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

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

Kija Lin Østergaard, Jesper Simonsen, Morten Hertzum

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.
Original languageEnglish
Title of host publicationMEDINFO2019: Proceedings of the 17th World Congress on Medical and Health Informatics
VolumeStudies in Health Technology and Informatics Vol. 264
Place of PublicationAmsterdam
PublisherIOS Press
Publication date2019
Pages1303-1307
DOIs
Publication statusPublished - 2019
SeriesStudies in Health Technology and Informatics
Volume264
ISSN0926-9630

ID: 226987282