Evaluation of a Novel Emergency General Surgery Handover: A Prospective Feasibility Study.

Autor: Hostettler LD; Wake Forest University School of Medicine, Winston-Salem, North Carolina. Electronic address: lhostett@wakehealth.edu., Kline DM; Division of Public Health Sciences, Department of Biostatistics and Data Science, WFUSM, Winston-Salem, North Carolina., Moore JB; Division of Public Health Sciences, Department of Implementation Science, WFUSM, Winston-Salem, North Carolina; Division of Public Health Sciences, Department of Epidemiology & Prevention, WFUSM, Winston-Salem, North Carolina., Nightingale CL; Division of Public Health Sciences, Department of Social Sciences and Health Policy, WFUSM, Winston-Salem, North Carolina., Miller PR 3rd; Department of Surgery, Wake Forest University School of Medicine (WFUSM), Winston-Salem, North Carolina., Nunn AM; Department of Surgery, Wake Forest University School of Medicine (WFUSM), Winston-Salem, North Carolina., Carmichael SP 2nd; Department of Surgery, Wake Forest University School of Medicine (WFUSM), Winston-Salem, North Carolina.
Jazyk: angličtina
Zdroj: The Journal of surgical research [J Surg Res] 2024 Oct; Vol. 302, pp. 715-723. Date of Electronic Publication: 2024 Aug 29.
DOI: 10.1016/j.jss.2024.07.111
Abstrakt: Introduction: High-quality health information handovers are critical to optimal patient care and trainee education. The purposes of this study were to assess the feasibility of implementing an emergency general surgery (EGS) morning handover and to explore its impact upon markers of clinical care.
Methods: This prospective feasibility study was conducted at a single academic tertiary-care medical center following implementation of a novel EGS morning handover process. We assessed organizational perspective through a two-part anonymous survey delivered to the EGS service staff (n = 29) and collected feasibility metrics daily at the morning handover meetings. Exploratory clinical metrics of quality improvement were compared between parallel 5-month periods preimplementation and postimplementation of the handover. Data were compared by descriptive statistics.
Results: One hundred and seventeen patients from March 1, 2022, to July 31, 2022, and 185 patients from March 1, 2023, to July 31, 2023, were identified prehandover and posthandover implementation, respectively, with an increase in time to operating room posting by 49% (95% confidence interval [CI]: 1.03-2.14) and no statistically significant change in length of stay. The average duration of the formalized EGS morning handover was 14 min (95% CI: 12:18-15:42) having an average of 12 questions asked (95% CI: 9.98-14.02) and an average attendance of 70% from essential personnel. Eighty-four percent of postimplementation survey responses indicated positive regard toward the new EGS handover.
Conclusions: The implementation of an EGS morning handover is feasible, necessitating further studies to define the impact of the EGS morning handover upon clinical outcomes.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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