Results: A total of 1,787 ICU discharges were included in this study, 1,001 in the 15months before and
786 in the 12 months after the implementation of the new discharge processes. There was no difference
in in-hospital mortality after discharge from ICU or ICU readmission within 72 hours during the study
period. However, process improvement was demonstrated by a reduction in the average patient discharge
delay time of 3.2 hours (from 4.6 hour baseline to 1.0 hours post-intervention).
Conclusions: Involving both ward and ICU staff in the redesign process may have contributed to
a shared situational awareness of the problems, which led to more timely and effective ICU discharge
processes. The use of a change agent, whose ongoing role involved follow-up of patients discharged from
ICU, may have helped to embed the new process into practice.
Results: A total of 1,787 ICU discharges were included in this study, 1,001 in the 15months before and786 in the 12 months after the implementation of the new discharge processes. There was no differencein in-hospital mortality after discharge from ICU or ICU readmission within 72 hours during the studyperiod. However, process improvement was demonstrated by a reduction in the average patient dischargedelay time of 3.2 hours (from 4.6 hour baseline to 1.0 hours post-intervention).Conclusions: Involving both ward and ICU staff in the redesign process may have contributed toa shared situational awareness of the problems, which led to more timely and effective ICU dischargeprocesses. The use of a change agent, whose ongoing role involved follow-up of patients discharged fromICU, may have helped to embed the new process into practice.
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