Factors related to the Intensive Care Unit
|
Discharge at night(1111 Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a clinical validation study. Nurs Crit Care. 2014 Sep;19(5):228-35. doi: 10.1111/nicc.12091 https://doi.org/10.1111/nicc.12091...
,2121 Ofoma UR, Dong Y, Gajic O, Pickering BW. A qualitative exploration of the discharge process and factors predisposing to readmissions to the intensive care unit. BMC Health Serv Res. 2018 Jan 5;18(6):1-9. doi: 10.1186/s12913-017-2821-z https://doi.org/10.1186/s12913-017-2821-...
,2424 Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017 Oct;43(10):1485-94. doi: 10.1007/s00134-017-4910-1 https://doi.org/10.1007/s00134-017-4910-...
,3232 Azevedo LCP, de Souza IA, Zygun DA, Stelfox HT, Bagshaw SM. Association between nighttime discharge from the Intensive Care Unit and hospital mortality: a multi-center retrospective cohort study. BMC Health Serv Res. 2015 Sep 14;15(378):1-9. doi: 10.1186/s12913-015-1044-4 https://doi.org/10.1186/s12913-015-1044-...
33 Santamaria JD, Duke GJ, Pilcher DV, Cooper DJ, Moran J, Bellomo R, et al. The timing of discharge from the intensive care unit and subsequent mortality. A prospective, multicenter study. Am J Respir Crit Care Med. 2015 May 1;191(9):1033-9. doi: 10.1164/rccm.201412-2208OC https://doi.org/10.1164/rccm.201412-2208...
34 Wood SD, Coster S, Norman I. Comparing the monitoring of patients transferred from a critical care unit to hospital wards at after-hours with day transfers: an exploratory, prospective cohort study. J Adv Nurs. 2014 Dec;70(12):2757-66. doi: 10.1111/jan.12410 https://doi.org/10.1111/jan.12410...
-3535 Gantner D, Farley K, Bailey M, Huckson S, Hicks P, Pilcher D. Mortality related to after-hours discharge from intensive care in Australia and New Zealand, 2005-2012. Intensive Care Med. 2014 Oct;40(10):1528-35. doi: 10.1007/s00134-014-3438-x https://doi.org/10.1007/s00134-014-3438-...
), at shift changes(2424 Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017 Oct;43(10):1485-94. doi: 10.1007/s00134-017-4910-1 https://doi.org/10.1007/s00134-017-4910-...
) and on weekends(1919 Moreira HE, Verga F, Barbato M, Burghi G. Prognostic impact of the time of admission and discharge from the intensive care unit. Rev Bras Ter Intensiva. 2017 Mar;29(1):63-9. doi: 10.5935/0103-507x.20170010 https://doi.org/10.5935/0103-507x.201700...
,2121 Ofoma UR, Dong Y, Gajic O, Pickering BW. A qualitative exploration of the discharge process and factors predisposing to readmissions to the intensive care unit. BMC Health Serv Res. 2018 Jan 5;18(6):1-9. doi: 10.1186/s12913-017-2821-z https://doi.org/10.1186/s12913-017-2821-...
) |
Negative |
Inadequate and/or non-standard communication of key information(2121 Ofoma UR, Dong Y, Gajic O, Pickering BW. A qualitative exploration of the discharge process and factors predisposing to readmissions to the intensive care unit. BMC Health Serv Res. 2018 Jan 5;18(6):1-9. doi: 10.1186/s12913-017-2821-z https://doi.org/10.1186/s12913-017-2821-...
,2323 Graan SM, Botti M, Wood B, Redley B. Nursing handover from ICU to cardiac ward: standardised tools to reduce safety risks. Aust Crit Care. 2016 Aug;29(3):165-71. doi: 10.1016/j.aucc.2015.09.002 https://doi.org/10.1016/j.aucc.2015.09.0...
24 Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017 Oct;43(10):1485-94. doi: 10.1007/s00134-017-4910-1 https://doi.org/10.1007/s00134-017-4910-...
-2525 van Sluisveld N, Oerlemans A, Westert G, van der Hoeven JG, Wollersheim Hub, Zegers M. Barriers and facilitators to improve safety and efficiency of the ICU discharge process: a mixed methods study. BMC Health Serv Res. 2017 Apr 4;17(251):1-12. doi: 10.1186/s12913-017-2139-x https://doi.org/10.1186/s12913-017-2139-...
,2727 de Grood C, Leigh JP, Bagshaw SM, Dodek PM, Fowler RA, Forster AJ, et al. Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study. CMAJ. 2018 Jun 4;190(22):669-76. doi: 10.1503/cmaj.170588 https://doi.org/10.1503/cmaj.170588...
,3636 Brown KN, Leigh JP, Kamran H, Bagshaw SM, Fowler RA, Dodek PM, et al. Transfers from intensive care unit to hospital ward: a multicentre textual analysis of physician progress notes. Crit Care. 2018 Jan 28;22(19):1-8. doi: 10.1186/s13054-018-1941-0 https://doi.org/10.1186/s13054-018-1941-...
37 Enger R, Andershed B. Nurses' experience of the transfer of ICU patients to general wards: a great responsibility and a huge challenge. J Clin Nurs. 2018 Jan;27(1-2):e186-94. doi 10.1111/jocn.13911 https://doi.org/10.1111/jocn.13911...
-3838 Rosenberg A, Britton MC, Feder S, Minges K, Hodshon B, Chaudhry SI, et al. A taxonomy and cultural analysis of intra-hospital patient transfers. Res Nurs Health. 2018 Aug;41(4):378-88. doi: 10.1002/nur.21875 https://doi.org/10.1002/nur.21875...
) |
Negative |
Premature discharge(1111 Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a clinical validation study. Nurs Crit Care. 2014 Sep;19(5):228-35. doi: 10.1111/nicc.12091 https://doi.org/10.1111/nicc.12091...
,2020 Santamaria JD, Duke GJ, Pilcher DV, Cooper DJ, Moran J, Bellomo R. Readmissions to intensive care: a prospective multicenter study in Australia and New Zealand. Crit Care Med. 2017 Feb;45(2):290-7. doi: 10.1097/CCM.0000000000002066 https://doi.org/10.1097/CCM.000000000000...
,2828 Cognet S, Coyer F. Discharge practices for the intensive care patient: a qualitative exploration in the general ward setting. Intensive Crit Care Nurs. 2014 Oct;30(5):292-300. doi: 10.1016/j.iccn.2014.04.004 https://doi.org/10.1016/j.iccn.2014.04.0...
,3737 Enger R, Andershed B. Nurses' experience of the transfer of ICU patients to general wards: a great responsibility and a huge challenge. J Clin Nurs. 2018 Jan;27(1-2):e186-94. doi 10.1111/jocn.13911 https://doi.org/10.1111/jocn.13911...
-3838 Rosenberg A, Britton MC, Feder S, Minges K, Hodshon B, Chaudhry SI, et al. A taxonomy and cultural analysis of intra-hospital patient transfers. Res Nurs Health. 2018 Aug;41(4):378-88. doi: 10.1002/nur.21875 https://doi.org/10.1002/nur.21875...
) |
Negative |
No discharge criteria(1111 Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a clinical validation study. Nurs Crit Care. 2014 Sep;19(5):228-35. doi: 10.1111/nicc.12091 https://doi.org/10.1111/nicc.12091...
,1414 van Sluisveld N, Bakhshi-Raiez F, de Keizer N, Holman R, Wester G, Wollersheim H, et al. Variation in rates of ICU readmissions and post-ICU in-hospital mortality and their association with ICU discharge practices. BMC Health Serv Res. 2017 Apr 17;17(281):1-9. doi: 10.1186/s12913-017-2234-z https://doi.org/10.1186/s12913-017-2234-...
,2121 Ofoma UR, Dong Y, Gajic O, Pickering BW. A qualitative exploration of the discharge process and factors predisposing to readmissions to the intensive care unit. BMC Health Serv Res. 2018 Jan 5;18(6):1-9. doi: 10.1186/s12913-017-2821-z https://doi.org/10.1186/s12913-017-2821-...
,2525 van Sluisveld N, Oerlemans A, Westert G, van der Hoeven JG, Wollersheim Hub, Zegers M. Barriers and facilitators to improve safety and efficiency of the ICU discharge process: a mixed methods study. BMC Health Serv Res. 2017 Apr 4;17(251):1-12. doi: 10.1186/s12913-017-2139-x https://doi.org/10.1186/s12913-017-2139-...
,3737 Enger R, Andershed B. Nurses' experience of the transfer of ICU patients to general wards: a great responsibility and a huge challenge. J Clin Nurs. 2018 Jan;27(1-2):e186-94. doi 10.1111/jocn.13911 https://doi.org/10.1111/jocn.13911...
) |
Negative |
Delays in the transfer(2323 Graan SM, Botti M, Wood B, Redley B. Nursing handover from ICU to cardiac ward: standardised tools to reduce safety risks. Aust Crit Care. 2016 Aug;29(3):165-71. doi: 10.1016/j.aucc.2015.09.002 https://doi.org/10.1016/j.aucc.2015.09.0...
-2424 Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017 Oct;43(10):1485-94. doi: 10.1007/s00134-017-4910-1 https://doi.org/10.1007/s00134-017-4910-...
,3939 Bose S, Johnson AEW, Moskowitz A, Celi LA, Raffa JD. Impact of intensive care unit discharge delays on patient outcomes: a retrospective cohort study. J Intensive Care Med. 2019 Nov 1;34(11-12):1-6. doi: 10.1177/0885066618800276 https://doi.org/10.1177/0885066618800276...
-4040 Tiruvoipati R, Botha J, Fletcher J, Gangopadhyay H, Majumdar M, Vij S, et al. Intensive care discharge delay is associated with increased hospital length of stay: a multicentre prospective observational study. PLoS One. 2017 Jul 27;12(7):1-13. doi: 10.1371/journal.pone.0181827 https://doi.org/10.1371/journal.pone.018...
) |
Negative |
Undefined care goals(2121 Ofoma UR, Dong Y, Gajic O, Pickering BW. A qualitative exploration of the discharge process and factors predisposing to readmissions to the intensive care unit. BMC Health Serv Res. 2018 Jan 5;18(6):1-9. doi: 10.1186/s12913-017-2821-z https://doi.org/10.1186/s12913-017-2821-...
,2323 Graan SM, Botti M, Wood B, Redley B. Nursing handover from ICU to cardiac ward: standardised tools to reduce safety risks. Aust Crit Care. 2016 Aug;29(3):165-71. doi: 10.1016/j.aucc.2015.09.002 https://doi.org/10.1016/j.aucc.2015.09.0...
-2424 Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017 Oct;43(10):1485-94. doi: 10.1007/s00134-017-4910-1 https://doi.org/10.1007/s00134-017-4910-...
,3737 Enger R, Andershed B. Nurses' experience of the transfer of ICU patients to general wards: a great responsibility and a huge challenge. J Clin Nurs. 2018 Jan;27(1-2):e186-94. doi 10.1111/jocn.13911 https://doi.org/10.1111/jocn.13911...
) |
Negative |
Incorrect destination after discharge(1111 Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a clinical validation study. Nurs Crit Care. 2014 Sep;19(5):228-35. doi: 10.1111/nicc.12091 https://doi.org/10.1111/nicc.12091...
,2222 Li P, Boyd JM, Ghali WA, Stelfox HT. Stakeholder views regarding patient discharge from intensive care: suboptimal quality and opportunities for improvement. Can Respir J. 2015 Mar-Apr;22(2):109-18. doi: 10.1155/2015/457431 https://doi.org/10.1155/2015/457431...
,3838 Rosenberg A, Britton MC, Feder S, Minges K, Hodshon B, Chaudhry SI, et al. A taxonomy and cultural analysis of intra-hospital patient transfers. Res Nurs Health. 2018 Aug;41(4):378-88. doi: 10.1002/nur.21875 https://doi.org/10.1002/nur.21875...
) |
Negative |
Inadequate environment for an efficient communication(2121 Ofoma UR, Dong Y, Gajic O, Pickering BW. A qualitative exploration of the discharge process and factors predisposing to readmissions to the intensive care unit. BMC Health Serv Res. 2018 Jan 5;18(6):1-9. doi: 10.1186/s12913-017-2821-z https://doi.org/10.1186/s12913-017-2821-...
,2323 Graan SM, Botti M, Wood B, Redley B. Nursing handover from ICU to cardiac ward: standardised tools to reduce safety risks. Aust Crit Care. 2016 Aug;29(3):165-71. doi: 10.1016/j.aucc.2015.09.002 https://doi.org/10.1016/j.aucc.2015.09.0...
) |
Negative |
Oral(1414 van Sluisveld N, Bakhshi-Raiez F, de Keizer N, Holman R, Wester G, Wollersheim H, et al. Variation in rates of ICU readmissions and post-ICU in-hospital mortality and their association with ICU discharge practices. BMC Health Serv Res. 2017 Apr 17;17(281):1-9. doi: 10.1186/s12913-017-2234-z https://doi.org/10.1186/s12913-017-2234-...
,2222 Li P, Boyd JM, Ghali WA, Stelfox HT. Stakeholder views regarding patient discharge from intensive care: suboptimal quality and opportunities for improvement. Can Respir J. 2015 Mar-Apr;22(2):109-18. doi: 10.1155/2015/457431 https://doi.org/10.1155/2015/457431...
,2727 de Grood C, Leigh JP, Bagshaw SM, Dodek PM, Fowler RA, Forster AJ, et al. Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study. CMAJ. 2018 Jun 4;190(22):669-76. doi: 10.1503/cmaj.170588 https://doi.org/10.1503/cmaj.170588...
,4141 Boyd JM, Roberts DJ, Leigh JP, Stelfox HT. Administrator perspectives on ICU-to-ward transfers and content contained in existing transfer tools: a cross-sectional survey. J Gen Intern Med. 2018 Oct;33(10):1738-45. doi: 10.1007/s11606-018-4590-8 https://doi.org/10.1007/s11606-018-4590-...
42 Häggström M, Asplund K, Kristiansen L. Important quality aspects in the transfer process. Int J Health Care Qual Assur. 2014 Mar 3;27(2):123-39. doi: 10.1108/IJHCQA-09-2012-0090 https://doi.org/10.1108/IJHCQA-09-2012-0...
43 Hoffman RL, Saucier J, Dasani S, Collins T, Holena DN, Fitzpatrick M, et al. Development and implementation of a risk identification tool to facilitate critical care transitions for high-risk surgical patients. Int J Qual Heal Care. 2017 Jun;29(3):412-9. doi: 10.1093/intqhc/mzx032 https://doi.org/10.1093/intqhc/mzx032...
-4444 Yun SH, Oh EG, Yoo YS, Kim SS, Jang YS. Development and Effects of a Transition Nursing Program for Patients and Family Caregivers at a Neurological ICU in Korea. Clin Nurs Res. 2017 Jan 1;26(1):27-46. doi: 10.1177/1054773815616973 https://doi.org/10.1177/1054773815616973...
) and written(1414 van Sluisveld N, Bakhshi-Raiez F, de Keizer N, Holman R, Wester G, Wollersheim H, et al. Variation in rates of ICU readmissions and post-ICU in-hospital mortality and their association with ICU discharge practices. BMC Health Serv Res. 2017 Apr 17;17(281):1-9. doi: 10.1186/s12913-017-2234-z https://doi.org/10.1186/s12913-017-2234-...
,2222 Li P, Boyd JM, Ghali WA, Stelfox HT. Stakeholder views regarding patient discharge from intensive care: suboptimal quality and opportunities for improvement. Can Respir J. 2015 Mar-Apr;22(2):109-18. doi: 10.1155/2015/457431 https://doi.org/10.1155/2015/457431...
,2424 Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017 Oct;43(10):1485-94. doi: 10.1007/s00134-017-4910-1 https://doi.org/10.1007/s00134-017-4910-...
,2727 de Grood C, Leigh JP, Bagshaw SM, Dodek PM, Fowler RA, Forster AJ, et al. Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study. CMAJ. 2018 Jun 4;190(22):669-76. doi: 10.1503/cmaj.170588 https://doi.org/10.1503/cmaj.170588...
-2828 Cognet S, Coyer F. Discharge practices for the intensive care patient: a qualitative exploration in the general ward setting. Intensive Crit Care Nurs. 2014 Oct;30(5):292-300. doi: 10.1016/j.iccn.2014.04.004 https://doi.org/10.1016/j.iccn.2014.04.0...
,3838 Rosenberg A, Britton MC, Feder S, Minges K, Hodshon B, Chaudhry SI, et al. A taxonomy and cultural analysis of intra-hospital patient transfers. Res Nurs Health. 2018 Aug;41(4):378-88. doi: 10.1002/nur.21875 https://doi.org/10.1002/nur.21875...
,4141 Boyd JM, Roberts DJ, Leigh JP, Stelfox HT. Administrator perspectives on ICU-to-ward transfers and content contained in existing transfer tools: a cross-sectional survey. J Gen Intern Med. 2018 Oct;33(10):1738-45. doi: 10.1007/s11606-018-4590-8 https://doi.org/10.1007/s11606-018-4590-...
,4343 Hoffman RL, Saucier J, Dasani S, Collins T, Holena DN, Fitzpatrick M, et al. Development and implementation of a risk identification tool to facilitate critical care transitions for high-risk surgical patients. Int J Qual Heal Care. 2017 Jun;29(3):412-9. doi: 10.1093/intqhc/mzx032 https://doi.org/10.1093/intqhc/mzx032...
,4545 Bench SD, Heelas K, White C, Griffiths P. Providing critical care patients with a personalised discharge summary: a questionnaire survey and retrospective analysis exploring feasibility and effectiveness. Intensive Crit Care Nurs. 2014 Apr;30(2):69-76. doi: 10.1016/j.iccn.2013.08.007 https://doi.org/10.1016/j.iccn.2013.08.0...
) communication with the inpatient unit staff |
Positive |
Being monitored/advised by Intensive Care Unit professionals after discharge(1313 Stelfox HT, Bastos J, Niven DJ, Bagshaw SM, Turin TC, Gao S. Critical care transition programs and the risk of readmission or death after discharge from ICU. Intensive Care Med. 2016 Mar;42(3):401-10. doi: 10.1007/s00134-015-4173-7 https://doi.org/10.1007/s00134-015-4173-...
-1414 van Sluisveld N, Bakhshi-Raiez F, de Keizer N, Holman R, Wester G, Wollersheim H, et al. Variation in rates of ICU readmissions and post-ICU in-hospital mortality and their association with ICU discharge practices. BMC Health Serv Res. 2017 Apr 17;17(281):1-9. doi: 10.1186/s12913-017-2234-z https://doi.org/10.1186/s12913-017-2234-...
,2424 Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017 Oct;43(10):1485-94. doi: 10.1007/s00134-017-4910-1 https://doi.org/10.1007/s00134-017-4910-...
-2525 van Sluisveld N, Oerlemans A, Westert G, van der Hoeven JG, Wollersheim Hub, Zegers M. Barriers and facilitators to improve safety and efficiency of the ICU discharge process: a mixed methods study. BMC Health Serv Res. 2017 Apr 4;17(251):1-12. doi: 10.1186/s12913-017-2139-x https://doi.org/10.1186/s12913-017-2139-...
,2727 de Grood C, Leigh JP, Bagshaw SM, Dodek PM, Fowler RA, Forster AJ, et al. Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study. CMAJ. 2018 Jun 4;190(22):669-76. doi: 10.1503/cmaj.170588 https://doi.org/10.1503/cmaj.170588...
,3030 Häggström M, Fjellner C, Öhman M, Holmström MR. Ward visits- one essential step in intensive care follow-up. An interview study with critical care nurses' and ward nurses'. Intensive Crit Care Nurs. 2018 Dec;49:21-7. doi: 10.1016/j.iccn.2018.08.011 https://doi.org/10.1016/j.iccn.2018.08.0...
-3131 Kheir F, Shawwa K, Nguyen D, Alraiyes AH, Simeone F, Nielsen ND. A 24-hour Postintensive Care Unit transition-of-care model shortens hospital stay. J Intensive Care Med. 2016 Oct 1;31(9):597-602. doi: 10.1177/0885066615569701 https://doi.org/10.1177/0885066615569701...
,4444 Yun SH, Oh EG, Yoo YS, Kim SS, Jang YS. Development and Effects of a Transition Nursing Program for Patients and Family Caregivers at a Neurological ICU in Korea. Clin Nurs Res. 2017 Jan 1;26(1):27-46. doi: 10.1177/1054773815616973 https://doi.org/10.1177/1054773815616973...
,4646 Alberto L, Zotárez H, Cañete TA, Niklas JEB, Enriquez JM, Gerónimo MR, et al. A description of the ICU liaison nurse role in Argentina. Intensive Crit Care Nurs . 2014 Feb;30(1):31-7. doi: 10.1016/j.iccn.2013.07.001 https://doi.org/10.1016/j.iccn.2013.07.0...
-4747 Choi S, Lee J, Shin Y, Lee J, Jung J, Han M, et al. Effects of a medical emergency team follow-up programme on patients discharged from the medical intensive care unit to the general ward: a single-centre experience. J Eval Clin Pract. 2016 Jun;22(3):356-62. doi: 10.1111/jep.12485 https://doi.org/10.1111/jep.12485...
) |
Positive |
Discharge planning and guidelines for patients/family(2222 Li P, Boyd JM, Ghali WA, Stelfox HT. Stakeholder views regarding patient discharge from intensive care: suboptimal quality and opportunities for improvement. Can Respir J. 2015 Mar-Apr;22(2):109-18. doi: 10.1155/2015/457431 https://doi.org/10.1155/2015/457431...
23 Graan SM, Botti M, Wood B, Redley B. Nursing handover from ICU to cardiac ward: standardised tools to reduce safety risks. Aust Crit Care. 2016 Aug;29(3):165-71. doi: 10.1016/j.aucc.2015.09.002 https://doi.org/10.1016/j.aucc.2015.09.0...
-2424 Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017 Oct;43(10):1485-94. doi: 10.1007/s00134-017-4910-1 https://doi.org/10.1007/s00134-017-4910-...
,2828 Cognet S, Coyer F. Discharge practices for the intensive care patient: a qualitative exploration in the general ward setting. Intensive Crit Care Nurs. 2014 Oct;30(5):292-300. doi: 10.1016/j.iccn.2014.04.004 https://doi.org/10.1016/j.iccn.2014.04.0...
-2929 Häggström M, Bäckström B. Organizing safe transitions from Intensive Care. Nurs Res Pract. 2014 Mar 24;2014:1-11. doi: 10.1155/2014/175314 https://doi.org/10.1155/2014/175314...
,4242 Häggström M, Asplund K, Kristiansen L. Important quality aspects in the transfer process. Int J Health Care Qual Assur. 2014 Mar 3;27(2):123-39. doi: 10.1108/IJHCQA-09-2012-0090 https://doi.org/10.1108/IJHCQA-09-2012-0...
,4444 Yun SH, Oh EG, Yoo YS, Kim SS, Jang YS. Development and Effects of a Transition Nursing Program for Patients and Family Caregivers at a Neurological ICU in Korea. Clin Nurs Res. 2017 Jan 1;26(1):27-46. doi: 10.1177/1054773815616973 https://doi.org/10.1177/1054773815616973...
-4545 Bench SD, Heelas K, White C, Griffiths P. Providing critical care patients with a personalised discharge summary: a questionnaire survey and retrospective analysis exploring feasibility and effectiveness. Intensive Crit Care Nurs. 2014 Apr;30(2):69-76. doi: 10.1016/j.iccn.2013.08.007 https://doi.org/10.1016/j.iccn.2013.08.0...
,4848 Bench S, Day T, Heelas K, Hopkins P, White C, Griffiths P. Evaluating the feasibility and effectiveness of a critical care discharge information pack for patients and their families: a pilot cluster randomised controlled trial. BMJ Open. 2015 Nov;5(11):1-11. doi: 10.1136/bmjopen-2014-006852 https://doi.org/10.1136/bmjopen-2014-006...
) |
Positive |
Medication reconciliation/review by the pharmacist(1414 van Sluisveld N, Bakhshi-Raiez F, de Keizer N, Holman R, Wester G, Wollersheim H, et al. Variation in rates of ICU readmissions and post-ICU in-hospital mortality and their association with ICU discharge practices. BMC Health Serv Res. 2017 Apr 17;17(281):1-9. doi: 10.1186/s12913-017-2234-z https://doi.org/10.1186/s12913-017-2234-...
,2222 Li P, Boyd JM, Ghali WA, Stelfox HT. Stakeholder views regarding patient discharge from intensive care: suboptimal quality and opportunities for improvement. Can Respir J. 2015 Mar-Apr;22(2):109-18. doi: 10.1155/2015/457431 https://doi.org/10.1155/2015/457431...
,2424 Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017 Oct;43(10):1485-94. doi: 10.1007/s00134-017-4910-1 https://doi.org/10.1007/s00134-017-4910-...
25 van Sluisveld N, Oerlemans A, Westert G, van der Hoeven JG, Wollersheim Hub, Zegers M. Barriers and facilitators to improve safety and efficiency of the ICU discharge process: a mixed methods study. BMC Health Serv Res. 2017 Apr 4;17(251):1-12. doi: 10.1186/s12913-017-2139-x https://doi.org/10.1186/s12913-017-2139-...
-2626 Coon EA, Kramer NM, Fabris RR, Burkholder DB, Klaas JP, Graff-Radford J, et al. Structured handoff checklists improve clinical measures in patients discharged from the neurointensive care unit. Neurol Clin Pract. 2015 Feb;5(1):42-9. doi: 10.1212/CPJ.0000000000000094 https://doi.org/10.1212/CPJ.000000000000...
,4949 Heselmans A, van Krieken J, Cootjans S, Nagels K, Filliers, Dillen K, et al. Medication review by a clinical pharmacist at the transfer point from ICU to ward: a randomized controlled trial. J Clin Pharm Ther. 2015 Out;40(5):578-83. doi: 10.1111/jcpt.1231410.1111/jcpt.12314 https://doi.org/10.1111/jcpt.1231410.111...
) |
Positive |
Checklist/Transfer tools/Discharge protocols(2222 Li P, Boyd JM, Ghali WA, Stelfox HT. Stakeholder views regarding patient discharge from intensive care: suboptimal quality and opportunities for improvement. Can Respir J. 2015 Mar-Apr;22(2):109-18. doi: 10.1155/2015/457431 https://doi.org/10.1155/2015/457431...
-2323 Graan SM, Botti M, Wood B, Redley B. Nursing handover from ICU to cardiac ward: standardised tools to reduce safety risks. Aust Crit Care. 2016 Aug;29(3):165-71. doi: 10.1016/j.aucc.2015.09.002 https://doi.org/10.1016/j.aucc.2015.09.0...
,2525 van Sluisveld N, Oerlemans A, Westert G, van der Hoeven JG, Wollersheim Hub, Zegers M. Barriers and facilitators to improve safety and efficiency of the ICU discharge process: a mixed methods study. BMC Health Serv Res. 2017 Apr 4;17(251):1-12. doi: 10.1186/s12913-017-2139-x https://doi.org/10.1186/s12913-017-2139-...
26 Coon EA, Kramer NM, Fabris RR, Burkholder DB, Klaas JP, Graff-Radford J, et al. Structured handoff checklists improve clinical measures in patients discharged from the neurointensive care unit. Neurol Clin Pract. 2015 Feb;5(1):42-9. doi: 10.1212/CPJ.0000000000000094 https://doi.org/10.1212/CPJ.000000000000...
-2727 de Grood C, Leigh JP, Bagshaw SM, Dodek PM, Fowler RA, Forster AJ, et al. Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study. CMAJ. 2018 Jun 4;190(22):669-76. doi: 10.1503/cmaj.170588 https://doi.org/10.1503/cmaj.170588...
,4141 Boyd JM, Roberts DJ, Leigh JP, Stelfox HT. Administrator perspectives on ICU-to-ward transfers and content contained in existing transfer tools: a cross-sectional survey. J Gen Intern Med. 2018 Oct;33(10):1738-45. doi: 10.1007/s11606-018-4590-8 https://doi.org/10.1007/s11606-018-4590-...
) |
Positive |
Anticipated discharge planning(1414 van Sluisveld N, Bakhshi-Raiez F, de Keizer N, Holman R, Wester G, Wollersheim H, et al. Variation in rates of ICU readmissions and post-ICU in-hospital mortality and their association with ICU discharge practices. BMC Health Serv Res. 2017 Apr 17;17(281):1-9. doi: 10.1186/s12913-017-2234-z https://doi.org/10.1186/s12913-017-2234-...
,2525 van Sluisveld N, Oerlemans A, Westert G, van der Hoeven JG, Wollersheim Hub, Zegers M. Barriers and facilitators to improve safety and efficiency of the ICU discharge process: a mixed methods study. BMC Health Serv Res. 2017 Apr 4;17(251):1-12. doi: 10.1186/s12913-017-2139-x https://doi.org/10.1186/s12913-017-2139-...
,2929 Häggström M, Bäckström B. Organizing safe transitions from Intensive Care. Nurs Res Pract. 2014 Mar 24;2014:1-11. doi: 10.1155/2014/175314 https://doi.org/10.1155/2014/175314...
,4444 Yun SH, Oh EG, Yoo YS, Kim SS, Jang YS. Development and Effects of a Transition Nursing Program for Patients and Family Caregivers at a Neurological ICU in Korea. Clin Nurs Res. 2017 Jan 1;26(1):27-46. doi: 10.1177/1054773815616973 https://doi.org/10.1177/1054773815616973...
) |
Positive |
Participation of the patient and the family during the transfer(2222 Li P, Boyd JM, Ghali WA, Stelfox HT. Stakeholder views regarding patient discharge from intensive care: suboptimal quality and opportunities for improvement. Can Respir J. 2015 Mar-Apr;22(2):109-18. doi: 10.1155/2015/457431 https://doi.org/10.1155/2015/457431...
,2424 Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017 Oct;43(10):1485-94. doi: 10.1007/s00134-017-4910-1 https://doi.org/10.1007/s00134-017-4910-...
,4141 Boyd JM, Roberts DJ, Leigh JP, Stelfox HT. Administrator perspectives on ICU-to-ward transfers and content contained in existing transfer tools: a cross-sectional survey. J Gen Intern Med. 2018 Oct;33(10):1738-45. doi: 10.1007/s11606-018-4590-8 https://doi.org/10.1007/s11606-018-4590-...
-4242 Häggström M, Asplund K, Kristiansen L. Important quality aspects in the transfer process. Int J Health Care Qual Assur. 2014 Mar 3;27(2):123-39. doi: 10.1108/IJHCQA-09-2012-0090 https://doi.org/10.1108/IJHCQA-09-2012-0...
) |
Positive |
Use of risk stratification tools/scores(2323 Graan SM, Botti M, Wood B, Redley B. Nursing handover from ICU to cardiac ward: standardised tools to reduce safety risks. Aust Crit Care. 2016 Aug;29(3):165-71. doi: 10.1016/j.aucc.2015.09.002 https://doi.org/10.1016/j.aucc.2015.09.0...
,4343 Hoffman RL, Saucier J, Dasani S, Collins T, Holena DN, Fitzpatrick M, et al. Development and implementation of a risk identification tool to facilitate critical care transitions for high-risk surgical patients. Int J Qual Heal Care. 2017 Jun;29(3):412-9. doi: 10.1093/intqhc/mzx032 https://doi.org/10.1093/intqhc/mzx032...
,5050 Ofoma UR, Chandra S, Kashyap R, Herasevich V, Ahmed A, Gajic O, et al. Findings from the implementation of a validated readmission predictive tool in the discharge workflow of a medical intensive care unit. Ann Am Thorac Soc. 2014 Jun 1;11(5):737-43. doi: 10.1513/AnnalsATS.201312-436OC https://doi.org/10.1513/AnnalsATS.201312...
) |
Positive |
Transfer of care at the bedside(2323 Graan SM, Botti M, Wood B, Redley B. Nursing handover from ICU to cardiac ward: standardised tools to reduce safety risks. Aust Crit Care. 2016 Aug;29(3):165-71. doi: 10.1016/j.aucc.2015.09.002 https://doi.org/10.1016/j.aucc.2015.09.0...
-2424 Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017 Oct;43(10):1485-94. doi: 10.1007/s00134-017-4910-1 https://doi.org/10.1007/s00134-017-4910-...
,2727 de Grood C, Leigh JP, Bagshaw SM, Dodek PM, Fowler RA, Forster AJ, et al. Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study. CMAJ. 2018 Jun 4;190(22):669-76. doi: 10.1503/cmaj.170588 https://doi.org/10.1503/cmaj.170588...
) |
Positive |
Optimizing vital signs before discharge and reducing the need for intensive care(2929 Häggström M, Bäckström B. Organizing safe transitions from Intensive Care. Nurs Res Pract. 2014 Mar 24;2014:1-11. doi: 10.1155/2014/175314 https://doi.org/10.1155/2014/175314...
,3737 Enger R, Andershed B. Nurses' experience of the transfer of ICU patients to general wards: a great responsibility and a huge challenge. J Clin Nurs. 2018 Jan;27(1-2):e186-94. doi 10.1111/jocn.13911 https://doi.org/10.1111/jocn.13911...
) |
Positive |
Discharge to intermediate care units(1414 van Sluisveld N, Bakhshi-Raiez F, de Keizer N, Holman R, Wester G, Wollersheim H, et al. Variation in rates of ICU readmissions and post-ICU in-hospital mortality and their association with ICU discharge practices. BMC Health Serv Res. 2017 Apr 17;17(281):1-9. doi: 10.1186/s12913-017-2234-z https://doi.org/10.1186/s12913-017-2234-...
,5050 Ofoma UR, Chandra S, Kashyap R, Herasevich V, Ahmed A, Gajic O, et al. Findings from the implementation of a validated readmission predictive tool in the discharge workflow of a medical intensive care unit. Ann Am Thorac Soc. 2014 Jun 1;11(5):737-43. doi: 10.1513/AnnalsATS.201312-436OC https://doi.org/10.1513/AnnalsATS.201312...
) |
Positive |
Institutional culture of valuing the transition of care process(2727 de Grood C, Leigh JP, Bagshaw SM, Dodek PM, Fowler RA, Forster AJ, et al. Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study. CMAJ. 2018 Jun 4;190(22):669-76. doi: 10.1503/cmaj.170588 https://doi.org/10.1503/cmaj.170588...
) |
Positive |
Transfer of care to their respective peers by all members of the multidisciplinary team(4343 Hoffman RL, Saucier J, Dasani S, Collins T, Holena DN, Fitzpatrick M, et al. Development and implementation of a risk identification tool to facilitate critical care transitions for high-risk surgical patients. Int J Qual Heal Care. 2017 Jun;29(3):412-9. doi: 10.1093/intqhc/mzx032 https://doi.org/10.1093/intqhc/mzx032...
) |
Positive |
Factors related to the Inpatient Unit
|
Lack of qualification and experience by the staff (1111 Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a clinical validation study. Nurs Crit Care. 2014 Sep;19(5):228-35. doi: 10.1111/nicc.12091 https://doi.org/10.1111/nicc.12091...
,2525 van Sluisveld N, Oerlemans A, Westert G, van der Hoeven JG, Wollersheim Hub, Zegers M. Barriers and facilitators to improve safety and efficiency of the ICU discharge process: a mixed methods study. BMC Health Serv Res. 2017 Apr 4;17(251):1-12. doi: 10.1186/s12913-017-2139-x https://doi.org/10.1186/s12913-017-2139-...
,2828 Cognet S, Coyer F. Discharge practices for the intensive care patient: a qualitative exploration in the general ward setting. Intensive Crit Care Nurs. 2014 Oct;30(5):292-300. doi: 10.1016/j.iccn.2014.04.004 https://doi.org/10.1016/j.iccn.2014.04.0...
,3030 Häggström M, Fjellner C, Öhman M, Holmström MR. Ward visits- one essential step in intensive care follow-up. An interview study with critical care nurses' and ward nurses'. Intensive Crit Care Nurs. 2018 Dec;49:21-7. doi: 10.1016/j.iccn.2018.08.011 https://doi.org/10.1016/j.iccn.2018.08.0...
,3737 Enger R, Andershed B. Nurses' experience of the transfer of ICU patients to general wards: a great responsibility and a huge challenge. J Clin Nurs. 2018 Jan;27(1-2):e186-94. doi 10.1111/jocn.13911 https://doi.org/10.1111/jocn.13911...
-3838 Rosenberg A, Britton MC, Feder S, Minges K, Hodshon B, Chaudhry SI, et al. A taxonomy and cultural analysis of intra-hospital patient transfers. Res Nurs Health. 2018 Aug;41(4):378-88. doi: 10.1002/nur.21875 https://doi.org/10.1002/nur.21875...
,4242 Häggström M, Asplund K, Kristiansen L. Important quality aspects in the transfer process. Int J Health Care Qual Assur. 2014 Mar 3;27(2):123-39. doi: 10.1108/IJHCQA-09-2012-0090 https://doi.org/10.1108/IJHCQA-09-2012-0...
) |
Negative |
Reduced monitoring(1111 Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a clinical validation study. Nurs Crit Care. 2014 Sep;19(5):228-35. doi: 10.1111/nicc.12091 https://doi.org/10.1111/nicc.12091...
,1414 van Sluisveld N, Bakhshi-Raiez F, de Keizer N, Holman R, Wester G, Wollersheim H, et al. Variation in rates of ICU readmissions and post-ICU in-hospital mortality and their association with ICU discharge practices. BMC Health Serv Res. 2017 Apr 17;17(281):1-9. doi: 10.1186/s12913-017-2234-z https://doi.org/10.1186/s12913-017-2234-...
,3434 Wood SD, Coster S, Norman I. Comparing the monitoring of patients transferred from a critical care unit to hospital wards at after-hours with day transfers: an exploratory, prospective cohort study. J Adv Nurs. 2014 Dec;70(12):2757-66. doi: 10.1111/jan.12410 https://doi.org/10.1111/jan.12410...
,3737 Enger R, Andershed B. Nurses' experience of the transfer of ICU patients to general wards: a great responsibility and a huge challenge. J Clin Nurs. 2018 Jan;27(1-2):e186-94. doi 10.1111/jocn.13911 https://doi.org/10.1111/jocn.13911...
) |
Negative |
Reduced number of professionals(1111 Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a clinical validation study. Nurs Crit Care. 2014 Sep;19(5):228-35. doi: 10.1111/nicc.12091 https://doi.org/10.1111/nicc.12091...
,2525 van Sluisveld N, Oerlemans A, Westert G, van der Hoeven JG, Wollersheim Hub, Zegers M. Barriers and facilitators to improve safety and efficiency of the ICU discharge process: a mixed methods study. BMC Health Serv Res. 2017 Apr 4;17(251):1-12. doi: 10.1186/s12913-017-2139-x https://doi.org/10.1186/s12913-017-2139-...
,2727 de Grood C, Leigh JP, Bagshaw SM, Dodek PM, Fowler RA, Forster AJ, et al. Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study. CMAJ. 2018 Jun 4;190(22):669-76. doi: 10.1503/cmaj.170588 https://doi.org/10.1503/cmaj.170588...
,3737 Enger R, Andershed B. Nurses' experience of the transfer of ICU patients to general wards: a great responsibility and a huge challenge. J Clin Nurs. 2018 Jan;27(1-2):e186-94. doi 10.1111/jocn.13911 https://doi.org/10.1111/jocn.13911...
) |
Negative |
Lack of available material resources(2121 Ofoma UR, Dong Y, Gajic O, Pickering BW. A qualitative exploration of the discharge process and factors predisposing to readmissions to the intensive care unit. BMC Health Serv Res. 2018 Jan 5;18(6):1-9. doi: 10.1186/s12913-017-2821-z https://doi.org/10.1186/s12913-017-2821-...
,2525 van Sluisveld N, Oerlemans A, Westert G, van der Hoeven JG, Wollersheim Hub, Zegers M. Barriers and facilitators to improve safety and efficiency of the ICU discharge process: a mixed methods study. BMC Health Serv Res. 2017 Apr 4;17(251):1-12. doi: 10.1186/s12913-017-2139-x https://doi.org/10.1186/s12913-017-2139-...
,2727 de Grood C, Leigh JP, Bagshaw SM, Dodek PM, Fowler RA, Forster AJ, et al. Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study. CMAJ. 2018 Jun 4;190(22):669-76. doi: 10.1503/cmaj.170588 https://doi.org/10.1503/cmaj.170588...
) |
Negative |
Longer time until the first clinical evaluation of the patient(1414 van Sluisveld N, Bakhshi-Raiez F, de Keizer N, Holman R, Wester G, Wollersheim H, et al. Variation in rates of ICU readmissions and post-ICU in-hospital mortality and their association with ICU discharge practices. BMC Health Serv Res. 2017 Apr 17;17(281):1-9. doi: 10.1186/s12913-017-2234-z https://doi.org/10.1186/s12913-017-2234-...
,2424 Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017 Oct;43(10):1485-94. doi: 10.1007/s00134-017-4910-1 https://doi.org/10.1007/s00134-017-4910-...
,4343 Hoffman RL, Saucier J, Dasani S, Collins T, Holena DN, Fitzpatrick M, et al. Development and implementation of a risk identification tool to facilitate critical care transitions for high-risk surgical patients. Int J Qual Heal Care. 2017 Jun;29(3):412-9. doi: 10.1093/intqhc/mzx032 https://doi.org/10.1093/intqhc/mzx032...
) |
Negative |
Fragmentation of care in several teams(1111 Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a clinical validation study. Nurs Crit Care. 2014 Sep;19(5):228-35. doi: 10.1111/nicc.12091 https://doi.org/10.1111/nicc.12091...
) |
Negative |
Previous contact of the new team with the patient(2424 Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ, Lamontagne F, et al. A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med. 2017 Oct;43(10):1485-94. doi: 10.1007/s00134-017-4910-1 https://doi.org/10.1007/s00134-017-4910-...
,2929 Häggström M, Bäckström B. Organizing safe transitions from Intensive Care. Nurs Res Pract. 2014 Mar 24;2014:1-11. doi: 10.1155/2014/175314 https://doi.org/10.1155/2014/175314...
) |
Positive |
Factors related to the Intensive Care Unit and the Inpatient Unit
|
Accountability for information sent and received(2323 Graan SM, Botti M, Wood B, Redley B. Nursing handover from ICU to cardiac ward: standardised tools to reduce safety risks. Aust Crit Care. 2016 Aug;29(3):165-71. doi: 10.1016/j.aucc.2015.09.002 https://doi.org/10.1016/j.aucc.2015.09.0...
,2929 Häggström M, Bäckström B. Organizing safe transitions from Intensive Care. Nurs Res Pract. 2014 Mar 24;2014:1-11. doi: 10.1155/2014/175314 https://doi.org/10.1155/2014/175314...
,4343 Hoffman RL, Saucier J, Dasani S, Collins T, Holena DN, Fitzpatrick M, et al. Development and implementation of a risk identification tool to facilitate critical care transitions for high-risk surgical patients. Int J Qual Heal Care. 2017 Jun;29(3):412-9. doi: 10.1093/intqhc/mzx032 https://doi.org/10.1093/intqhc/mzx032...
) |
Positive |
Readmission risk alert(4343 Hoffman RL, Saucier J, Dasani S, Collins T, Holena DN, Fitzpatrick M, et al. Development and implementation of a risk identification tool to facilitate critical care transitions for high-risk surgical patients. Int J Qual Heal Care. 2017 Jun;29(3):412-9. doi: 10.1093/intqhc/mzx032 https://doi.org/10.1093/intqhc/mzx032...
,5050 Ofoma UR, Chandra S, Kashyap R, Herasevich V, Ahmed A, Gajic O, et al. Findings from the implementation of a validated readmission predictive tool in the discharge workflow of a medical intensive care unit. Ann Am Thorac Soc. 2014 Jun 1;11(5):737-43. doi: 10.1513/AnnalsATS.201312-436OC https://doi.org/10.1513/AnnalsATS.201312...
) |
Positive |