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Identifying essential elements to include in Intensive Care Unit to hospital ward transfer summaries: A consensus methodology.

Abstract：

PURPOSE:Transitions of care from the intensive care unit (ICU) to a hospital ward are high risk and contingent on effective communication. We sought to identify essential information elements to be included in an ICU to hospital ward transfer summary tool, and describe tool functionality and composition perceived to be important. MATERIALS AND METHODS:A panel of 13 clinicians representing ICU and hospital ward providers used a modified Delphi process to iteratively review and rate unique information elements identified from existing ICU transfer tools through three rounds of review (two remote and one in person). Qualitative content analysis was conducted on transcribed audio recordings of the workshop to characterize tool functionality and composition. RESULTS:A total of 141 unique information elements were reviewed of which 63 were identified by panelists as essential. Qualitative content analyses of panelist discussions identified three themes related to how information elements should be considered when developing an ICU transfer summary tool: 1) Flexibility, 2) Usability, and 3) Accountability. CONCLUSION:We identified 63 distinct information elements identified as essential for inclusion in an ICU transfer summary tool to facilitate communication between providers during the transition of patient care from the ICU to a hospital ward.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

ICU Transfer Summary Consensus Panel,.,de Grood C,Job McIntosh C,Boyd JM,Zjadewicz K,Parsons Leigh J,Stelfox HT

doi

10.1016/j.jcrc.2018.10.001

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

27-32

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(18)31096-7

journal_volume

49

pub_type

杂志文章

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