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Background: A significant number of patients experience an adverse event when discharged from intensive care to a ward. More than half of these events may be preventable with better standards of care.

Aim: To explore the opinions of an expert group of clinicians around factors contributing to adverse events in patients discharged from ICU.

Method: Online survey of Australian ICU Liaison Nurses (n = 39) using a validated questionnaire of 25 items.

Results: The response rate was 92.8%. Key contributing factors included a lack of experienced ward staff, patient co-morbidities and the clinically challenging nature of many patients. Conclusion: Modifying processes of care may decrease the risk or impact of adverse events in this high risk patient population.

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