The Handover from Intensive Care Unit to General Ward: Baseline Performance and Par-ticipatory Design of an Electronic Follow-Up Plan
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The Handover from Intensive Care Unit to General Ward: Baseline Performance and Par-ticipatory Design of an Electronic Follow-Up Plan. / Østergaard, Kija Lin; Simonsen, Jesper; Hertzum, Morten.
MEDINFO2019: Proceedings of the 17th World Congress on Medical and Health Informatics. Vol. Studies in Health Technology and Informatics Vol. 264 Amsterdam : IOS Press, 2019. p. 1303-1307 (Studies in Health Technology and Informatics, Vol. 264).Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review
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TY - GEN
T1 - The Handover from Intensive Care Unit to General Ward: Baseline Performance and Par-ticipatory Design of an Electronic Follow-Up Plan
AU - Østergaard, Kija Lin
AU - Simonsen, Jesper
AU - Hertzum, Morten
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
KW - Faculty of Humanities
KW - Patient transfer
KW - Patient handoff
KW - Electronic health records
U2 - 10.3233/SHTI190437
DO - 10.3233/SHTI190437
M3 - Article in proceedings
C2 - 31438136
VL - Studies in Health Technology and Informatics Vol. 264
T3 - Studies in Health Technology and Informatics
SP - 1303
EP - 1307
BT - MEDINFO2019: Proceedings of the 17th World Congress on Medical and Health Informatics
PB - IOS Press
CY - Amsterdam
ER -
ID: 226987282