Implementation of a Standardized Postanesthesia Care Handoff Increases Information Transfer Without Increasing Handoff Duration

Caruso, Thomas J.; Marquez, Juan L.; Wu, David; Shaffer, Jenny A.; Balise, Raymond R.; Groom, Marguerite; Leong, Kit; Mariano, Karley; Honkanen, Anita; Sharek, Paul J.

doi:10.1016/s1553-7250(15)41005-0

Cited by 29 publications

(42 citation statements)

References 17 publications

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“…The Handoff Taskforce was formed during a hospitalwide effort to standardize communication to a "one message, one time" handoff process, where all teams involved in a patient care transition were brought together for a single faceto-face communication supported by information prepopulated in the electronic medical record in an I-PASS format, conscious minimization of distractions, a formal time for questions to be asked, and a formal spoken acknowledgment of acceptance of accountability for the patient from the receiving team. 9 The Handoff Taskforce reported to an institutional handoff oversight committee but had the ultimate responsibility of tailoring the transfer process to the CVICU and ACU workflows.…”

Section: Planning the Quality Improvement Interventionmentioning

confidence: 99%

“…One recent report found that a standardized communication process was not associated with an increase in time for handoff between the operating room and the recovery room. 9 In such cases in which patients are transferred from 1 unit to another, efficient handoffs between sending and receiving unit teams are challenged by disparate clinical agendas, contributing to delays in the transfer process. 10 The impacts on efficiency and safety culture from standardized handoff processes are outcome measures of interest to investigators and clinicians alike to explore the value and reliability of timely but safe care.…”

mentioning

confidence: 99%

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Changes in Efficiency and Safety Culture After Integration of an I-PASS–Supported Handoff Process

Sheth

Kipps

et al. 2016

Pediatrics

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Ineffective handoff communication is a recognized patient safety risk in health care. In response, quality improvement experts have developed methods for structuring and standardizing transfer processes and handoff communication. These have included mnemonics for use during handovers, scripts or worksheets for the standardization of information conveyed, and the minimization of interruptions and distractions during verbal handovers. [1][2][3][4] Recent studies have also reported successfully leveraging multidisciplinary team strategies and workflow adjustments, such as reducing nighttime transfers from the ICU. 5 Most notably, the implementation of the I-PASS (illness severity, patient summary, action list, situation awareness and contingency plans, and synthesis by receiver)-supported handoff bundle studied with resident-to-resident handoffs has abstract BACKGROUND AND OBJECTIVES: Recent publications have shown improved outcomes associated with resident-to-resident handoff processes. However, the implementation of similar handoff processes for patients moving between units and teams with expansive responsibilities presents unique challenges. We sought to determine the impact of a multidisciplinary standardized handoff process on efficiency, safety culture, and satisfaction.

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Section: Planning the Quality Improvement Interventionmentioning

confidence: 99%

mentioning

confidence: 99%

Changes in Efficiency and Safety Culture After Integration of an I-PASS–Supported Handoff Process

Sheth

Kipps

et al. 2016

Pediatrics

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“…Several studies conducted pre and post handoff tool surveys and compared the results as a means to measure improvement. Many of the studies, including the one conducted by Caruso et al (2015), allowed the reports to be submitted anonymously by having the respondents use a unique identification code on their surveys. Protecting the identity of respondents eliminated any bias and allowed participants to freely express opinions with the interaction.…”

Section: Satisfaction With Handoffsmentioning

confidence: 99%

Standardized Communication and Perioperative Staff Satisfaction

Mancini¹

2017

Preprint

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Patient safety relies on effective and efficient communication among healthcare providers. Tools, such as standardized checklists, ensure information sharing in a consistent, predictable format. In the perioperative setting, where handoffs occur at several points and among various disciplines, high reliability is essential. This systematic review focused on the impact of standardized communication practices on perioperative staff satisfaction as it relates to sustainability of the new practice. The electronic databases PubMed and Google Scholar were used. Six articles met inclusion for the systematic review and of these six, four were determined to be of high quality through the application of The CASE Worksheet. The handoff tools implemented in these four studies were the electronic anesthesia information management system (AIMS), I-PASS mnemonic that described the illness, patient summary, action list, situation awareness and synthesis by receiver, Peri-op Handoff Protocol and a variation of the 'Surgical Safety

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“…The researchers discussed how reference to written documentation during handover could reduce errors and improve consistency (Sexton et al, 2004). Caruso et al (2015) conducted 86 audits at a 311-bed academic pediatric hospital in California to determine if a new standardized handoff process would increase transfer 9 of patient information without prolonging the duration of handoff from the operating room (OR) to post anesthesia care unit (PACU). The handoff information was standardized using the previously studied I-PASS structure: Illness severity; Patient summary; Action list; Situation awareness and contingency planning; and Synthesis that had been adopted hospital-wide.…”

Section: Verbal Handoffmentioning

confidence: 99%

“…The Hawthorne effect was not likely to contribute to a significant increase in patient information handed off because investigators were present for pre and post auditing. The nurse satisfaction survey tool was modeled after a previous published survey, but not formally validated and sample size was small (Caruso et al, 2015) …”

Section: Verbal Handoffmentioning

confidence: 99%

Nurse Perceptions of Electronic Handoff

Viveiros

2016

Preprint

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Nursing handoff is the important exchange of pertinent information between nurses that is critical to patient safety. The purpose of this quality improvement project was to explore progressive care nurses' perceptions of usefulness of a new electronic SBAR handoff tool on an inpatient adult acute care setting at an academic medical center. Further exploration is needed. Implications for practice include the APRN's important contribution to a successful implementation of electronic handoff. The APRN is essential to the success of such changes as they are uniquely prepared to plan, implement, and evaluate this change across the three spheres of influence.

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Implementation of a Standardized Postanesthesia Care Handoff Increases Information Transfer Without Increasing Handoff Duration

Cited by 29 publications

References 17 publications

Changes in Efficiency and Safety Culture After Integration of an I-PASS–Supported Handoff Process

Changes in Efficiency and Safety Culture After Integration of an I-PASS–Supported Handoff Process

Standardized Communication and Perioperative Staff Satisfaction

Nurse Perceptions of Electronic Handoff

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