Related Experiment Video
Updated: Aug 30, 2025
06:52
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
9.9K
Development and pilot implementation of a patient-oriented discharge summary for critically Ill patients
Anmol Shahid1, Bonnie Sept1, Shelly Kupsch1
1Department of Critical Care Medicine, University of Calgary, Calgary T2N 4Z6, Alberta, Canada.
World Journal of Critical Care Medicine
|September 2, 2022
Summary
A new patient-oriented discharge summary tool for the intensive care unit (ICU) was developed and piloted. While beneficial for patients and families, ICU nurses found the tool challenging to integrate into their workflow due to time constraints.
Area of Science:
- Critical Care Medicine
- Patient Communication
- Health Informatics
Background:
- Intensive care unit (ICU) discharge often involves communication gaps, increasing patient vulnerability to adverse events and readmission.
- Written discharge summaries are common in other settings but underutilized in ICUs.
- Effective communication is crucial for patient safety and continuity of care post-ICU.
Purpose of the Study:
- To develop a patient-oriented discharge summary tool specifically for the ICU (PODS-ICU).
- To pilot test the PODS-ICU tool for acceptability and feasibility among ICU patients, families, and clinicians.
- To gather feedback for improving the tool's integration into clinical practice.
Main Methods:
- Co-design of the PODS-ICU tool involving patient-partners, ICU clinicians, and researchers.
- Iterative revisions based on discussions of patient informational needs.
- Pilot testing in two Canadian ICUs with patient, family, and nurse participants, followed by surveys.
Main Results:
- Most patients and families reported positive discharge experiences and understanding of ICU events.
- Patients and families found the PODS-ICU informative and useful.
- ICU nurses identified time constraints as a barrier, deeming the tool "not reasonable" for their workflow.
Conclusions:
- The PODS-ICU tool enhances patient and family engagement and information delivery during ICU discharge.
- Integration challenges for ICU nurses necessitate workflow adjustments and system integration.
- Further refinement and testing in diverse critical care settings are required to optimize feasibility and assess health outcomes.
Keywords:
Discharge toolFamily communicationIntensive care unitPatient communicationPatient discharge summaryTransitions in careMore Related Videos
Related Concept Videos
01:31Discharge Summary Forms
810
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
810
01:21Planning Nursing Care I
4.7K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.7K
01:17Flow Sheet
1.9K
Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
1.9K
01:21Methods of Documentation III: PIE
1.5K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.5K
01:29Documentation in Long-Term and Home Healthcare Setting
967
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
967
01:15Methods of Documentation VI: Case Management Model
619
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
619