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Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods.

Vollam S, Gustafson O, Morgan L, et al. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. Crit Care Med. Epub 2022 Mar 7. doi: 10.1097/ccm.0000000000005514

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March 23, 2022
Vollam S, Gustafson O, Morgan L, et al. Crit Care Med. 2022;Epub Mar 7.

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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Vollam S, Gustafson O, Morgan L, et al. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. Crit Care Med. Epub 2022 Mar 7. doi: 10.1097/ccm.0000000000005514