Table 2.
Study/year (references) | Intervention | Outcome types | |||
---|---|---|---|---|---|
Use of carea | Continuity of careb | Mortalityc | Adverse eventsd | ||
Garcea et al. [39] | Outreach service | ✓ | ✓ | ||
Chaboyer et al. [40] | Liaison nurse | ✓e | |||
Caffin et al. [41] | Liaison nurse | ✓ | |||
Zeigler et al. [42] | Medication reconciliation | ✓ | |||
Eliott et al. [43] | Liaison nurse | ✓e | ✓ | ||
Endacott et al. [44] | Liaison nurse | ✓e | ✓ | ||
Williams et al. [45] | Discharge plan | ✓e | |||
Williams et al. [46] | Outreach service | ✓ | ✓ | ||
Palma et al. [47] | Neonatal-specific electronic handoff tool | ✓e | |||
Medlock et al. [48] | ICU discharge letter policy change and electronic decision support | ✓ | ✓e | ✓ | |
Chaboyer et al. [49] | Redesigned discharge process | ✓ | ✓ | ✓ | |
Total | 9 | 4 | 7 | 1 |
aUse of care as outcome includes (unplanned) readmissions; readmissions within 72 h; ICU LOS; step-down LOS; general ward LOS; second ICU LOS; hospital LOS; LOS from admission to ICU to hospital discharge; transfer to higher level care; surgical procedure required; incidence of prolonged stress ulcer prophylaxis
bContinuity of care as outcome includes discharge delay (>2 h; >4 h); average delay time; initial discharge letter formally completed at time of discharge; initial discharge letter for deceased patient completed at time of discharge; time to finalize initial discharge letter; perceived accuracy of sign-out document (very accurate; somewhat accurate; somewhat inaccurate; very inaccurate). Definitions adopted here are from Hellesø and colleagues [17] and are all outcomes that relate to the quality of information, communication, and coordination of care) [20]
cMortality as outcome includes patient mortality in wards after ICU discharge; ICU mortality; critical care mortality; (in-) hospital mortality; 30-day mortality; unexpected death
dIncidence of adverse events (AE) as outcome includes AE fluid management; AE respiratory problems; probably preventable AEs; definitely preventable AEs—i.e., unintended occurrences in handover of care potentially causing harm to the patient [20]
eOutcome with statistically significant effect