Flexible Fidelity: Adaptation of the ICU-PAUSE Handoff Tool During Implementation Across 11 ICUs.

ABSTRACT:

Importance

Communication failures during patient handoffs from the ICU to the ward are common and negatively impact patients. Structured handoff communication tools may improve these transitions yet remain infrequently used.

Objectives

Characterize local determinants of ICU-PAUSE handoff program perceived implementation success and describe adaptations made to the ICU-PAUSE tool and its implementation strategies during multicenter implementation.

Design, setting, and participants

Qualitative study in 11 academic hospitals' medical ICUs. Participants were intensive care physicians who volunteered to champion ICU-PAUSE implementation at their respective institutions.

Analysis

Thematic analysis of semi-structured interviews to understand determinants, artifact ana

SUBMITTER: Arnold E 

PROVIDER: S-EPMC12753161 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature