期刊
JOURNAL OF CLINICAL ANESTHESIA
卷 31, 期 -, 页码 5-12出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jclinane.2016.01.001
关键词
Handoff; Handover; Intensive care unit; Operating room; Quality improvement; Transfer of care
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. (C) 2016 Elsevier Inc. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据