Changes and new medications at discharge and opioids Weekly pill box needed Barriers to patient’s adherence Physician’s signature for the community or institutional pharmacist Prescription verified by the pharmacist before patient discharge DEFAULT D - Do not resuscitate (DNR) status is In one hospital, Public teaching Risk action group Evaluation needed (mnemonic) clear increase in median hospital designed a on how tool days of accidental mnemonic and impacts on clinical Sharma & E - Endotracheal tube and cuff is safe Paediatric tube removal feedback obtained outcomes at care Peters 2013 intensive care F - Fluid strategy and feeding plan between pre- and from intensivists and transitions unit A - Agreed analgesia and sedation post-intervention senior nurses (14 vs 150 days, U - of the skin and gut No further P<0.0001) information about L - Lines out towards an reliability and validity T - Tidal volumes less than 8 ml/kg increase in proportion of patients who had tidal volumes in expected range between pre- and post-intervention (49% vs 61%, P=0.09)
Changes and new medications at discharge and opioids Weekly pill box needed Barriers to patient’s adherence Physician’s signature for the community or institutional pharmacist Prescription verified by the pharmacist before patient discharge DEFAULT (mnemonic) Sharma & Peters 2013 D - Do not resuscitate (DNR) status is clear E - Endotracheal tube and cuff is safe F - Fluid strategy and feeding plan A - Agreed analgesia and sedation U - of the skin and gut L - Lines out T - Tidal volumes less than 8 ml/kg In one hospital, increase in median days of accidental tube removal between pre- and post-intervention (14 vs 150 days, P<0.0001) towards an increase in proportion of patients who had tidal volumes in expected range between pre- and post-intervention (49% vs 61%, P=0.09) Public teaching hospital Paediatric intensive care unit Risk action group designed a mnemonic and feedback obtained from intensivists and senior nurses No further information about reliability and validity Evaluation needed on how tool impacts on clinical outcomes at care transitions
Rapid-review-Improving-documentation-at-transitions-of-care-for-complex-patients.docx