Improving the quality of the operating room to intensive care unit handover at an urban teaching hospital through a bundled intervention
| Autor: | Amy P. Woods, Pamela E. Fox, Tiffany S. Moon, Michael X. Gonzales |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Patient Transfer
Operating Rooms medicine.medical_specialty Quality management Attitude of Health Personnel Psychological intervention Nursing Staff Hospital 030204 cardiovascular system & hematology Clinical handover law.invention 03 medical and health sciences Hospitals Urban 0302 clinical medicine Documentation Anesthesiology Phone law Intervention (counseling) Humans Medicine Prospective Studies 030212 general & internal medicine Hospitals Teaching Patient Care Team Postoperative Care business.industry Communication Patient Handoff Quality Improvement Texas Intensive care unit Intensive Care Units Outcome and Process Assessment Health Care Anesthesiology and Pain Medicine Handover Emergency medicine Health Services Research business |
| Zdroj: | Journal of Clinical Anesthesia. 31:5-12 |
| ISSN: | 0952-8180 |
| DOI: | 10.1016/j.jclinane.2016.01.001 |
| Popis: | Study objective To evaluate the efficacy of a bundled intervention to improve the quality of the operating room to intensive care unit (ICU) clinical handover. Design Prospective, interventional study. Setting An urban, public teaching hospital with more than 1500 direct postoperative ICU admissions each year. Interventions A bundled intervention to include the addition of a direct anesthesia provider to ICU nurse telephone report, a mnemonic to standardize the handover process, and improved template for postoperative documentation by the anesthesia team. Measurements Preintervention (baseline) and postintervention survey data were solicited from key stakeholders, which included anesthesia providers and ICU nursing staff. Main results Anesthesia provider and ICU nursing staff satisfaction levels rose significantly following implementation of the bundled intervention. In addition, perceived effectiveness of the handover process and note increased significantly. The satisfaction level of the ICU nurses with respect to the phone report received before patient arrival in the ICU nearly doubled. Conclusions The implementation of a bundled handover intervention was associated with increased stakeholder satisfaction as well as a perception of increased efficacy and quality of the overall handover process and postoperative anesthesia documentation. |
| Databáze: | OpenAIRE |
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