Table 4 summarizes patient, provider, and institutional factors that may act as facilitators and/or barriers to high-quality care during patient discharge from ICU. Thirty factors were identified, many of which could act as either facilitators or barriers depending on how framed (ie, positive vs negative context) and are summarized as presented in the literature. The most common facilitators related to patients and their families included provider-patient communication (n = 68, 30%), discharge education for patients and families (n = 66, 29%), and family support for the patient (n = 65, 29%). Patient and family anxiety about discharge (n = 48, 21%) was the most commonly reported barrier, whereas patient demographic and clinical characteristics (n = 92, 41%) were identified as both facilitators and barriers to discharge. Facilitators related to providers included provider-provider verbal (n = 57, 25%) and written (n = 26, 12%) communication, the use of transition-of-care services (eg, outreach teams and liaison nurses; n = 51, 23%), collaboration between hospital units (n = 30, 13%), and the experience and knowledge (n = 31, 14%) and clinical judgment (n = 21, 9%) of providers. Conversely, provider workload (n = 12, 5%) and provider anxiety (n = 5, 2%) were barriers identified in a small number of articles. Facilitators related to institutional factors included the use of guidelines and policies (n = 64, 29%), education and training of ICU and ward providers (n = 34, 15%), implementation of best practices (n = 34, 15%), and the use of tools to facilitate discharge (n = 25, 11%). The availability of limited resources both in the ICU and receiving hospital wards (n = 58, 26%) was identified as a barrier and the time of discharge (day of week or time of day; n = 33, 15%) as both a facilitator and barrier.