Key result
Implementation of an electronic ICU discharge summary tool increased the proportion of timely and complete discharge summaries from 10.8% to 71.1% (OR 32.43; 95% CI 18.22-57.73).
Why the study?
Effective communication between clinicians is essential for seamless discharge, yet discharge summaries are commonly unavailable and incomplete.
Does an electronic ICU discharge summary tool improve the timeliness and completeness of discharge summaries for patients discharged from the ICU to a hospital ward?
RCT
Randomized and staggered
Yes
Does an electronic ICU discharge summary tool improve the timeliness and completeness of discharge summaries for patients discharged from the ICU to a hospital ward?
Odds Ratio: 32.43 (95% CI 18.22–57.73)
Absolute Event Rate: 71.1% vs 10.8%
Implementation of an electronic ICU discharge tool significantly improved the timeliness and completeness of discharge summaries and was associated with a decrease in preventable adverse events.
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Stelfox et al. (2022) conducted an RCT in ICU discharge to hospital ward. Electronic ICU discharge summary tool (eDischarge) vs. Pre-implementation period (standard care) was evaluated on Timely (available at discharge) and complete discharge summaries (OR 32.43, 95% CI 18.22-57.73). Implementation of an electronic ICU discharge summary tool increased the proportion of timely and complete discharge summaries from 10.8% to 71.1% (OR 32.43; 95% CI 18.22-57.73).
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