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dc.contributor.authorGustafson, Owen
dc.contributor.authorHinton, Lisa
dc.contributor.authorMorgan, Lauren
dc.contributor.authorPattison, Natalie
dc.contributor.authorThomas, Hilary
dc.contributor.authorYoung, J Duncan
dc.contributor.authorWatkinson, Peter
dc.date.accessioned2019-03-27T15:09:13Z
dc.date.available2019-03-27T15:09:13Z
dc.date.issued2019-01-25
dc.identifier.citationGustafson , O , Hinton , L , Morgan , L , Pattison , N , Thomas , H , Young , J D & Watkinson , P 2019 , ' Protocol for a mixed-methods exploratory investigation of care following intensive care discharge: the REFLECT study ' , BMJ Open , vol. 9 , no. 1 , e027838 , pp. 1-8 . https://doi.org/10.1136/bmjopen-2018-027838
dc.identifier.issn2044-6055
dc.identifier.otherPURE: 16508741
dc.identifier.otherPURE UUID: 76fe25d2-0a39-4b06-adda-a784d5a81f54
dc.identifier.otherScopus: 85060702155
dc.identifier.otherORCID: /0000-0002-6771-8733/work/62751757
dc.identifier.urihttp://hdl.handle.net/2299/21228
dc.description© Author(s) 2019. Re-use permitted under CC BY. Published by BMJ.
dc.description.abstractINTRODUCTION: A substantial number of patients discharged from intensive care units (ICUs) subsequently die without leaving hospital. It is unclear how many of these deaths are preventable. Ward-based management following discharge from ICU is an area that patients and healthcare staff are concerned about. The primary aim of REFLECT (Recovery Following Intensive Care Treatment) is to develop an intervention plan to reduce in-hospital mortality rates in patients who have been discharged from ICU. METHODS AND ANALYSIS: REFLECT is a multicentre mixed-methods exploratory study examining ward care delivery to adult patients discharged from ICU. The study will be made up of four substudies. Medical notes of patients who were discharged from ICU and subsequently died will be examined using a retrospective case records review (RCRR) technique. Patients and their relatives will be interviewed about their post-ICU care, including relatives of patients who died in hospital following ICU discharge. Staff involved in the care of patients post-ICU discharge will be interviewed about the care of this patient group. The medical records of patients who survived their post-ICU stay will also be reviewed using the RCRR technique. The analyses of the substudies will be both descriptive and use a modified grounded theory approach to identify emerging themes. The evidence generated in these four substudies will form the basis of the intervention development, which will take place through stakeholder and clinical expert meetings. ETHICS AND DISSEMINATION: Ethical approval has been obtained through the Wales Research and Ethics Committee 4 (17/WA/0107). We aim to disseminate the findings through international conferences, international peer-reviewed journals and social media. TRIAL REGISTRATION NUMBER: ISRCTN14658054.en
dc.format.extent8
dc.language.isoeng
dc.relation.ispartofBMJ Open
dc.rightsOpen
dc.subjectcritical care
dc.subjectmixed methods
dc.subjectoutcome
dc.subjectprotocol
dc.subjectMedicine(all)
dc.titleProtocol for a mixed-methods exploratory investigation of care following intensive care discharge: the REFLECT studyen
dc.contributor.institutionSchool of Health and Social Work
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85060702155&partnerID=8YFLogxK
dc.relation.schoolSchool of Health and Social Work
dc.description.versiontypeFinal Published version
dcterms.dateAccepted2019-01-25
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1136/bmjopen-2018-027838
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeOpen


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