Creation of a Critical Care Transition Team for Improved Patient Care and Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/150283
Type:
Presentation
Title:
Creation of a Critical Care Transition Team for Improved Patient Care and Outcomes
Abstract:
Creation of a Critical Care Transition Team for Improved Patient Care and Outcomes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Author:Devlin, Sandra, RN, MScN, CHE
P.I. Institution Name:St. Michael's Hospital
Title:Clinical Leader/Manager
Co-Authors:Mary H. Van Soeren, RN, PhD, ACNP; Fabrice P. Brunet, MD, MHA, PhD, FRCPC; Jeffrey Wasserman, MD, FRCPC
Critically ill patients are at risk before admission and while in transition between areas in the hospital. This compromises patient safety, as the current structural approach limits optimal quality of care. The concept of a critical care transition team is one designed to improve patient outcomes outside the ICU where they are at increased risk. The concepts driving this initiative are improvements in patient safety, continuity of care, early intervention, team integration and cost effectiveness. Here will present our goals and the steps involved in development of the team. St. Michael's Hospital general medical surgical ICU focuses on care for a marginalized population. In looking at the process of care, we determined that many ICUs have criteria for discharge and admission. What is not clear is how robust these criteria are in assessing patients at risk for emergent admissions that could be prevented. In our model, members of the critical care transition team will be available to intervene earlier than in a traditional medical consultation model. An interdisciplinary group was formed based on interest, geography and specialty. Evaluation of the existing status was through chart review and group discussions to create the team's direction, focus and agenda. New processes and tools include standards, education and guidelines as well as organizational improvements. The integration of appropriate technology is part of this initiative. This team will develop a process in critical care that focuses on individual patient need across services beyond physical boundaries. Outcomes include extending critical care resources in a structured, systematic approach maximizing the skill and knowledge of all members of the interdisciplinary team. This project will improve resource utilization in critical care, and focus on shared decision-making thus enabling further work across structural boundaries to occur in the future.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCreation of a Critical Care Transition Team for Improved Patient Care and Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150283-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Creation of a Critical Care Transition Team for Improved Patient Care and Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Devlin, Sandra, RN, MScN, CHE</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">St. Michael's Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Leader/Manager</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">devlins@smh.toronto.on.ca</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary H. Van Soeren, RN, PhD, ACNP; Fabrice P. Brunet, MD, MHA, PhD, FRCPC; Jeffrey Wasserman, MD, FRCPC</td></tr><tr><td colspan="2" class="item-abstract">Critically ill patients are at risk before admission and while in transition between areas in the hospital. This compromises patient safety, as the current structural approach limits optimal quality of care. The concept of a critical care transition team is one designed to improve patient outcomes outside the ICU where they are at increased risk. The concepts driving this initiative are improvements in patient safety, continuity of care, early intervention, team integration and cost effectiveness. Here will present our goals and the steps involved in development of the team. St. Michael's Hospital general medical surgical ICU focuses on care for a marginalized population. In looking at the process of care, we determined that many ICUs have criteria for discharge and admission. What is not clear is how robust these criteria are in assessing patients at risk for emergent admissions that could be prevented. In our model, members of the critical care transition team will be available to intervene earlier than in a traditional medical consultation model. An interdisciplinary group was formed based on interest, geography and specialty. Evaluation of the existing status was through chart review and group discussions to create the team's direction, focus and agenda. New processes and tools include standards, education and guidelines as well as organizational improvements. The integration of appropriate technology is part of this initiative. This team will develop a process in critical care that focuses on individual patient need across services beyond physical boundaries. Outcomes include extending critical care resources in a structured, systematic approach maximizing the skill and knowledge of all members of the interdisciplinary team. This project will improve resource utilization in critical care, and focus on shared decision-making thus enabling further work across structural boundaries to occur in the future.</td></tr></table>en_GB
dc.date.available2011-10-26T10:20:44Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:20:44Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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