Cited by 130Hospital Admissions and OutcomesPatient Safety and Medication ErrorsFamily and Patient Care in Intensive Care Units

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Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge

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van Sluisveld, Nelleke, Hesselink, Gijs, van der Hoeven, Johannes Gerardus, Westert, Gert, Wollersheim, Hub, Zegers, Marieke·2015·Intensive Care Medicine

DOI 10.1007/s00134-015-3666-8PMC PMC4392116

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Abstract

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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Authors: van Sluisveld, N., Hesselink, G., van der Hoeven, J. G., Westert, G., Wollersheim, H., & Zegers, M.
Affiliations: Radboud University Medical Center (NL)
ORCID: Hesselink, Gijs
Zegers, Marieke
Venue: Intensive Care Medicine
Publisher: Springer Science and Business Media LLC
Published: 2015-02-12
Volume: 41
Issue: 4
Pages: 589-604
ISSN: 0342-4642 (ISSN-L)
1432-1238
DOI: 10.1007/s00134-015-3666-8
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: cc-by-nc
creativecommons.org/licenses/by-nc/4.0 (unspecified)
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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Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge

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