CMAJ points to communication, hospital culture to improve patient transfer from ICU to ward

Transfer of patients from the intensive care unit (ICU) to a general hospital ward is considered a high-risk transition in which breakdowns in communication, medical errors and adverse events resulting in readmission can occur. This Canadian study identified factors that can improve the transfer of patients from the ICU to a hospital ward. It includes patient and provider perspectives that identify resource availability, communications and institutional culture as key factors. Suggestions to improve patient transfers from the ICU to ward include:

• Standardized discharge communication tools to ensure open, continuous communication between patients or families and providers;
• Standardized discharge communication tools for use among healthcare providers;
• Multiple forms of communication, including both verbal and written tools, to document transfer and ensure continuity of care; and
• Procedures to manage delays in transferring patients and coordinate care.