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01/01/26

Flexible fidelity: adaptation of the ICU-PAUSE handoff tool during implementation across 11 ICUs.

Arnold, Elissa; Wile, Rachel; Cornell, Ella; Tominez, Paul; Rojas, Juan Carlos; Lyons, Patrick G; Santhosh, Lekshmi. Crit Care Explor.

Collection Topics
Cognition and Decision Making Communication Teamwork
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Summary

Standardized handoff tools for diagnostic pauses may reduce information loss in complex settings. This multicenter qualitative study evaluates the ICU-PAUSE tool, a structured handoff program that helps clinicians summarize care, address unresolved issues, and discuss uncertainty. Results showed positive feedback on the pause tactic, value in the diagnostic uncertainty section, and that local adaptation aided implementation success.

Read the paper
Arnold E, Wile R, Cornell E, et al. Flexible fidelity: adaptation of the ICU-PAUSE handoff tool during implementation across 11 ICUs. Crit Care Explor. 2026;8(1):e1362.