RE-ENGINEERING DISCHARGE FROM THE INTENSIVE CARE UNIT

Project Title: Development and Testing of a Tool Kit to Improve Discharge from Intensive Care

Primary Investigator: Dr. H. Tom Stelfox (PI); Dr. Sean Bagshaw (Co-PI)

Research Associates: Rebecca Brundin-Mather

Patient and Family Advisors: Peter Oxland

Award: $ 94, 988

Funding Body: Canadian Frailty Network

Overview:

When patients are transferred from one ward to another, or from one provider to another, there is a high risk of errors in medical care. Some of these errors may lead to unintended and harmful events. The transfer of patients from the intensive care unit (ICU) to a hospital ward is an example of a high-risk transfer. Seriously ill frail elderly patients are especially prone to experiencing problems during these transfers. In direct response to this issue, we have assembled a team of professionals and interested citizens from across the country to re-design the transfer of frail elderly patients from intensive care by developing and testing an evidence-informed 'ICU discharge tool kit'.

The proposed tool kit builds on our existing research program and may serve as a model for improving transitions of care for other patients. The complexity of this problem requires an approach that combines scientific excellence with participation by patients, family members, providers and managers so that a durable product is created. Our objectives are to improve outcomes and care across the continuum, by optimizing transitions of care.

Citations: 

REFEREED CONTRIBUTIONS

Peer Reviewed Publications

Parsons Leigh J, Brown K, Buchner D, Stelfox HT. A Protocol to Describe the Analysis of Text-based Communication in Medical Records for Patients Discharged from Intensive Care to Hospital Ward. BMJ Open. 2016 Jul 8;6(7):e012200. doi: 10.1136/bmjopen-2016-012200.

Stelfox HT, Parsons Leigh J, Dodek PM, Forster AJ, Turgeon AF, Lamontagne F, Fowler RA, Soo A, Bagshaw SM. A multi-centre prospective cohort study of patient and provider experiences with transfers from the intensive care unit to the hospital ward. 2017. Intensive Care Medicine. Manuscript accepted.

de Grood C, Parsons Leigh J, Bagshaw SM, Dodek PM, Fowler RA, Forster AJ, Boyd JM, Stelfox HT. Patient and provider experiences with intensive care unit to hospital ward transfers: a multi-centre qualitative study. 2017. 

Manuscript under peer review.

NON-REFEREED CONTRIBUTIONS

Abstracts

Stelfox HT, Parsons Leigh J, Dodek PM, Forster AJ, Turgeon AF, Lamontagne F, Fowler RA, Soo A, Bagshaw SM. A Multi-Centre Prospective Cohort Study of Patient and Provider Experiences with Transfers from the Intensive Care Unit to the Hospital Ward. American Thoracic Society Conference. Accepted.

de Grood C, Parsons Leigh J, Bagshaw SM, Dodek PM, Fowler RA, Forster AJ, Boyd JM, Stelfox HT. Improving Transfers from the Intensive Care Unit to Hospital Ward: A Multicenter Qualitative Study of Barriers and Facilitators to Quality Transfers. American Thoracic Society Conference. Accepted.

Brown K, Parsons Leigh J, Kamran H, Dodek PM, Bagshaw SM, Forster AJ, Turgeon AF, Lamontagne F, Stelfox HT. Textual analysis of physician progress notes for patients transferred from the intensive care unit to hospital ward. American Thoracic Society Conference. Accepted.