Affiliation:
1. Universidade Federal do Rio Grande do Sul, Brazil; Hospital de Clínicas de Porto Alegre, Brazil
2. Universidade Federal do Rio Grande do Sul, Brazil; Hospital Conceição, Brazil
3. Universidade Federal do Rio Grande do Sul, Brazil
Abstract
Objective: to map the available evidence on the components of the transition of care, practices, strategies, and tools used in the discharge from the Intensive Care Unit (ICU) to the Inpatient Unit (IU) and its impact on the outcomes of adult patients. Method: a scoping review using search strategies in six relevant health databases. Results: 37 articles were included, in which 30 practices, strategies or tools were identified for organizing and executing the transfer process, with positive or negative impacts, related to factors intrinsic to the Intensive Care Unit and the Inpatient Unit and cross-sectional factors regarding the staff. The analysis of hospital readmission and mortality outcomes was prevalent in the included studies, in which trends and potential protective actions for a successful care transition are found; however, they still lack more robust evidence and consensus in the literature. Conclusion: transition of care components and practices were identified, in addition to factors intrinsic to the patient, associated with worse outcomes after discharge from the Intensive Care Unit. Discharges at night or on weekends were associated with increased rates of readmission and mortality; however, the association of other practices with the patient’s outcome is still inconclusive.
Reference63 articles.
1. Joint Commission Resources. Transitions of Care: The need for a more effective approach to continuing patient care,2012
2. Transitions of Care: Technical Series on Safer Primary Care,2016
3. Estratégias para a segurança do paciente: manual para profissionais da saúde,2013
4. A scoping review of patient discharge from intensive care: opportunities and tools to improve care;Stelfox HT;Chest,2015
5. Patient transfer from the intensive care unit to a general ward;Guest M;Nurs Stand,2017
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