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Table 2 Example of ICU guideline function

From: Where the rubber meets the road: using FRAM to align work-as-imagined with work-as-done when implementing clinical guidelines

Function: plan actions for next day

Condition

Description

Input

Staff meet

Output

Actions for next day

Agreement (yes/no) to start first heart surgery at 0700

Any hold actions beyond first heart surgery until meeting 0800

Precondition

Bed plan

Discharge plan for next day

Authorisation for transfer of overflow

Number of nurses available

Resource

Nurse Unit Manager

ICU General Consultant

ICU Surgical Consultant

Nursing Director

Surgical Services Group representative

Control

ICU capacity to accept unplanned admissions within the next 24 h

Ability to accept elective workload

Number of elective surgeries next day

Prioritisation of cases

Time

1600 (meeting time)

0700 (output required)

0800 (output required)