Copyright © 2022 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved. Editorials 1668 www.ccmjournal.org November 2022 • Volume 50 • Number 11 12. Barnes-Daly MA, Phillips G, Ely EW: Improving hospital survival and reducing brain dysfunction at seven California commu- nity hospitals: Implementing PAD guidelines via the ABCDEF bundle in 6,064 patients. Crit Care Med 2017; 45:171–178 13. Pun BT, Badenes R, Heras La Calle G, et al; COVID-19 Intensive Care International Study Group: Prevalence and risk factors for delirium in critically ill patients with COVID- 19 (COVID-D): A multicentre cohort study. Lancet Respir Med 2021; 9:239–250 14. Liu K, Nakamura K, Kudchadkar SR, et al: Mobilization and re- habilitation practice in ICUs during the COVID-19 pandemic. J Intensive Care Med 2022; 37:1256–1264 15. Halpin SJ, McIvor C, Whyatt G, et al: Postdischarge symptoms and rehabilitation needs in survivors of COVID-19 infection: A cross-sectional evaluation. J Med Virol 2021; 93:1013–1022 16. Kennouche, D, Foschia C, et al: Millet GY: Cardiorespiratory Fitness and Neuromuscular Function of Mechanically Ventilated ICU COVID-19 Patients. Crit Care Med 2022; 50:1555–1565 17. Peel AB, Thomas SM, Dittus K, et al: Cardiorespiratory fitness in breast cancer patients: A call for normative values. J Am Heart Assoc 2014; 3:e000432 18. Del Buono MG, Mihalick V, Damonte JI, et al: Preservation of cardiac reserve and cardiorespiratory fitness in patients with acute de novo versus acute on chronic heart failure with reduced ejection fraction. Am J Cardiol 2021; 158:74–80 19. Warburton DE, Nicol CW, Bredin SS: Health benefits of phys- ical activity: The evidence. CMAJ 2006; 174:801–809 20. Geense WW, Zegers M, Peters MAA, et al: New physical, mental, and cognitive problems 1 year after ICU admission: A prospective multicenter study. Am J Respir Crit Care Med 2021; 203:1512–1521 21. Morandi A, Piva S, Ely EW, et al: Worldwide survey of the “Assessing pain, both spontaneous awakening and breath- ing trials, choice of drugs, delirium monitoring/management, early exercise/mobility, and family empowerment” (ABCDEF) bundle. Crit Care Med 2017; 45:e1111–e1122 KEY WORDS: care transitions; critical care; discharge planning; handoff communication; patient transfer E fective physician-to-physician communication is essential for patient safety, particularly at junctions when patient care transitions between physician teams during hospitalization, such as from intensivists to hos- pitalists in the early ICU afercare period. Tese transitions in care from the ICU to intermediate care areas or wards, represent unique vulnerabilities for patients, ofen attributed to residual organ damage, complex pharmacologic therapies, and are prone to ICU-acquired defcits (e.g., delirium) (1). Although the Situation-Background-Assessment-Recommendation communication checklist is a familiar verbal and written communication strategy adopted for structured updates in nursing (2, 3), the tradition-based practices of unstruc- tured physician progress notes are receiving more scrutiny in composition and timeliness. Electronic discharge (eDischarge) tools are increasingly embedded within electronic health records (EHRs) to leverage existing patient-specifc data entries (i.e., laboratory values, vascular access catheters) and thus poten- tially ofer more complete, accurate, and efcient multidisciplinary documen- tation relevant to handof communication (1). In this issue of Critical Care Medicine, Stelfox et al (4) investigate the crucially important step of timely and efective physician-to-physician ICU discharge handof documentation to communicate clinical priorities for patients entering the early ICU afercare period. Teir intervention of an EHR-enabled structured ICU discharge note replaced a free-form dictation approach in four participat- ing hospitals in Calgary, AB, Canada. Te primary outcome measures were Valerie Danesh, PhD, RN, FCCM 1,2 Jonathan D. Hecht, MSN, APRN, CCRN 2 Farzan Sasangohar, PhD 3,4 Communication Strategies and Patient Care Transitions in the Early ICU Aftercare Period* DOI: 10.1097/CCM.0000000000005666 *See also p. 1566. Copyright © 2022 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.