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Albany Medical Center refines care transitions for patients

ICU readmission is associated with poorer health outcomes, including lower survival rates, prolonged hospitalization, increased costs, higher degrees of disability after ICU discharge and greater emotional stress to patients and their families. In 2017, Albany Medical Center implemented a multidisciplinary initiative to improve the transition from the ICU to a lower level care unit.

To reduce their number of “back transfers,” AMC increased collaboration, communication and triaging of patients between nurses and providers. Components of the initiative included:

  • purposeful hourly rounding;
  • staff education;
  • toileting;
  • engagement with patients;
  • family involvement;
  • shift huddle communication;
  • implementation of the American Association of Critical Care Nurses’ Assess, Prevent and Manage Pain, Both Spontaneous Awakening Trials and Spontaneous Breathing Trials;
  • choice of analgesia and sedation;
  • Assess, Prevent and Manage, Early mobility and Exercise, and Family engagement and empowerment (ABCDEF) bundle; and
  • partnering with physical and occupational therapy staff.

After implementation, between 2017 and 2018, patient falls decreased 41.6%, back transfers decreased 28.6% and patient and family satisfaction improved.

For more information, contact Debra A. Levy, BSN, RN, nursing manager, at (518) 262-7800 or levyda@amc.edu.