Chloe de Grood1, Christiane Job McIntosh2, Jamie M Boyd1, Karolina Zjadewicz3, Jeanna Parsons Leigh4, Henry Thomas Stelfox5. 1. Department of Community Health Sciences, TRW Building, 3(rd) Floor, University of Calgary, 3280 Hospital Drive NW, Calgary, Alberta T2N 4Z6, Canada. 2. Cardiovascular Health and Stroke Strategic Clinical Network, Alberta Health Services, 10101 Southport Road SW, Calgary, Alberta T2W 3N2, Canada. 3. Alberta Health Services, Ground Floor, McCaig Tower, University of Calgary, 3134 Hospital Drive NW, Calgary, Alberta T2N 2T9, Canada. 4. Department of Community Health Sciences, TRW Building, 3(rd) Floor, University of Calgary, 3280 Hospital Drive NW, Calgary, Alberta T2N 4Z6, Canada; Department of Critical Care Medicine, Ground Floor, McCaig Tower, University of Calgary, 3134 Hospital Drive NW, Calgary, Alberta T2N 2T9, Canada. 5. Department of Community Health Sciences, TRW Building, 3(rd) Floor, University of Calgary, 3280 Hospital Drive NW, Calgary, Alberta T2N 4Z6, Canada; Alberta Health Services, Ground Floor, McCaig Tower, University of Calgary, 3134 Hospital Drive NW, Calgary, Alberta T2N 2T9, Canada; Department of Critical Care Medicine, Ground Floor, McCaig Tower, University of Calgary, 3134 Hospital Drive NW, Calgary, Alberta T2N 2T9, Canada. Electronic address: tstelfox@ucalgary.ca.
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.
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.
Authors: Brianna K Rosgen; Kara M Plotnikoff; Karla D Krewulak; Anmol Shahid; Laura Hernandez; Bonnie G Sept; Jeanna Morrissey; Kristin Robertson; Nancy Fraser; Daniel J Niven; Sharon E Straus; Jeanna Parsons Leigh; Henry T Stelfox; Kirsten M Fiest Journal: BMC Health Serv Res Date: 2022-01-02 Impact factor: 2.655