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05/15/26

Standardizing ICU-to-ward transitions: introducing and refining ICU-PAUSE in the process of medical intensive care unit downgrade.

Perez, Edwin; Tasevac, Benjamin; Kuchera, Timothy; Yoo, Erika J. Am J Med Qual.

Collection Topics
Communication Culture, Work System, and Implementation
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Summary

Standardized handoff tools for diagnostic pauses enhance communication between teams when patients transfer in-hospital. This single-center study found that an ICU-written handoff tool (ICU-PAUSE) did not change overall provider satisfaction. However, most clinicians preferred ICU authorship and, after targeted training, reported greater confidence in care transitions.

Read the paper
Perez E, Tasevac B, Kuchera T, et al. Standardizing ICU-to-ward transitions: introducing and refining ICU-PAUSE in the process of medical intensive care unit downgrade. Am J Med Qual. 2026;41(5):237-244.