The perioperative handoff protocol: Evaluating impacts on handoff defects and provider satisfaction in adult perianesthesia care units

Journal of Clinical Anesthesia

Volumn 27, Issue 2, 2015, Pages 111-119

  Petrovic, Michelle A ^a   Aboumatar, Hanan ^a   Scholl, Adam T ^b   Gill, Randeep S ^a   Krenzischek, Dina A ^c   Camp, Melissa S ^a   Senger, Carolyn M ^a   Deng, Yi ^a   Chang, Tracy Y ^c   Xie, Yanjun ^d   Jurdi, Zahi R ^c   Martinez, Elizabeth A ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b Johns Hopkins University School of Medicine ^*  (United States)

^c JOHNS HOPKINS HOSPITAL   (United States)

^d JOHNS HOPKINS UNIVERSITY   (United States)

Author keywords

Handoffs; Handovers; PACU; Perioperative; Transfers; Transitions

Indexed keywords

ANESTHESIA; ANTICIPATORY GUIDANCE; ARTICLE; CARDIAC MONITOR; CLINICAL PROTOCOL; CROSS-SECTIONAL STUDY; HUMAN; INTERPERSONAL COMMUNICATION; MAJOR CLINICAL STUDY; MEDICAL DEVICE; OXYGEN TANK; PATIENT SATISFACTION; PERIOPERATIVE HANDOFF PROTOCOL; PERIOPERATIVE PERIOD; PHYSICAL EXAMINATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; PULSE OXIMETER; RECOVERY ROOM; SURGEON; SURGICAL PATIENT; TERTIARY CARE CENTER; TRANSDUCER; VERBAL BEHAVIOR; CLINICAL HANDOVER; EVALUATION STUDY; MEDICAL ERROR; OPERATING ROOM; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PATIENT TRANSPORT; PREVENTION AND CONTROL; PUBLIC RELATIONS; SATISFACTION; STANDARDS; TOTAL QUALITY MANAGEMENT; UNITED STATES;

CLINICAL PROTOCOLS; COMMUNICATION; CROSS-SECTIONAL STUDIES; HUMANS; INTERPROFESSIONAL RELATIONS; MARYLAND; MEDICAL ERRORS; OPERATING ROOMS; PATIENT CARE TEAM; PATIENT HANDOFF; PATIENT TRANSFER; PERIOPERATIVE CARE; PERSONAL SATISFACTION; QUALITY IMPROVEMENT; TERTIARY CARE CENTERS;

EID: 84924150144     PISSN: 09528180     EISSN: 18734529     Source Type: Journal    
DOI: 10.1016/j.jclinane.2014.09.007     Document Type: Article

References (31)

1. L. Kohn To err is human: an interview with the Institute of Medicine's Linda Kohn Jt Comm J Qual Improv 26 2000 227 234
2. L.L. Leape, T.A. Brennan, and N. Laird The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II N Engl J Med 324 1991 377 384
3. British Medical Association Safe handover: safe patients Guidance on clinical handover for clinicians and managers 2004 [London, United Kingdom]
4. H. Singh, E.J. Thomas, L.A. Petersen, and D.M. Studdert Medical errors involving trainees: a study of closed malpractice claims from 5 insurers Arch Intern Med 167 2007 2030 2036
5. K. Nagpal, A. Vats, and K. Ahmed A systematic quantitative assessment of risks associated with poor communication in surgical care Arch Surg 145 2010 582 588
6. E.E. Sullivan Hand-off communication J Perianesth Nurs 22 2007 275 279
7. The Joint Commission The Joint Commission. National Patient Safety Goals Accessed Aug 20, 2014 http://eccdl.dcccd.edu/ADNClin-Handbook/1460/Skills%20lab/Hand%20off.pdf
8. N. Segall, A.S. Bonifacio, and R.A. Schroeder Can we make postoperative patient handovers safer? A systematic review of the literature Anesth Analg 115 2012 102 115
9. L. Lingard, S. Espin, and S. Whyte Communication failures in the operating room: an observational classification of recurrent types and effects Qual Saf Health Care 13 2004 330 334
10. A.A. Gawande, E.J. Thomas, M.J. Zinner, and T.A. Brennan The incidence and nature of surgical adverse events in Colorado and Utah in 1992 Surgery 126 1999 66 75
11. N. Siddiqui, C. Arzola, and M. Iqbal Deficits in information transfer between anaesthesiologist and postanaesthesia care unit staff: an analysis of patient handover Eur J Anaesthesiol 29 2012 438 445
12. C.C. Greenberg, S.E. Regenbogen, and D.M. Studdert Patterns of communication breakdowns resulting in injury to surgical patients J Am Coll Surg 204 2007 533 540
13. M.A. Petrovic, H. Aboumatar, and W.A. Baumgartner Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs J Cardiothorac Vasc Anesth 26 2012 11 16
14. K.R. Catchpole, M.R. De Leval, and A. Mcewan Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality Paediatr Anaesth 17 2007 470 478
15. K.A. Nagpal, M.A. Abboudi, and C.H. Manchanda Improving postoperative handover: a prospective observational study Am J Surg 206 2013 494 501
16. A.B. Haynes, T.G. Weiser, and W.R. Berry A surgical safety checklist to reduce morbidity and mortality in a global population N Engl J Med 360 2009 491 499
17. C.D. Kemp, J.M. Bath, and J. Berger The top 10 list for a safe and effective sign-out Arch Surg 143 2008 1008 1010
18. A.F. Smith, C. Pope, D. Goodwin, and M. Mort Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room Br J Anaesth 101 2008 332 337
19. M.A. Petrovic, E.A. Martinez, and H. Aboumatar Implementing a perioperative handoff tool to improve postprocedural patient transfers Jt Comm J Qual Patient Saf 38 2012 135 142
20. V. Arora, J. Johnson, D. Lovinger, H.J. Humphrey, and D.O. Meltzer Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis Qual Saf Health Care 14 2005 401 407
21. S.M. Salerno, M.V. Arnett, and J.P. Domanski Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward Teach Learn Med 21 2009 121 126
22. V. Arora, and J. Johnson A model for building a standardized hand-off protocol Jt Comm J Qual Patient Saf 32 2006 646 655
23. H. Berkenstadt, Y. Haviv, and A. Tuval Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk Chest 134 2008 158 162
24. E.J. Dunn, P.D. Mills, J. Neily, M.D. Crittenden, A.L. Carmack, and J.P. Bagian Medical team training: applying crew resource management in the Veterans Health Administration Jt Comm J Qual Patient Saf 33 2007 317 325
25. S. Hohenhaus, S. Powell, and J. Hohenhaus Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method Am J Nurs 106 2006 72A-72B
26. L. Lingard, G. Regehr, and B. Orser Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication Arch Surg 143 2008 12 17 [discussion 18]
27. S. Undre, N. Sevadalis, and A. Healey Observational teamwork assessment for surgery (OTAS): refinement and application in urological surgery World J Surg 31 2007 1373 1381
28. P. Pronovost Interventions to decrease catheter-related bloodstream infections in the ICU: the Keystone Intensive Care Unit Project Am J Infect Control 36 2008 S171e1 S171e5
29. T.A. Manser, and S.I. Foster Effective handover communication: an overview of research and improvement efforts Best Pract Res Clin Anaesthesiol 25 2011 181 191
30. S.I. Foster, and T.A. Manser The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research Acad Med 87 2012 1105 1124
31. T.H. Moller, M.A. Madsen, and L.O. Fuhrmann Postoperative handover: characteristics and considerations on improvement Eur J Anaesthesiol 30 2013 229 242