A25 CRITICAL CARE: HOW TO GET IT DONE IN THE ICU - TOOLS AND TRICKS OF IMPLEMENTATION IN CRITICAL CARE: The Challenge Of Icu To Floor Transitions: A Standardized Transfer Note Improves Documentation And Resident Satisfaction

• Published in: American journal of respiratory and critical care medicine 2017-01, Vol.195
• Main Authors: Kim, B, Barmaimon, G, Yudelevich, E, Bambrick-Santoyo, G, Basu, A, Shapiro, J
• Format: Article
• Language: English
• Subjects: Critical care; Documentation; Medical records; Patient safety; Physicians
• ISSN: 1073-449X; 1535-4970

Resident work hour limitations, misuse of the electronic medical record (EMR), and the complexity of Intensive Care Unit (ICU) patients increase the risk of inadequate exchange of critical information, which can lead to adverse patient outcomes. Post-intervention, documentation improved for the following domains (Figure 1): mechanical ventilation 64% pre vs 86% post, current method of oxygenation 62% vs 82%, procedures 60% vs 82%, current IV access 50% vs 81%, transfusions 44% vs 79%, home medications continued 54% vs 82%, home medications held 38% vs 82%, relevant cultures 50% vs 86%, tests pending 64% vs 86%, goals of care 54% vs 74%, emergency contact information 62% vs 91%.