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Name of Media:

Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives

Author(s):

HAINES, K. J., SEVIN, C. M., HIBBERT, E., BOEHM, L. M., APARANJI, K., BAKHRU, R. N., BASTIN, A. J., BEESLEY, S. J., BUTCHER, B. W., DRUMRIGHT, K., EATON, T. L., FARLEY, T., FIRSHMAN, P., FRITSCHLE, A., HOLDSWORTH, C., HOPE, A. A., JOHNSON, A., KENES, M. T., KHAN, B. A., KLOOS, J. A., KROSS, E. K., MACLEOD-SMITH, B. J., MACTAVISH, P., MEYER, J., MONTGOMERY-YATES, A., QUASIM, T., SAFT, H. L., SLACK, A., STOLLINGS, J., WEINHOUSE, G., WHITTEN, J., NETZER, G., HOPKINS, R. O., MIKKELSEN, M. E., IWASHYNA, T. J. AND MCPEAKE, J.

Publisher or Source:

Intensive Care Medicine

Type of Media:

Medical Journal

Media Originally for:

Critical Care Physicians, General Medical Professionals, Nurses and/or Other Critical Care Medical Professionals

Country of Origin:

United Kingdom

Primary Focus of Media:

Post Intensive Care Syndrome (PICS)

COVID-19 Related:

No

Description:

Five 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.

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