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

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-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 languageEnglish
Title of host publicationMEDINFO 2019: Health and Wellbeing E-Netsworks for All : Proceedings of the 17th World Congress on Medical and Health Informatics
Editors Lucila Ohno-Machado, Brigitte Séroussi
PublisherIOS Press
Publication dateAug 2019
Pages1303-1307
ISBN (Print)978-1-64368-002-6
ISBN (Electronic)978-1-64368-003-3
DOIs
Publication statusPublished - Aug 2019
Event17th World Congress of Medical and Health Informatics: Health and Wellbeing e-networks for all - Cité Internationale - Congress Centre, Lyon, France
Duration: 25 Aug 201930 Aug 2019
Conference number: 17
https://medinfo-lyon.org/en/

Conference

Conference17th World Congress of Medical and Health Informatics
Number17
LocationCité Internationale - Congress Centre
CountryFrance
CityLyon
Period25/08/201930/08/2019
Internet address
SeriesStudies in Health Technology and Informatics
Volume264
ISSN0926-9630

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 L. Ohno-Machado, & B. Séroussi (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. Studies in Health Technology and Informatics, Vol.. 264 https://doi.org/10.3233/SHTI190437