Reconsidering the transfer of patients from the intensive care unit to the ward: a case study approach.
Evidence indicates that the poorly managed transfer of a patient from the intensive care unit (ICU) to the ward can lead to physical and psychological complications for the patient, and often require ICU readmission and rehospitalization. Reviewing this patient transfer process to improve the quality of care would be a positive step towards enhancing patients' recovery and providing skills to staff. The aim of this paper is to review case studies of transferring ICU patients to general wards in order to identify the shortcomings of this process. A literature review was conducted to evaluate current practices in the ICU transfer process. The results of this paper have clinical implications, suggest approaches to improve support for patients and their carers, and provide strategies to improve the transfer procedure.
Wu
Chiung-Jung Jo
CJ
School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia. c3.wu@qut.edu.au
Coyer
Fiona
F
D000359:Aftercare; D002983:Clinical Competence; D003266:Continuity of Patient Care; D003422:Critical Care / Q000458:organization & administration; D005069:Evaluation Studies as Topic; D019317:Evidence-Based Medicine; D006302:Health Services Research; D006694:Holistic Health; D006757:Hospital Units / Q000458:organization & administration; D006784:Hospitals, Teaching; D006786:Hospitals, Urban; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration; D020380:Needs Assessment; D019982:Organizational Case Studies; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D010351:Patient Discharge; D010359:Patient Readmission; D010360:Patient Transfer / Q000458:organization & administration*; D010818:Practice Patterns, Physicians' / Q000458:organization & administration; D011793:Queensland; D017751:Safety Management; D017748:Time Management; D017749:Total Quality Management / Q000458:organization & administration