ArticleBMC health services research2018
A qualitative exploration of the discharge process and factors predisposing to readmissions to the intensive care unit.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Implementation and feasibility evaluation of a standard set of intensive care unit discharge criteria in a prospective before-after observational pilot study.BMC health services research · 2026Observational
- Transitions of care between pediatric onco-hematology and intensive care units: An exploratory study of healthcare professionals' perceptions and practices in medication management.Exploratory research in clinical and social pharmacy · 2026Article
- Mitigating Clinical Confounding in AI Models: A Comparative Analysis of Associative and Causal-Fused AI for ICU Readmissions.Healthcare (Basel, Switzerland) · 2026Article
- Post-Intensive Care Fragmentation Among Rural Veterans: Transitions Between VA and Community Health Systems.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- A Qualitative Study of Unplanned Hospital Readmissions: Patient Perspectives on Their Hospital to Home Transition.Nursing reports (Pavia, Italy) · 2025Article
- Impacts of DRG point-based payment system on healthcare resource utilization and provider behavior: a pilot quasi-experimental study in China.Frontiers in public health · 2025Article
- Transition experiences of patients and families upon discharge from intensive care: a scoping review.Revista latino-americana de enfermagem · 2025Article
- Article
- Delphi study to derive expert consensus on a set of criteria to evaluate discharge readiness for adult ICU patients to be discharged to a general ward-European perspective.BMC health services research · 2022Article
- Concept of care shock during intensive care unit discharge process.Acute and critical care · 2021Article
- A Simple Scoring Tool to Predict Medical Intensive Care Unit Readmissions Based on Both Patient and Process Factors.Journal of general internal medicine · 2021Article
- Accuracy of Clinicians' Ability to Predict the Need for Intensive Care Unit Readmission.Annals of the American Thoracic Society · 2020Article
- Transition of care at discharge from the Intensive Care Unit: a scoping review.Revista latino-americana de enfermagem · 2020Article
- Hospital physicians' views on discharge and readmission processes: a qualitative study from Norway.BMJ open · 2019Article
- Exploring physicians' decision-making in hospital readmission processes - a comparative case study.BMC health services research · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundQuantitative studies have demonstrated several factors predictive of readmissions to intensive care. Clinical decision tools, derived from these factors have failed to reduce readmission rates. The purpose of this study was to qualitatively explore the experiences and perceptions of physicians and nurses to gain more insight into intensive care readmissions.
methodsSemi-structured interviews of intensive care unit (ICU) and general medicine care providers explored work routines, understanding and perceptions of the discharge process, and readmissions to intensive care. Participants included ten providers from the ICU setting, including nurses (n = 5), consultant intensivists (n = 2), critical care fellows (n = 3) and 9 providers from the general medical setting, nurses (n = 4), consulting physicians (n = 2) and senior resident physicians (n = 3). Principles of grounded theory were used to analyze the interview transcripts.
resultsNine factors within four broad themes were identified: (1) patient factors - severity-of-illness and undefined goals of care; (2) process factors - communication, transitions of care; (3) provider factors - discharge decision-making, provider experience and comfort level; (4) organizational factors - resource constraints, institutional policies.
conclusionsSevere illness predisposes ICU patients to readmission, especially when goals of care were not adequately addressed. Communication, premature discharge, and other factors, mostly unrelated to the patient were also perceived by physicians and nurses to be associated with readmissions to intensive care. Quality improvement efforts that focus on modifying or improving aspects of non-patient factors may improve outcomes for patients at risk of ICU readmission.
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