ArticleIntensive care medicine2019
Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives.
Article in Intensive care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.
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Who cites it
49 citing papers in PubMed.
- Effects of The Caregiver Pathway intervention on symptoms of post-intensive care syndrome among family caregivers to critically ill patients: long-term results from a randomized controlled trial.Intensive care medicine · 2025Trial
- Effect of an intensive care unit virtual reality intervention on relatives´ mental health distress: a multicenter, randomized controlled trial.Critical care (London, England) · 2025Trial
- The Association between Patient Health Status and Surrogate Decision Maker Post-Traumatic Stress Disorder Symptoms in Chronic Critical Illness.Annals of the American Thoracic Society · 2021Trial
- Neurological Outcome Beyond the ICU in Patients with Severe Acute Brain Injury: A Knowledge gap for ICU Teams.Journal of intensive care medicine · 2026Observational
- Piloting an ICU follow-up clinic - qualitative process evaluation alongside a feasibility study.Pilot and feasibility studies · 2026Article
- Post-CICU Recovery Programs: Early Adopters and Care Models.JACC. Advances · 2026Article
- Supporting Post-ICU Recovery: A Narrative Review for General Practitioners.Diseases (Basel, Switzerland) · 2025Review
- Characteristics of symptoms and establishment of a predictive model for PICS in mechanically ventilated patients with severe pneumonia: a retrospective study.European journal of medical research · 2025Article
- Novel Post-Neurointensive Care Recovery Clinic: Design, Utilization, and Clinician Perspectives.Neurology. Clinical practice · 2025Article
- Article
- ICU follow-up services and their impact on post-intensive care syndrome: a scoping review protocol.BMJ open · 2024Article
- Delirium and Coronavirus Disease 2019: Looking Back, Moving Forward.Critical care nursing clinics of North America · 2024Review
- Post intensive care syndrome: A review of clinical symptoms, evaluation, intervention.Heliyon · 2024Review
- Promoting optimal physical rehabilitation in ICU.Intensive care medicine · 2024Article
- Novel Definitions of Wellness and Distress among Family Caregivers of Patients with Acute Cardiorespiratory Failure: A Qualitative Study.Annals of the American Thoracic Society · 2024Article
- Critical Care Education and the ICU Care Continuum.American journal of respiratory and critical care medicine · 2024Article
- Post-intensive care syndrome follow-up system after hospital discharge: a narrative review.Journal of intensive care · 2024Review
- Unmasking the hidden aftermath: postintensive care unit sequelae, discharge preparedness, and long-term follow-up.Critical care science · 2024Review
- Article
- Medication Regimen Complexity Index Score at Admission as a Predictor of Inpatient Outcomes: A Machine Learning Approach.International journal of environmental research and public health · 2023Article
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36 authors.
Funding
Abstract
objectiveTo identify the key mechanisms that clinicians perceive improve care in the intensive care unit (ICU), as a result of their involvement in post-ICU programs.
methodsQualitative inquiry via focus groups and interviews with members of the Society of Critical Care Medicine's THRIVE collaborative sites (follow-up clinics and peer support). Framework analysis was used to synthesize and interpret the data.
resultsFive key mechanisms were identified as drivers of improvement back into the ICU: (1) identifying otherwise unseen targets for ICU quality improvement or education programs-new ideas for quality improvement were generated and greater attention paid to detail in clinical care. (2) Creating a new role for survivors in the ICU-former patients and family members adopted an advocacy or peer volunteer role. (3) Inviting critical care providers to the post-ICU program to educate, sensitize, and motivate them-clinician peers and trainees were invited to attend as a helpful learning strategy to gain insights into post-ICU care requirements. (4) Changing clinician's own understanding of patient experience-there appeared to be a direct individual benefit from working in post-ICU programs. (5) Improving morale and meaningfulness of ICU work-this was achieved by closing the feedback loop to ICU clinicians regarding patient and family outcomes.
conclusionsThe follow-up of patients and families in post-ICU care settings is perceived to improve care within the ICU via five key mechanisms. Further research is required in this novel area.
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