Australian Critical Care
Volume 23, Issue 3 , Pages 141-149 , August 2010

Discharge delay, room for improvement?

  • Teresa A. Williams, RN, ICU Cert, M HlthSci, PhD

      Affiliations

    • Curtin Health Innovation Research Institute, Curtin University and Critical Care Division, Royal Perth Hospital, Perth, Western Australia, Australia
    • Critical Care Division, Royal Perth Hospital, Perth, Western Australia, Australia
    • Corresponding Author InformationCorresponding author at: Intensive Care Unit, Royal Perth Hospital, Wellington St, Perth, Western Australia 6000, Australia. Tel.: +61 439 907 616; fax: +61 8 9224 2255.
    • ,
  • Gavin D. Leslie, RN, ICU Cert, PhD

      Affiliations

    • Curtin Health Innovation Research Institute, Curtin University and Critical Care Division, Royal Perth Hospital, Perth, Western Australia, Australia
    • ,
  • Linda Brearley, RN, ICU Cert, BEcon

      Affiliations

    • Critical Care Division, Royal Perth Hospital, Perth, Western Australia, Australia
    • ,
  • Tim Leen, RN

      Affiliations

    • Intensive Care Unit, Royal Perth Hospital, Wellington St, Perth, Western Australia 6000, Australia
    • ,
  • Keith O’Brien, RN, ICU Cert, MN

      Affiliations

    • Intensive Care Unit, Royal Perth Hospital, Wellington St, Perth, Western Australia 6000, Australia

Received 22 October 2009 ,Revised 19 February 2010 ,Accepted 22 February 2010.

References 

  1. Higlett T, Bishop N, Hart G, Hicks P. Review of Intensive Care Resources & Activity 2002/2003. Melbourne: Australian and New Zealand Intensive Care Society; 2005;
  2. Moran J, Bristow PJ, Solomon P, George C, Hart G For the Australian and New Zealand Intensive Care Society Database Management Committee (ADMC). Mortality and length-of-stay outcomes, 1993–2003, in the binational Australian and New Zealand intensive care adult patient database. Crit Care Med. 2008;36:46–61
  3. Acute Health Division DoHS. Review of intensive care in Victoria [Phase 1 report]. Melbourne: Department of Human Services; 1997.
  4. Krell K. Critical care workforce. Crit Care Med. 2008;36:1350–1353
  5. Angus DC, Kelley MA, Schmitz RJ, White A, Popovich J, et al. Committee on Manpower for Pulmonary Critical Care Societies Caring for the critically ill patient. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population?. JAMA. 2000;284:2762–2770
  6. Halpern NA, Pastores SM. Critical care medicine in the United States 2000–2005: an analysis of bed numbers, occupancy rates, payer mix, and costs. Crit Care Med. 2010;38:65–71
  7. Hillman KM, Bristow PJ, Chey T, Daffurn K, Jacques T, Norman SL, et al. Antecedents to hospital deaths. Intern Med J. 2001;31:343–348
  8. Goldhill DR, White SA, Sumner A. Physiological values and procedures in the 24h before ICU admission from the ward. Anaesthesia. 1999;54:529–534
  9. McQuillan P, Pilkington S, Allan A, Taylor B, Short A, Morgan G, et al. Confidential inquiry into quality of care before admission to intensive care. BMJ. 1998;316:1853–1858
  10. Chalfin DB, Trzeciak S, Likourezos A, Baumann BM, Dellinger RP group D-Es. Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Crit Care Med. 2007;35:1477–1483
  11. Smith GB, Taylor BL, McQuillan PJ, Nials E. Rationing intensive care. Intensive care provision varies widely in Britain. BMJ. 1995;310:1412–1413
  12. Metcalfe MA, Sloggett A, McPherson K. Mortality among appropriately referred patients refused admission to intensive-care units. Lancet. 1997;350:7–11
  13. Joynt GM, Gomersall CD, Tan P, Lee A, Cheng CA, Wong EL. Prospective evaluation of patients refused admission to an intensive care unit: triage, futility and outcome. Intensive Care Med. 2001;27:1459–1465
  14. Duke GJ, Green JV. Outcome of critically ill patients undergoing interhospital transfer. Med J Aust. 2001;174:122–125
  15. Dobb GJ. Bed availability and transfer of critically ill patients. Med J Aust. 2001;174:114–115
  16. Shahani AK, Ridley SA, Nielsen MS Intensive Care Society's and Department of Health's Working Group on Patient Flows. Modelling patient flows as an aid to decision making for critical care capacities and organisation. Anaesthesia. 2008;63:1074–1080
  17. Williams T, Leslie G. Delayed discharges from an adult intensive care unit. Aust Health Rev. 2004;28:87–96
  18. Chaboyer W, Thalib L, Foster M, Elliott D, Endacott R, Richards B. The impact of an ICU liaison nurse on discharge delay in patients after prolonged ICU stay. Anaesth Intensive Care. 2006;34:55–60
  19. Brearley L, Hopkinson M, Martin S, Williams T. Delayed discharge from intensive care. In: 30th ANZICS/ACCCN Annual Scientific Meeting. Adelaide. 2005;
  20. Perlmutter DF, Suico C, Krauss AN, Auld PA. A program to reduce discharge delays in a neonatal intensive care unit. Am J Man Care. 1998;4:548–552
  21. Haines S, Coad S. Supporting ward staff in acute care areas: expanding the service. Intensive Crit Care Nurs. 2001;17:105–109
  22. Russell S. Reducing readmissions to the intensive care unit. Heart Lung. 1999;28:365–372
  23. Chaboyer W, Foster MM, Foster M, Kendall E. The Intensive Care Unit liaison nurse: towards a clear role description. Intensive Crit Care Nurs. 2004;20:77–86
  24. Coombs M, Dillon A. Crossing boundaries, re-defining care: the role of the critical care outreach team. J Clin Nurs. 2002;11:387–393
  25. Australian and New Zealand College of Anaesthetists Joint Faculty of Intensive Care Medicine. Australian and New Zealand College of Anaesthetists Joint Faculty of Intensive Care Medicine. IC-1 Minimum Standards for Intensive Care Units. Available from http://www.jficm.anzca.edu.au/publications/policy/ic1_2003.htm; 2003 [accessed October 2005].
  26. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13:818–829
  27. Harrison DA, Rowan KM. Outcome prediction in critical care: the ICNARC model. Curr Opin Crit Care. 2008;14:506–512
  28. Mamon J, Steinwachs DM, Fahey M, Bone LR, Oktay J, Klein L. Impact of hospital discharge planning on meeting patient needs after returning home. Health Serv Res. 1992;27:155–175
  29. Chaboyer W, Foster M, Kendall E, James H. The impact of a liaison nurse on ICU nurses’ perceptions of discharge planning. Aust Crit Care. 2004;17:25–32
  30. Williams T, Leslie G, Elliott N, Brearley L, Dobb G. Introduction of a discharge plan to reduce adverse events within 72 hours of discharge from ICU. J Nurs Care Qual. 2009;
  31. Crocker C, Keller R. Nurse-led discharge to the ward from high dependency: a service improvement project. Intensive Crit Care Nurs. 2005;21:363–366
  32. Department of Health. The NHS plan, a plan for investment a plan for reform. Available from http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4055783.pdf; 2000 [accessed July 2009].
  33. Government of Western Australia, Department of Health. Four-hour rule. Available from www.health.wa.gov.au/fourhourrule/home/; 2009 [accessed September 2009].
  34. Azoulay E, Adrie C, De Lassence A, Pochard F, Moreau D, Thiery G, et al. Determinants of postintensive care unit mortality: a prospective multicenter study. Crit Care Med. 2003;31:428–432
  35. Smith L, Orts CM, O’Neil I, Batchelor AM, Gascoigne AD, Baudouin SV. TISS and mortality after discharge from intensive care. Intensive Care Med. 1999;25:1061–1065
  36. Goldfrad C, Rowan K. Consequences of discharges from intensive care at night. Lancet. 2000;355:1138–1142

PII: S1036-7314(10)00036-6

doi: 10.1016/j.aucc.2010.02.003

Australian Critical Care
Volume 23, Issue 3 , Pages 141-149 , August 2010

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