Handover from operating theatre to the intensive care unit: A quality improvement study

Marshall, Andrea P.; Tobiano, Georgia; Murphy, Niki; Comadira, Greg; Willis, Nicola; Gardiner, Therese; Hervey, Lucy; Simpson, Wendy; Gillespie, Brigid M.

doi:10.1016/j.aucc.2018.03.009

Cited by 21 publications

(14 citation statements)

References 24 publications

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“…Similar to previous research, this study found introduction of the standardized handoff tool significantly improved behaviors to enhance patient safety (Kitney et al, 2016;Marshall et al, 2019;Randmaa et al, 2016). For example, nurses sought additional information to look after their patient in 37% of handoffs in Phase 1 compared to only 10% in Phase 2.…”

Section: Discussionsupporting

confidence: 80%

“…Further, similar to a recent study (Keller, Bosse, Memmert, Treskatsch, & Spies, 2020), we demonstrated how it can be implemented using a simple visual aid with brief training for rapid adoption and consistent implementation. In contrast, previous research using similar elements to improve nurse handoff practices were typically onerous in terms of time and resources required for implementation (Marshall et al, 2019;Wong, Tung, Peck, & Goh, 2019;Yang & Zhang, 2016), and others failed to deliver the desired behaviors (Bergs et al, 2018). Given the increasing complexity and resource demands of clinical practice, there is a need to create improvement tools that can be implemented effectively without creating additional burdens for clinicians or health systems.…”

Section: Discussionmentioning

confidence: 99%

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A brief intervention to standardize postanesthetic clinical handoff

Njambi

Rawson

Redley

2021

Nursing & Health Sciences

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This naturalistic, pre-and post-design study explored the feasibility and acceptability of a brief patient safety intervention to introduce a tool to standardize interdisciplinary communication processes at patient handoff between anesthetists and postanesthesia nurses in the postanesthetic care unit. Observation and interview data were collected pre-and post-intervention from a convenience sample of 27 nurses and 23 anesthetists in a large tertiary hospital in Melbourne, Australia. Following the intervention, significant improvement was observed in nurses' performance of several patient safety behaviors, but trends in nurses' interdisciplinary communication behaviors such as asking questions and escalation of care were nonsignificant. This research provides evidence that tools to standardize clinical handoff communication may empower nurses to perform desired patient safety behaviors during interprofessional handoff. It underpins future research to explore strategies to empower nurses to advocate for patient safety during interdisciplinary communication, and provides a foundation for patient handoff improvement, education, and further research.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

A brief intervention to standardize postanesthetic clinical handoff

Njambi

Rawson

Redley

2021

Nursing & Health Sciences

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“…When electronic systems are specifically designed for handover between units, healthcare professionals' perceptions of satisfaction, efficiency and trust between healthcare professionals can improve (Nelson et al, 2017). With the international move towards EMR, it may be important to consider electronic sources when developing handover checklists, as paper‐based checklists are not always adhered to in practice (Marshall et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Protocols may include checklists to guide handover content required. These checklists sometimes use the “SBAR” pneumonic as a technique to set expectations for content around the topics “situation,” “background,” “assessment” and “recommendation” (Haig, Sutton, & Whittington, 2006; Marshall et al, 2018). Using standardised protocols means a more complete handover can be achieved by increasing the rate of information exchanged to over 80% (Yang & Zhang, 2016).…”

Section: Introductionmentioning

confidence: 99%

Front‐line nurses' perceptions of intra‐hospital handover

Tobiano

Ting

Ryan

et al. 2020

Journal of Clinical Nursing

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Aim and objective To explore nurses' perceptions of factors that help or hinder intra‐hospital handover. Background Miscommunication during clinical handover is a leading cause of clinical incidents in hospitals. Intra‐hospital nursing handover between the emergency department and inpatient unit is particularly complex. Design A descriptive, qualitative study. This research adheres to the consolidated criteria for reporting qualitative research. Methods Forty‐nine nurses participated in group interviews, which were analysed using inductive content analysis. Results Three categories emerged: (a) “lacking clear responsibilities for who provides handover”; (b) “strategies to ensure continuity of information”; and (c) “strained relationships during handover.” Conclusions Intra‐hospital handover requires clear processes, to promote high‐quality information sharing. Ensuring these processes are broad and acceptable across units may ensure nurses' needs are met. Relational continuity between nurses is an important consideration when improving intra‐hospital handover. Relevance to clinical practice Nursing managers are optimally positioned to enhance intra‐hospital handover, by liaising and enforcing standardisation of processes across units. Nurse managers could promote intra‐unit activities that foster front‐line nurses' communication with each other, to encourage problem‐solving and partnerships.

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“…SBAR has been proven to be effective in improving patient safety in the acute care settings, like for example, emergency and intensive care departments (Marshall et al, 2019;De Meester et al, 2013;Randmaa et al, 2014;Raymond & Harrison, 2014). However, outside the acute care setting, most research and suggested recommendations on structured communication tools are based on expert opinions or users' satisfaction with the tool, using pre,-and postquestionnaires and have not yet been shown to improve communication effectiveness or patient safety (Horwitz et al, 2008;Renz et al, 2013;Riesenberg et al, 2009).…”

Section: Introductionmentioning

confidence: 99%