ICU sedation, delirium & recovery

Development of a patient-oriented transfer tool for transition from the intensive care unit to the ward: a mixed methods study

Can J AnaesthPublished Mixed methods study

Authors' conclusion

We identified informational gaps in patient and family knowledge at the time of transfer from the ICU to a ward, which informed essential elements for the PODS-ICU.

Study context

Population
Intensive care unit (ICU) patients transitioning to a hospital ward and clinicians
Participants
22 patients
Comparison
Patients vs Clinician stakeholders
  • Patientsn = 10
  • Clinician stakeholdersn = 12
Outcome
Essential elements to include in an ICU-specific patient-oriented discharge summary tool (PODS-ICU)
Methodological detailsvalidated questionnaire, inductive thematic analysis
  • Validated questionnaire
  • Inductive thematic analysis

Main finding

As reported in the abstract

Essential elements for the PODS-ICU
  • Reason for transition, summary of ICU course, clinical update, destination ward details, medication reconciliation, future care plan, planned follow-up by ICU outreach team

Further findings

Patients' transition experiences
50-100%

Support needs

Family presence and earlier notification of upcoming transfer identified as support needs to help patients prepare mentally and reduce transfer anxiety
Positive communication when providing transfer details and a brief standardized transfer tool recommended to improve transition care

Original publication

Development of a patient-oriented transfer tool for transition from the intensive care unit to the ward: a mixed methods study. Can J Anaesth. Published 3 January 2025. doi:10.1007/s12630-024-02890-3

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