Keywords

adverse events, discharge, discharge plan, intensive care, outcomes

Authors

1. Williams, Teresa A. PhD, RN
2. Leslie, Gavin D. PhD, RN, FRCN
3. Elliott, Noreen BN, RN
4. Brearley, Linda BSci (Nsg), RN
5. Dobb, Geoff J. BSc (Hons), MBBS, FRCP, FRCA, FANZCA, FJFICM, FAMA

Abstract

We examined the effect of introducing a discharge plan on the occurrence of adverse events within 72 hours of intensive care unit discharge. The study excluded discharges to home or to another institution and "not-for-resuscitation" patients. The adverse events rate was 23%, of which 37% were considered to be preventable. Respiratory problems and infections were the most frequent reasons. The discharge plan contributed to a change in the nature and preventability of events and facilitates the discharge process.