Eliminating Hands-Off Handoffs: Improvement in Perioperative Handoff Communication With a Multidisciplinary Tool Initiative.

IF 0.9 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal for Healthcare Quality Pub Date : 2024-05-01 Epub Date: 2024-01-12 DOI:10.1097/JHQ.0000000000000424

David P Ebertz, Emily Steinhagen, Christine E Alvarado, Katherine Bingmer, Daniel Asher, Amy Berardinelli, John Ammori

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引用次数: 0

Abstract

Introduction: Handoffs between the operating room (OR) and post-anesthesia care unit (PACU) require a high volume and quality of information to be transferred. This study aimed to improve perioperative communication with a handoff tool.

Methods: Perioperative staff at a quaternary care center was surveyed regarding perception of handoff quality, and OR to PACU handoffs were observed for structured criteria. A 25-item tool was implemented, and handoffs were similarly observed. Staff was then again surveyed. A multidisciplinary team led this initiative as a collaboration.

Results: After implementation, nursing reported improved perception of time spent (2.63-3.68, p = .02) and amount of information discussed (2.85-3.73, p = .05). Anesthesia also reported improved personal communication (3.69-4.43, p = .004), effectiveness of handoffs (3.43-3.82, p = .02), and amount of information discussed (4.26-4.76, p = .05). After implementation, observed patient information discussed during handoffs increased for both surgical and anesthesia team members. The frequency of complete and near-complete handoffs increased (40%-74%, p < .001).

Conclusions: A structured handoff tool increased the amount of essential information reported during handoffs between the OR and PACU and increased team members' perception of handoffs.

查看原文本刊更多论文

消除脱手交接：利用多学科工具改善围术期交接沟通。

导言：手术室（OR）和麻醉后护理病房（PACU）之间的交接需要大量和高质量的信息传递。本研究旨在利用交接工具改善围手术期的沟通：方法：对一家四级护理中心的围手术期工作人员进行了关于交接质量感知的调查，并根据结构化标准观察了手术室到 PACU 的交接。采用了一种包含 25 个项目的工具，并对交接过程进行了类似的观察。然后再次对员工进行了调查。结果：结果：实施后，护理人员对所花时间（2.63-3.68，p = .02）和讨论信息量（2.85-3.73，p = .05）的感知有所改善。麻醉科也报告称，个人沟通（3.69-4.43，p = .004）、交接班的有效性（3.43-3.82，p = .02）和讨论的信息量（4.26-4.76，p = .05）均有所改善。实施后，观察到手术和麻醉团队成员在交接过程中讨论的患者信息都有所增加。完整和接近完整交接的频率增加了（40%-74%，p < .001）：结构化交接班工具增加了手术室和 PACU 之间交接班时报告的基本信息量，并提高了团队成员对交接班的认识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal for Healthcare Quality HEALTH CARE SCIENCES & SERVICES-

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： The Journal for Healthcare Quality (JHQ), a peer-reviewed journal, is an official publication of the National Association for Healthcare Quality. JHQ is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. It has been selected for coverage in Thomson Reuter’s Science Citation Index Expanded, Social Sciences Citation Index®, and Current Contents®. The Journal publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely and impactful evidence in healthcare system transformation. The journal covers topics such as: Quality Improvement • Patient Safety • Performance Measurement • Best Practices in Clinical and Operational Processes • Innovation • Leadership • Information Technology • Spreading Improvement • Sustaining Improvement • Cost Reduction • Payment Reform