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

Department of People and Technology

Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review

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.

Original language	English
Title of host publication	MEDINFO 2019: Health and Wellbeing E-Netsworks for All : Proceedings of the 17th World Congress on Medical and Health Informatics
Editors	Brigitte Seroussi, Lucila Ohno-Machado, Lucila Ohno-Machado, Brigitte Seroussi
Number of pages	5
Publisher	IOS Press
Publication date	Aug 2019
Pages	1303-1307
ISBN (Print)	978-1-64368-002-6
ISBN (Electronic)	978-1-64368-003-3
DOIs	https://doi.org/10.3233/SHTI190437
Publication status	Published - Aug 2019
Event	17th World Congress of Medical and Health Informatics: Health and Wellbeing e-networks for all - Cité Internationale - Congress Centre, Lyon, France Duration: 25 Aug 2019 → 30 Aug 2019 Conference number: 17 https://medinfo-lyon.org/en/

Conference

Conference	17th World Congress of Medical and Health Informatics
Number	17
Location	Cité Internationale - Congress Centre
Country/Territory	France
City	Lyon
Period	25/08/2019 → 30/08/2019
Internet address	https://medinfo-lyon.org/en/

Series	Studies in Health Technology and Informatics
Volume	264
ISSN	0926-9630

Keywords

Electronic health records
Patient handoff
Patient transfer

Link to document

10.3233/SHTI190437Licence: CC BY-NC

MEDINFO-2019 paperFinal published version, 452 KBLicence: CC BY-NC

1 Finished

Clinical Communication
Simonsen, J., Hertzum, M., Scheuer, J. D., Karasti, T. H., Østergaard, K. L., Brandrup, M. & Torkilsheyggi, A. M. Á.
01/01/2013 → 30/06/2017
Project: Research

Cite this

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. In B. Seroussi, L. Ohno-Machado, L. Ohno-Machado, & B. Seroussi (Eds.), MEDINFO 2019: Health and Wellbeing E-Netsworks for All: Proceedings of the 17th World Congress on Medical and Health Informatics (pp. 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. editor / Brigitte Seroussi ; Lucila Ohno-Machado ; Lucila Ohno-Machado ; Brigitte Seroussi. IOS Press, 2019. pp. 1303-1307 (Studies in Health Technology and Informatics, Vol. 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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note = "17th World Congress of Medical and Health Informatics : Health and Wellbeing e-networks for all, MedInfo 2019 ; Conference date: 25-08-2019 Through 30-08-2019",

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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. in B Seroussi, L Ohno-Machado, L Ohno-Machado & B Seroussi (eds), 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, vol. 264, pp. 1303-1307, 17th World Congress of Medical and Health Informatics, Lyon, France, 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. ed. / Brigitte Seroussi; Lucila Ohno-Machado; Lucila Ohno-Machado; Brigitte Seroussi. 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

TY - GEN

T1 - The Handover from Intensive Care Unit to General Ward: Baseline Performance and Participatory Design of an Electronic Follow-Up Plan

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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.

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KW - Patient handoff

KW - Patient transfer

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M3 - Article in proceedings

SN - 978-1-64368-002-6

T3 - Studies in Health Technology and Informatics

SP - 1303

EP - 1307

BT - MEDINFO 2019: Health and Wellbeing E-Netsworks for All

A2 - Seroussi, Brigitte

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ER -

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. In Seroussi B, Ohno-Machado L, Ohno-Machado L, Seroussi B, editors, MEDINFO 2019: Health and Wellbeing E-Netsworks for All: Proceedings of the 17th World Congress on Medical and Health Informatics. IOS Press. 2019. p. 1303-1307. (Studies in Health Technology and Informatics, Vol. 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

Conference

Keywords

Link to document

Projects

Clinical Communication

Cite this