The Handover from Intensive Care Unit to General Ward: Baseline Performance and Par-ticipatory Design of an Electronic Follow-Up Plan

Publikation: Bidrag til bog/antologi/rapportKonferencebidrag i proceedingsForskningfagfællebedømt

Kija Lin Østergaard, Jesper Simonsen, Morten Hertzum

The transfer of patients from intensive care unit (ICU) to general ward involves risk to patient health. To mitigate this risk the present study investigates the current use of follow-up plans in the handover from ICU to general ward and pro-poses a novel design of follow-up plans. On the basis of a record audit we find that follow-up plans exist for only 16% of the audited transfers, that these plans are rarely used, and that 25% of the patients with a plan die within 24 hours of their transfer. In a subsequent series of participatory-design workshops with ICU and ward nurses we devised an electronic follow-up plan that consists of an attend-to list rather than a checklist. The attend-to list specifies the issues of concern but leaves the process of attaining them for the general-ward nurses to decide, thereby acknowledging and utilizing their expertise.
OriginalsprogEngelsk
TitelMEDINFO2019: Proceedings of the 17th World Congress on Medical and Health Informatics
Vol/bindStudies in Health Technology and Informatics Vol. 264
Udgivelses stedAmsterdam
ForlagIOS Press
Publikationsdato2019
Sider1303-1307
DOI
StatusUdgivet - 2019
NavnStudies in Health Technology and Informatics
Vol/bind264
ISSN0926-9630

ID: 226987282