Information sharing between intensive care and primary care after an episode of critical illness; A mixed methods analysis

PloS One
Gabor Zilahi, Enda O'Connor

Abstract

Poor quality communication between hospital doctors and GPs at the time of hospital discharge is associated with adverse patient outcomes. This may be more marked after an episode of critical illness, the complications of which can persist long after hospital discharge. 1. to evaluate information sharing between ICU staff and GPs after a critical illness 2. to identify factors influencing the flow and utilisation of this information. Parallel mixed methods observational study in an Irish setting, with equal emphasis on quantitative and qualitative data. Descriptive analysis was performed on quantitative data derived from GP and ICU consultant questionnaires. Qualitative data came from semi-structured interviews with GPs and consultants, and were analysed using directed content analysis. Mixing of data occurred at the stage of interpretation. GPs rarely received information about an episode of critical illness directly from ICU staff, with most coming from patients and relatives. Information received from hospital sources was frequently brief and incomplete. Common communication barriers reported by consultants were insufficient time, low perceived importance and difficulty establishing GP contact. When provided information, GPs...Continue Reading

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Citations

Mar 19, 2021·Critical Care : the Official Journal of the Critical Care Forum·Anne-Françoise RousseauJean-Charles Preiser
Dec 19, 2021·Critical Care : the Official Journal of the Critical Care Forum·Kara M PlotnikoffKirsten M Fiest

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