Carla Horn, Nokwanda Edith Bam, Molekodi Jacob Matsipane
Exploring disaster preparedness in an obstetric unit in a district hospital in the Western Cape Province
BMC health services research
intensive care unit icuward transfer poses particularly highrisk period patients period transfer associated adverse events additional work care teams related miscommunication omission information standardized handoff processes found reduce communication errors adverse patient events clinical environments understudied icuward interface previously developed electronic icuward transfer tool icupause embeds key elements diagnostic reasoning facilitate safe transfer care icu discharge aim study evaluate implementation process icupause handoff tool across 10 academic medical centers including rate adoption acceptability perceived clinical care teams icupause implemented medical icu across 10 academic hospitals site customizing tool institutions needs mixed methods study include combination chart review quantitative surveys qualitative interviews 90day implementation period conduct retrospective chart review evaluate rate uptake icupause also conduct postimplementation surveys providers assess perceptions tool impact frequency communication errors adverse events icuward transfers lastly conduct semistructured interviews faculty stakeholders subsequent thematic analysis goal identifying benefits barriers implementing using icupause icupause piloted medical icu barnesjewish hospital teaching hospital washington university school medicine st louis 2019 july 2022 implementation icupause ongoing 6 10 participating sites results published 2023 process icupause implementation embeds step template design uptake customization needs users key stakeholders introduce approach evaluate acceptability usability impact communication errors according tenets sociotechnical theory anticipate icupause offer effective handoff tool icuward transition generalized institutions derr110219640918