Forging an easier path through graduation: Improving the patient transition from paediatric to adult critical care

Table 2 Barriers and enablers to effective hospital and intensive care transition

Barriers to effective transition	Potential enabler
Lack of knowledge relating to specific conditions and natural history	Medical letter/document summarising the condition, the key long term care components, formal transition meeting, consultation and process
Unknown medical, paediatric history/unavailable medical records	Patient “passport” - summary of care/paediatric history, current primary community clinicians, prior subspecialists, allied health clinicians. Handover process between paediatrician/intensivist to primary care clinician and emergency, ward and intensive care clinicians
No primary carer in hospital	Identify hospital and medical unit for ongoing inpatient care, transition letter with primary outpatient/video appointment introductory consultation
Uncertain acute care management	Emergency care document outlining medical condition, personalised care requirements (e.g., acute management of respiratory infection/failure), important medical record, current medications, care that works/care that doesn’t work
Inadequate facilities and hospital resources	Hospital visits to identify important facilities regarding access, locations, parking, medical supplies, establishing key contacts at hospital