A multi-center prospective cohort study of patient transfers from the intensive care unit to the hospital ward

Purpose To provide a 360-degree description of ICU-to-ward transfers. Methods Prospective cohort study of 451 adults transferred from a medical–surgical ICU to a hospital ward in 10 Canadian hospitals July 2014–January 2016. Transfer processes documented in the medical record. Patient (or delegate)...

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Bibliographic Details
Published in:Intensive care medicine 2017-10, Vol.43 (10), p.1485-1494
Main Authors: Stelfox, Henry T., Leigh, Jeanna Parsons, Dodek, Peter M., Turgeon, Alexis F., Forster, Alan J., Lamontagne, Francois, Fowler, Rob A., Soo, Andrea, Bagshaw, Sean M.
Format: Article
Language:English
Subjects:
Adults
Analysis
Anesthesiology
Canada
Cohort analysis
Communication
Continuity of Patient Care - organization & administration
Critical Care Medicine
Emergency Medicine
Female
Hospital Units
Humans
Intensive
Intensive care
Intensive Care Units - organization & administration
Interprofessional Relations
Male
Medical personnel
Medical records
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Middle Aged
Nurses
Original
Pain Medicine
Patient Satisfaction
Patient Transfer - organization & administration
Patients
Pediatrics
Physicians
Pneumology/Respiratory System
Professional-Patient Relations
Prospective Studies
Surgery
Surveys
Surveys and Questionnaires
Time Factors
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Summary:Purpose To provide a 360-degree description of ICU-to-ward transfers. Methods Prospective cohort study of 451 adults transferred from a medical–surgical ICU to a hospital ward in 10 Canadian hospitals July 2014–January 2016. Transfer processes documented in the medical record. Patient (or delegate) and provider (ICU/ward physician/nurse) perspectives solicited by survey 24–72 h after transfer. Results Medical records (100%) and survey responses (ICU physicians–80%, ICU nurses–80%, ward physicians–46%, ward nurses–64%, patients–74%) were available for most transfers. The median time from initiation to completion of transfer was 25 h (IQR 6–52). ICU physicians and nurses reported communicating with counterparts via telephone (78 and 75%) when transfer was requested (82 and 24%) or accepted (31 and 59%) and providing more elements of clinical information than ward physicians (mean 4.7 vs. 3.9, p  
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-017-4910-1