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Study
Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods.
March 23, 2022
Vollam S, Gustafson O, Morgan L, et al. Crit Care Med. 2022;50(7):1083-1092.
This mixed-method study explored the reasons why out-of-hours discharges from the ICU to the ward, and nighttime coverage are associated with poor outcomes. Based on qualitative interviews with patients, family members, and staff involved in the ICU discharge process, this study found that out-of-hours discharges are considered unsafe due to nighttime staffing levels and skill mix. Out-of-hours discharges often occurred prematurely, without adequate handovers, and involved patients who were not physiologically stable, and at risk for clinical deterioration.
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