Perioperative Handoff Enhancement Opportunities Through Technology and Artificial Intelligence: A Narrative Review

Sparling, Jamie L.; Mershon, Bommy Hong; Abraham, Joanna

doi:10.1016/j.jcjq.2023.03.009

Cited by 4 publications

(4 citation statements)

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“…The integration of the tablet was introduced to improve communication and aid in face-to-face handoff. Tablet-based handoffs directly correlate with improved communication and accuracy of patient information discussed (Sparling et al, 2023). Since RNs from both units participated in creating the standardized handoff tool, it will be important to continue with front-line engagement as information needs change and tool revisions are needed.…”

Section: Discussionmentioning

confidence: 99%

Development of a Standardized Nursing Handoff With Tablet Technology: A Quality Improvement Initiative

Miller,

Maye,

Charlton

2024

Journal of Trauma Nursing

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Background: Nursing handoff of complete and accurate information is critical for patient safety yet is often difficult to achieve with consistency between nursing departments. Objective: This quality improvement project aims to describe the development and piloting of a standardized handoff tool for administration by computer tablet for nursing report. Methods: This descriptive quality improvement initiative was conducted in an 885-bed Level I trauma center in the Southeast Region of the United States. The study was completed in three phases. First, emergency department and trauma intensive care unit nurses were surveyed to determine handoff barriers and best practices. Second, the survey information was used to develop a standardized handoff tool incorporating tablet technology. Third, staff pilot testing was performed, followed by a final survey to ascertain staff feedback on the tool. Results: A total of n = 120 nurses completed the surveys, and pilot testing was conducted on n = 177 patient handoffs. Ninety-five percent of nurses expressed satisfaction with the tool and 65% with the tablet. Conclusion: This study supported using a standardized handoff tool between the emergency department and trauma intensive care unit and substantiated the benefits of using a tablet for face-to-face communication.

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Section: Discussionmentioning

confidence: 99%

Development of a Standardized Nursing Handoff With Tablet Technology: A Quality Improvement Initiative

Miller,

Maye,

Charlton

2024

Journal of Trauma Nursing

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“…According to Abraham, perioperative nurses may expect to see AI emerge as a supportive aid during transitions of care or hand offs. 1 Hand offs are crucial for clinicians to effectively communicate to one another the specific needs related to the patient. 1 There has been a push toward electronic medical record-integrated tools to aid in perioperative hand offs, yet, perioperative hand offs are still susceptible to error, especially because they are often occurring at critical moments when clinicians are processing a high cognitive load and there are many potential distractions.…”

Section: What Should the Perioperative Nurse Expect?mentioning

confidence: 99%

“…1 Hand offs are crucial for clinicians to effectively communicate to one another the specific needs related to the patient. 1 There has been a push toward electronic medical record-integrated tools to aid in perioperative hand offs, yet, perioperative hand offs are still susceptible to error, especially because they are often occurring at critical moments when clinicians are processing a high cognitive load and there are many potential distractions. 1 Bernadette Henrichs, PhD, CRNA, CCRN, CHSE, director of CRNA Education and Research at Washington University Department of Anesthesiology and director of the Nurse Anesthesia Program at Barnes-Jewish College, sees the potential application of AI to hand offs and explained For many, the ability of artificial intelligence to perform tasks that normally require human intelligence aligns with the desire to improve workflow consistency and efficiency in health care processes.…”

Section: What Should the Perioperative Nurse Expect?mentioning

confidence: 99%

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Applying Artificial Intelligence to Perioperative Nursing Practice

Fischer

2024

AORN Journal

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Protocols for Postanesthesia Care Unit Handoff and Patient Safety: A Scoping Review

Martins,

de Lima,

Trevilato

et al. 2024

Journal of Advanced Nursing

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AimTo map studies that tested an intervention orienting patient transfer to Postanesthesia Care Unit (PACU) and identify outcomes related to care safety.MethodsScoping review guided by recommendations of the JBI Manual and the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis extension for Scoping Reviews (PRISMA‐ScR) guide. The Population, Concept, and Context (PCC) framework was used to develop the research question and consolidate inclusion and exclusion criteria in databases consulted without date parameters. The review protocol was registered in the Open Science Framework.ResultsThe systematic search identified 182 records. After reading their titles and abstracts, 49 studies were read in full. The final sample consisted of 17 texts published between 2013 and 2024. The main elements evaluated in the implementation of interventions to guide patient transfer to the PACU related to patient safety were as follows: increase in the number of transferred information; higher rates of professional satisfaction with teamwork; presence of surgical professionals; questions from the receiver and adequacy to the instrument. Also was identified a pause to monitor the patient before the transfer and reduction of omitting information, interruptions, distractions, task errors, hypoxemia, nausea, vomiting and excessive pain.ConclusionsThe variables evaluated after the interventions to promote a structured patient transfer to the PACU have the potential to guide the development of quality assessment indicators and contribute to the promotion of a safety culture in institutions.ImpactConsidering the constant increase in complexity and demand for perioperative care, the investigation of patient transfer processes to the PACU can provide support for the management of surgical practices and contribute to improving patient safety and the experience of the health professionals involved.Patient or Public ContributionNo patient or public contribution.OSF registration: https://doi.org/10.17605/OSF.IO/M2FYN.

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Perioperative Handoff Enhancement Opportunities Through Technology and Artificial Intelligence: A Narrative Review

Cited by 4 publications

References 50 publications

Development of a Standardized Nursing Handoff With Tablet Technology: A Quality Improvement Initiative

Development of a Standardized Nursing Handoff With Tablet Technology: A Quality Improvement Initiative

Applying Artificial Intelligence to Perioperative Nursing Practice

Protocols for Postanesthesia Care Unit Handoff and Patient Safety: A Scoping Review

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