, or incompletely performed peri-HBOT tasks and used them to inform a preliminary checklist prototype. Methods: Nineteen healthcare professionals involved in peri-HBOT care at a specialist hyperbaric centre in Poland completed an anonymous questionnaire based on one-month retrospective recall. Respondents indicated whether they had observed each listed task being omitted or incompletely performed at least once. Analyses used respondent-level counts, percentages, and Wilson 95% confidence intervals. Results: Before HBOT, the most frequently reported observations concerned preparation of the intubation set for transfer (14\/19, 73.7%; 95% CI: 51.2\u201388.2), disconnection of the anti-decubitus mattress pump (8\/19, 42.1%; 95% CI: 23.1\u201363.7), removal or replacement of hazardous bed materials (7\/19, 36.8%; 95% CI: 19.1\u201359.0), and preparation of the self-inflating bag (6\/19, 31.6%; 95% CI: 15.4\u201354.0). After HBOT, observations most often involved replacing fluid with air in the endotracheal tube cuff (11\/19, 57.9%; 95% CI: 36.3\u201376.9), reconnecting the anti-decubitus mattress pump (10\/19, 52.6%; 95% CI: 31.7\u201372.7), and reconnecting interrupted intravenous infusions (5\/19, 26.3%; 95% CI: 11.8\u201348.8). Conclusions: Findings identified perceived peri-HBOT workflow vulnerabilities and informed a locally derived checklist prototype. They should not be interpreted as verified omission prevalence, event rates, patient harm, or checklist effectiveness; usability testing, refinement, and multicentre validation are required.<\/jats:p>","DOI":"10.3390\/jcm15145418","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T11:43:34Z","timestamp":1783683814000},"page":"5418","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Staff-Reported Peri-Procedural Workflow Vulnerabilities and a Preliminary Checklist Prototype for Mechanically Ventilated Intensive Care Patients Undergoing Hyperbaric Oxygen Therapy: A Single-Centre Pilot Survey"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1142-8013","authenticated-orcid":false,"given":"Aneta","family":"Miszewska","sequence":"first","affiliation":[{"name":"Division of Anaesthesiology Nursing & Intensive Care, Medical University of Gda\u0144sk, ul. D\u0119binki 7, Building 15, 80-211 Gdansk, Poland"},{"name":"Department of Hyperbaric Medicine and Sea Rescue, University Centre for Maritime and Tropical Medicine, ul. Powstania Styczniowego 9b, 81-519 Gdynia, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5604-8407","authenticated-orcid":false,"given":"Jacek","family":"Kot","sequence":"additional","affiliation":[{"name":"Department of Hyperbaric Medicine and Sea Rescue, University Centre for Maritime and Tropical Medicine, ul. Powstania Styczniowego 9b, 81-519 Gdynia, Poland"},{"name":"National Centre for Hyperbaric Medicine, Institute of Maritime and Tropical Medicine, Medical University of Gda\u0144sk, ul. Powstania Styczniowego 9b, 81-519 Gdynia, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.28920\/dhm53.4.suppl.1-17","article-title":"A European code of good practice for hyperbaric oxygen therapy\u2014Review 2022","volume":"53","author":"Kot","year":"2023","journal-title":"Diving Hyperb. Med."},{"key":"ref_2","first-page":"42","article-title":"Hyperbaric oxygen therapy for intensive care patients: Position statement by the European Committee for Hyperbaric Medicine","volume":"45","author":"Mathieu","year":"2015","journal-title":"Diving Hyperb. 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