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Cited by 27Hospital Admissions and OutcomesPatient Safety and Medication ErrorsFamily and Patient Care in Intensive Care Units

Identifying essential elements to include in intensive care unit to hospital ward transfer summaries: a consensus methodology

de Grood, Chloe, Job McIntosh, Christiane, Boyd, Jamie M., Zjadewicz, Karolina, Parsons Leigh, Jeanna, Stelfox, Henry Thomas·2019·Journal of Critical Care
DOI 10.1016/j.jcrc.2018.10.001
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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.

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  • The expert panel did not address form, length, consistency, or other elements of a high-quality transfer note.

    “However, this panel did not address form, length, consistency, or other elements of a high-quality transfer note.”

    From Cocreating the ICU-PAUSE Tool for Intensive Care Unit–Ward Transitions (2022) · cites this paper as [6]

  • An expert panel deemed more than 60 items essential for ICU-ward handoff communication.

    “Recently, an expert panel deemed more than 60 items essential for ICU–ward handoff communication (6), a number that risks increasing documentation burdens and cognitive load.”

    From Cocreating the ICU-PAUSE Tool for Intensive Care Unit–Ward Transitions (2022) · cites this paper as [6]

  • The expert panel's list describes content alone but does not address the order, depth, consistency, or other elements of a high-quality transfer note.

    “Furthermore, the list describes content alone but does not address the order, depth, consistency, or other elements of a high-quality transfer note.”

    From Cocreating the ICU-PAUSE Tool for Intensive Care Unit–Ward Transitions (2022) · cites this paper as [6]

  • de Grood and colleagues described a modified Delphi process by which an expert panel listed essential ICU-ward handoff items.

    “Recently, de Grood and colleagues described a modified Delphi process by which an expert panel listed essential ICU–ward handoff items (6).”

    From Cocreating the ICU-PAUSE Tool for Intensive Care Unit–Ward Transitions (2022) · cites this paper as [6]

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Authors
de Grood, C., Job McIntosh, C., Boyd, J. M., Zjadewicz, K., Parsons Leigh, J., & Stelfox, H. T.
Affiliations
Alberta Health Services (CA)
Corresponding author
Stelfox, Henry Thomas
ORCID
Venue
Journal of Critical Care
Publisher
Elsevier BV
Published
2019-02
Volume
49
Pages
27-32
ISSN
0883-9441 (ISSN-L)
DOI
10.1016/j.jcrc.2018.10.001
OpenAlex
W2895229840
Cited by
27
References
46
Citations by year
2025: 5 · 2024: 3 · 2023: 2 · 2022: 10 · 2021: 3 · 2020: 3
FWCI
1.83
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Critical Care (publishedVersion)
  • PubMed (publishedVersion)
Funders
Canadian Frailty Network (CAT2015-06)
Topics
  • Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
  • Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
  • Health Sciences › Health Professions › Radiological and Ultrasound Technology › Family and Patient Care in Intensive Care Units
Keywords
ICU-to-ward transfer, care transitions, intensive care unit, hospital wards, interprofessional communication, information elements, tool usability, accountability, clinician consensus
MeSH terms
Communication, Continuity of Patient Care, Humans, Intensive Care Units, Patient Transfer, Consensus, Quality Improvement, Patient Safety

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