Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review

Wibrandt, Ida; Lippert, Anne

doi:10.1097/pts.0000000000000266

Cited by 48Hospital Admissions and OutcomesPatient Safety and Medication ErrorsFamily and Patient Care in Intensive Care Units

Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review

Wibrandt, Ida, Lippert, Anne·2020·Journal of Patient Safety

DOI 10.1097/pts.0000000000000266

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Abstract

Objectives: Despite of the increasing knowledge about patient safety improvements in the handover process in hospitals, we still lack knowledge about what magnitude of patient safety gains can be expected from improvements in handover between the intensive care unit (ICU) and the general ward. The aim of this systematic review was to investigate which handover tools are devised and evaluated with the aim of improving patient safety in the handover process from ICU to ward and whether the described handover tools fulfill their purpose. Methods: A systematic literature search of 6 databases was performed to answer the review question, developed by using the “Patient Population, Intervention, Comparison, Outcome” format. Two authors independently performed the selection process, as well as the data extraction and quality assessment. The recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement were followed. Results: Eight studies were finally included in the qualitative analysis. One study investigated a written information tool, 1 study investigated improved verbal information, 1 study investigated the effect of an additional safety check, and 5 studies investigated a Liaison Nurse as handover tool. Because of heterogeneity among the included studies, the study results could not be pooled. Conclusions: Not many well-conducted studies can shed light on this important topic. Giving patients and their families a supplementary written or verbal status report before transfer might improve patient safety. The introduction of a Liaison Nurse may be effective in improving communication between ICU and ward staff, which might reduce risks in patient safety. However, there is no evidence of improved mortality and/or readmission rates after introducing handover tools in the transfer from ICU to ward.

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Standardized handoff processes are understudied at the ICU-ward interface.
“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 [7]

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Authors: Wibrandt, I., & Lippert, A.
Affiliations: University of Copenhagen (DK)
Corresponding author: Wibrandt, Ida
ORCID: Lippert, Anne
Venue: Journal of Patient Safety
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2017-04-28
Volume: 16
Issue: 3
Pages: 199-210
ISSN: 1549-8417 (ISSN-L)
1549-8425
DOI: 10.1097/pts.0000000000000266
OpenAlex: W2610006358
Cited by: 48
References: 41
Citations by year: 2026: 5 · 2025: 4 · 2024: 8 · 2023: 10 · 2022: 7 · 2021: 5 · 2020: 5 · 2018: 3 · 2017: 1
FWCI: 0.63
Type: journal article
Language: en
Open access: closed
Locations: Journal of Patient Safety (publishedVersion)
PubMed (publishedVersion)
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: patient handover, intensive care unit, general wards, patient safety, liaison nurse, verbal handover, safety inspection, interprofessional communication, ICU-to-ward transfer
MeSH terms: Humans, Intensive Care Units, Patient Safety, Patient Handoff

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Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review

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