Development of an aviation-style computerized checklist displayed on a tablet computer for improving handoff communication in the post-anesthesia care unit
| Autor: | Srdjan Jelacic, Andrew Bowdle, Kei Togashi, Logan Bussey, Tim Wu, Daniel J Boorman, Bala G. Nair |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Aviation Handoff communication Health Informatics Critical Care and Intensive Care Medicine Pacu Tablet computer 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Anesthesiology Post-anesthesia care unit medicine Humans Anesthesia biology business.industry Communication Patient Handoff 030208 emergency & critical care medicine biology.organism_classification medicine.disease Checklist Anesthesiology and Pain Medicine Handover Computers Handheld Medical emergency business |
| Zdroj: | Journal of Clinical Monitoring and Computing. 35:607-616 |
| ISSN: | 1573-2614 1387-1307 |
| Popis: | Critical patient care information is often omitted or misunderstood during handoffs, which can lead to inefficiencies, delays, and sometimes patient harm. We implemented an aviation-style post-anesthesia care unit (PACU) handoff checklist displayed on a tablet computer to improve PACU handoff communication. We developed an aviation-style computerized checklist system for use in procedural rooms and adapted it for tablet computers to facilitate the performance of PACU handoffs. We then compared the proportion of PACU handoff items communicated before and after the implementation of the PACU handoff checklist on a tablet computer. A trained observer recorded the proportion of PACU handoff information items communicated, any resistance during the performance of the checklist, the type of provider participating in the handoff, and the time required to perform the handoff. We also obtained these patient outcomes: PACU length of stay, respiratory events, post-operative nausea and vomiting, and pain. A total of 209 PACU handoffs were observed before and 210 after the implementation of the tablet-based PACU handoff checklist. The average proportion of PACU handoff items communicated increased from 49.3% (95% CI 47.7–51.0%) before checklist implementation to 72.0% (95% CI 69.2–74.9%) after checklist implementation (p |
| Databáze: | OpenAIRE |
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