Table 3.
Dimensions of barriers and facilitators in care transitions processes.
| Dimension | ED to OR (N=13) | OR to PICU (N=12) | ED to PICU (N=9*) | Total (N=34) | ||||
|---|---|---|---|---|---|---|---|---|
| Barriers | Facilitators | Barriers | Facilitators | Barriers | Facilitators | Barriers | Facilitators | |
| Anticipation | 62% | 54% | 50% | 75% | 11% | 44% | 44% | 59% |
| ED decision making | 46% | 23% | 0% | 0% | 67% | 78% | 35% | 29% |
| Interacting with family | 46% | 15% | 17% | 0% | 22% | 44% | 29% | 18% |
| Physical environment | 54% | 38% | 25% | 42% | 0% | 0% | 29% | 29% |
| Role ambiguity | 46% | 54% | 25% | 25% | 11% | 11% | 29% | 32% |
| Staffing/resources | 46% | 38% | 42% | 50% | 56% | 44% | 47% | 44% |
| Team cognition | 92% | 85% | 42% | 100% | 89% | 67% | 74% | 85% |
| Technology | 46% | 31% | 33% | 58% | 22% | 44% | 35% | 44% |
| Characteristic of trauma care | 31% | 31% | 0% | 0% | 11% | 11% | 15% | 15% |
Notes:
The percentages shown are the percentage of cases (the number of interviewees asked about that care transition, N in column heading) describing each dimension as a barrier or a facilitator, respectively, by care transition and overall.
One interviewee was not asked about the ED to PICU care transition, but volunteered a barrier for it in her description of another transition based on her previous experience in a role that participated in the ED to PICU transition
Shading in the heat map was defined by increasing the saturation of the red or green shading by 10% for each 10% increase in percentage of cases (e.g., shading for 0% is 0% saturation, shading for greater than 0% and less than 10% is 10% saturation, shading for greater than 10% and less than 20% is 20% saturation, etc.)