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

Kija Lin Østergaard; Jesper Simonsen; Morten Hertzum

doi:10.3233/SHTI190437

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

Kija Lin Østergaard, Jesper Simonsen, Morten Hertzum

Institut for Mennesker og Teknologi

Publikation: Bidrag til bog/antologi/rapport › Konferencebidrag i proceedings › Forskning › peer review

1 Citationer (Scopus)

123 Downloads (Pure)

Abstract

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 proposes 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.

Originalsprog	Engelsk
Titel	MEDINFO 2019: Health and Wellbeing E-Netsworks for All : Proceedings of the 17th World Congress on Medical and Health Informatics
Redaktører	Brigitte Seroussi, Lucila Ohno-Machado, Lucila Ohno-Machado, Brigitte Seroussi
Antal sider	5
Forlag	IOS Press
Publikationsdato	aug. 2019
Sider	1303-1307
ISBN (Trykt)	978-1-64368-002-6
ISBN (Elektronisk)	978-1-64368-003-3
DOI	https://doi.org/10.3233/SHTI190437
Status	Udgivet - aug. 2019
Begivenhed	17th World Congress of Medical and Health Informatics: Health and Wellbeing e-networks for all - Cité Internationale - Congress Centre, Lyon, Frankrig Varighed: 25 aug. 2019 → 30 aug. 2019 Konferencens nummer: 17 https://medinfo-lyon.org/en/

Konference

Konference	17th World Congress of Medical and Health Informatics
Nummer	17
Lokation	Cité Internationale - Congress Centre
Land/Område	Frankrig
By	Lyon
Periode	25/08/2019 → 30/08/2019
Internetadresse	https://medinfo-lyon.org/en/

Navn	Studies in Health Technology and Informatics
Vol/bind	264
ISSN	0926-9630

Link til dokument

10.3233/SHTI190437Licens: CC BY-NC

MEDINFO-2019 paperForlagets udgivne version, 452 KBLicens: CC BY-NC

1 Citationer
1 Konferencebidrag i proceedings
1 Tidsskriftartikel

Examining situated design practices: Nurses' transformations towards genuine participation
Østergaard, K. L., Simonsen, J. & Karasti, T. H., 1 nov. 2018, I: Design Studies. 59, s. 37-57 21 s.
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

Åben adgang
Fil

36 Citationer (Scopus)

135 Downloads (Pure)
Nurses' Journey Toward Genuine Participation: Becoming and Learning
Østergaard, K. L., Simonsen, J. & Karasti, T. H., 15 aug. 2016, PDC '16 Proceedings of the 14th Participatory Design Conference: Short Papers, Interactive Exhibitions, Workshops. Kanstrup, A. M., Vines, J., Huybrechts, L., Smith, R. C., Bodker, K. & Bossen, C. (red.). Association for Computing Machinery, Bind 2. s. 57-60 4 s. (Proceedings of the Participatory Design Conference).
Publikation: Bidrag til bog/antologi/rapport › Konferencebidrag i proceedings › Forskning › peer review

3 Citationer (Scopus)

1 Afsluttet

Clinical Communication
Simonsen, J. (Projektleder), Hertzum, M. (Projektdeltager), Scheuer, J. D. (Projektdeltager), Karasti, T. H. (Projektdeltager), Østergaard, K. L. (Projektdeltager), Brandrup, M. (Projektdeltager) & Torkilsheyggi, A. M. Á. (Projektdeltager)
01/01/2013 → 30/06/2017
Projekter: Projekt › Forskning

Citer dette

Østergaard, K. L., Simonsen, J., & Hertzum, M. (2019). The Handover from Intensive Care Unit to General Ward: Baseline Performance and Participatory Design of an Electronic Follow-Up Plan. I B. Seroussi, L. Ohno-Machado, L. Ohno-Machado, & B. Seroussi (red.), MEDINFO 2019: Health and Wellbeing E-Netsworks for All: Proceedings of the 17th World Congress on Medical and Health Informatics (s. 1303-1307). IOS Press. https://doi.org/10.3233/SHTI190437

Østergaard, Kija Lin ; Simonsen, Jesper ; Hertzum, Morten. / The Handover from Intensive Care Unit to General Ward: Baseline Performance and Participatory Design of an Electronic Follow-Up Plan. MEDINFO 2019: Health and Wellbeing E-Netsworks for All: Proceedings of the 17th World Congress on Medical and Health Informatics. red. / Brigitte Seroussi ; Lucila Ohno-Machado ; Lucila Ohno-Machado ; Brigitte Seroussi. IOS Press, 2019. s. 1303-1307 (Studies in Health Technology and Informatics, Bind 264).

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abstract = "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 proposes 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.",

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Østergaard, KL, Simonsen, J & Hertzum, M 2019, The Handover from Intensive Care Unit to General Ward: Baseline Performance and Participatory Design of an Electronic Follow-Up Plan. i B Seroussi, L Ohno-Machado, L Ohno-Machado & B Seroussi (red), MEDINFO 2019: Health and Wellbeing E-Netsworks for All: Proceedings of the 17th World Congress on Medical and Health Informatics. IOS Press, Studies in Health Technology and Informatics, bind 264, s. 1303-1307, 17th World Congress of Medical and Health Informatics, Lyon, Frankrig, 25/08/2019. https://doi.org/10.3233/SHTI190437

The Handover from Intensive Care Unit to General Ward: Baseline Performance and Participatory Design of an Electronic Follow-Up Plan. / Østergaard, Kija Lin; Simonsen, Jesper ; Hertzum, Morten.
MEDINFO 2019: Health and Wellbeing E-Netsworks for All: Proceedings of the 17th World Congress on Medical and Health Informatics. red. / Brigitte Seroussi; Lucila Ohno-Machado; Lucila Ohno-Machado; Brigitte Seroussi. IOS Press, 2019. s. 1303-1307 (Studies in Health Technology and Informatics, Bind 264).

Publikation: Bidrag til bog/antologi/rapport › Konferencebidrag i proceedings › Forskning › peer review

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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 proposes 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 - Electronic health records

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KW - Patient transfer

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M3 - Article in proceedings

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A2 - Seroussi, Brigitte

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Østergaard KL, Simonsen J , Hertzum M. The Handover from Intensive Care Unit to General Ward: Baseline Performance and Participatory Design of an Electronic Follow-Up Plan. I Seroussi B, Ohno-Machado L, Ohno-Machado L, Seroussi B, red., MEDINFO 2019: Health and Wellbeing E-Netsworks for All: Proceedings of the 17th World Congress on Medical and Health Informatics. IOS Press. 2019. s. 1303-1307. (Studies in Health Technology and Informatics, Bind 264). doi: 10.3233/SHTI190437

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

Abstract

Konference

Link til dokument

Publikation

Examining situated design practices: Nurses' transformations towards genuine participation

Nurses' Journey Toward Genuine Participation: Becoming and Learning

Projekter

Clinical Communication

Citer dette