The DOI matches its Crossref record; 68 of the 68 references it cites were found in a registry or an index.
Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge
Open accessAbstract
PURPOSE: To systematically review and evaluate the effectiveness of interventions in order to improve the safety and efficiency of patient handover between intensive care unit (ICU) and general ward healthcare professionals at ICU discharge. METHODS: PubMed, CINAHL, PsycINFO, EMBASE, Web of Science, and the Cochrane Library were searched for intervention studies with the aim to improve clinical handover between ICU and general ward healthcare professionals that had been published up to and including June 2013. The methods for article inclusion and data analysis were pre-specified and aligned with recommendations outlined in the PRISMA guideline. Two reviewers independently extracted data (study purpose, setting, population, method of sampling, sample size, intervention characteristics, outcome, and implementation activities) and assessed the quality of the included studies. RESULTS: From the 6,591 citations initially extracted from the six databases, we included 11 studies in this review. Of these, six (55 %) reported statistically significant effects. Effective interventions included liaison nurses to improve communication and coordination of care and forms to facilitate timely, complete and accurate handover information. Effective interventions resulted in improved continuity of care (e.g., reduced discharge delay) and in reduced adverse events. Inconsistent effects were observed for use of care, namely, reduction of length of stay versus increase of readmissions to higher care. No statistically significant effects were found in the reduction of mortality. The overall methodological quality of the 11 studies reviewed was relatively low, with an average score of 4.5 out of 11 points. CONCLUSIONS: This review shows that liaison nurses and handover forms are promising interventions to improve the quality of patient handover between the ICU and general ward. More robust evidence is needed on the effectiveness of interventions aiming to improve ICU handover and supportive implementation strategies.
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“but are understudied at the ICU-ward interface.”
From Improving Communication in Intensive Care Unit to Ward Transitions: Protocol for Multisite National Implementation of the ICU-PAUSE Handoff Tool (2023) · cites this paper as [6]
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Metadata
- Authors
- van Sluisveld, N., Hesselink, G., van der Hoeven, J. G., Westert, G., Wollersheim, H., & Zegers, M.
- Affiliations
- Radboud University Medical Center (NL)
- Venue
- Intensive Care Medicine
- Published
- 2015-02-12
- Volume
- 41
- Issue
- 4
- Pages
- 589-604
- ISSN
- 0342-4642 (ISSN-L)
- 1432-1238
- PMC
- PMC4392116
- OpenAlex
- W2069904211
- Cited by
- 130
- References
- 68
- Citations by year
- 2026: 10 · 2025: 6 · 2024: 6 · 2023: 10 · 2022: 27 · 2021: 8 · 2020: 13 · 2019: 11 · 2018: 11 · 2017: 16 · 2016: 8 · 2015: 3
- FWCI
- 2.95
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Intensive Care Medicine (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- Topics
- Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Family and Patient Care in Intensive Care Units
- Keywords
- patient handover, intensive care unit discharge, liaison nurse, continuity of care, discharge delay, adverse events, length of hospital stay, hospital readmission, mortality, handoff communication, implementation strategies
- MeSH terms
- Workforce, Communication, Critical Care, Health Personnel, Hospital Units, Humans, Intensive Care Units, Patient Transfer, Nurse's Role
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