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Completeness of the operating room to intensive care unit handover: a matter of time?
BACKGROUND: Handovers of post-anesthesia patients to the intensive care unit (ICU) are often unstructured and performed under time pressure. Hence, they bear a high risk of poor communication, loss of information and potential patient harm. The aim of this study was to investigate the completeness o...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863365/ https://www.ncbi.nlm.nih.gov/pubmed/33546588 http://dx.doi.org/10.1186/s12871-021-01247-3 |
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author | Dusse, Fabian Pütz, Johanna Böhmer, Andreas Schieren, Mark Joppich, Robin Wappler, Frank |
author_facet | Dusse, Fabian Pütz, Johanna Böhmer, Andreas Schieren, Mark Joppich, Robin Wappler, Frank |
author_sort | Dusse, Fabian |
collection | PubMed |
description | BACKGROUND: Handovers of post-anesthesia patients to the intensive care unit (ICU) are often unstructured and performed under time pressure. Hence, they bear a high risk of poor communication, loss of information and potential patient harm. The aim of this study was to investigate the completeness of information transfer and the quantity of information loss during post anesthesia handovers of critical care patients. METHODS: Using a self-developed checklist, including 55 peri-operative items, patient handovers from the operation room or post anesthesia care unit to the ICU staff were observed and documented in real time. Observations were analyzed for the amount of correct and completely transferred patient data in relation to the written documentation within the anesthesia record and the patient’s chart. RESULTS: During a ten-week study period, 97 handovers were included. The mean duration of a handover was 146 seconds, interruptions occurred in 34% of all cases. While some items were transferred frequently (basic patient characteristics [72%], surgical procedure [83%], intraoperative complications [93.8%]) others were commonly missed (underlying diseases [23%], long-term medication [6%]). The completeness of information transfer is associated with the handover’s duration [B coefficient (95% CI): 0.118 (0.084-0.152), p<0.001] and increases significantly in handovers exceeding a duration of 2 minutes (24% ± 11.7 vs. 40% ± 18.04, p<0.001). CONCLUSIONS: Handover completeness is affected by time pressure, interruptions, and inappropriate surroundings, which increase the risk of information loss. To improve completeness and ensure patient safety, an adequate time span for handover, and the implementation of communication tools are required. |
format | Online Article Text |
id | pubmed-7863365 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78633652021-02-05 Completeness of the operating room to intensive care unit handover: a matter of time? Dusse, Fabian Pütz, Johanna Böhmer, Andreas Schieren, Mark Joppich, Robin Wappler, Frank BMC Anesthesiol Research Article BACKGROUND: Handovers of post-anesthesia patients to the intensive care unit (ICU) are often unstructured and performed under time pressure. Hence, they bear a high risk of poor communication, loss of information and potential patient harm. The aim of this study was to investigate the completeness of information transfer and the quantity of information loss during post anesthesia handovers of critical care patients. METHODS: Using a self-developed checklist, including 55 peri-operative items, patient handovers from the operation room or post anesthesia care unit to the ICU staff were observed and documented in real time. Observations were analyzed for the amount of correct and completely transferred patient data in relation to the written documentation within the anesthesia record and the patient’s chart. RESULTS: During a ten-week study period, 97 handovers were included. The mean duration of a handover was 146 seconds, interruptions occurred in 34% of all cases. While some items were transferred frequently (basic patient characteristics [72%], surgical procedure [83%], intraoperative complications [93.8%]) others were commonly missed (underlying diseases [23%], long-term medication [6%]). The completeness of information transfer is associated with the handover’s duration [B coefficient (95% CI): 0.118 (0.084-0.152), p<0.001] and increases significantly in handovers exceeding a duration of 2 minutes (24% ± 11.7 vs. 40% ± 18.04, p<0.001). CONCLUSIONS: Handover completeness is affected by time pressure, interruptions, and inappropriate surroundings, which increase the risk of information loss. To improve completeness and ensure patient safety, an adequate time span for handover, and the implementation of communication tools are required. BioMed Central 2021-02-05 /pmc/articles/PMC7863365/ /pubmed/33546588 http://dx.doi.org/10.1186/s12871-021-01247-3 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Dusse, Fabian Pütz, Johanna Böhmer, Andreas Schieren, Mark Joppich, Robin Wappler, Frank Completeness of the operating room to intensive care unit handover: a matter of time? |
title | Completeness of the operating room to intensive care unit handover: a matter of time? |
title_full | Completeness of the operating room to intensive care unit handover: a matter of time? |
title_fullStr | Completeness of the operating room to intensive care unit handover: a matter of time? |
title_full_unstemmed | Completeness of the operating room to intensive care unit handover: a matter of time? |
title_short | Completeness of the operating room to intensive care unit handover: a matter of time? |
title_sort | completeness of the operating room to intensive care unit handover: a matter of time? |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863365/ https://www.ncbi.nlm.nih.gov/pubmed/33546588 http://dx.doi.org/10.1186/s12871-021-01247-3 |
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