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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Related Experiment Video

Updated: Mar 29, 2026

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
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Handoffs in the Intensive Care Unit.

Beth R Hochman1, Mark E Barry1, Meghan B Lane-Fall1,2

  • 11 University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|December 10, 2015
PubMed
Summary
This summary is machine-generated.

Operating room to intensive care unit handoffs are complex. Bedside handoff quality is consistent during off-hours and may improve with higher patient volume in intensive care units.

Keywords:
handoffsign-outtransition in careweekend effect

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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Clinical Operations

Background:

  • Operating room (OR) to intensive care unit (ICU) handoffs are critical but complex patient care transitions.
  • These handoffs are associated with adverse events and potential patient harm.
  • Concerns exist regarding potential declines in handoff quality during non-standard hours (nights/weekends).

Purpose of the Study:

  • To investigate if OR-to-ICU handoff quality differs between weekdays and nights/weekends.
  • To compare bedside handoff practices between surgical ICUs with varying patient volumes.
  • To test the hypothesis that handoff quality diminishes during off-hours.

Main Methods:

  • Direct observation of bedside OR-to-ICU handoffs in two surgical ICUs (high- and moderate-volume).
  • Comparison of handoff quality metrics during weekdays versus nights/weekends within each ICU.
  • Comparison of handoff quality metrics between the high- and moderate-volume ICUs.

Main Results:

  • In the high-volume ICU, transmitter delivery scores were significantly better during off-hours.
  • No significant differences in other handoff quality measures were found during off-hours.
  • The high-volume ICU consistently demonstrated better handoff scores compared to the moderate-volume ICU.

Conclusions:

  • Bedside OR-to-ICU handoff practices do not appear to worsen during off-hours.
  • Higher patient volume ICUs may exhibit better or more consistent handoff practices.
  • Standardized handoff protocols and training are recommended to ensure consistent quality across different ICU settings and times.