Safety issues with an inter‐hospital transport of a patient with a Berlin Heart Excor biventircular assist device

Background Interhospital transfers of pediatric patients on the Berlin Heart Excor have been published on an occasional basis. Methods Nowadays medicine evolves away from just feasibility towards quality and safety issues. Management tools like risk analysis have found their way into clinical practice. Results Exemplary, we present a case of a 20 months old boy on a Berlin Heart BiVAD Excor who underwent a 224 km ground transport. After a systematic review of the published literature, we describe our safety management with the aim was to provide highest quality of care for the transport. Conclusion Besides a risk analysis, we also describe our training and simulation protocol. We conducted a systematic review on transport of pediatric patients provided with a Berlin Heart Excor. We describe our preparation to provide a transport as safe as possible including a risk analysis and an action plan addressing those issues. We describe our Simulation and Training protocol for such a transport.