The perioperative handoff protocol: Evaluating impacts on handoff defects and provider satisfaction in adult perianesthesia care units

Michelle Antonieta Petrovic, Hanan Aboumatar, Adam T. Scholl, Randeep S. Gill, Dina A. Krenzischek, Melissa Camp, Carolyn M. Senger, Yi Deng, Tracy Y. Chang, Yanjun Xie, Zahi R. Jurdi, Elizabeth A. Martinez

Research output: Contribution to journalArticle

Abstract

Study Objective To evaluate a new perioperative handoff protocol in the adult perianesthesia care units (PACUs). Design Prospective, unblinded cross-sectional study. Setting Perianesthesia care unit in a tertiary care facility serving 55,000 patients annually. Patients One hundred three surgery patients. Interventions During a 4-week preintervention phase, 53 perioperative handoffs were observed, and data were collected daily by a trained observer. Educational sessions were conducted to train perioperative practitioners on the new protocol. Two weeks after implementation, 50 consecutive handoffs were observed, and practitioners were surveyed with the same methodology as in the preintervention phase. Measurements Type of information shared, type and duration of procedure, total duration of handoff, number and type of providers at the bedside, number of report interruptions, environmental distractions, and any other disruptive events. Observers also tracked technical/equipment problems to include malfunctioning or compromised operation of medical equipment, such as the cardiac monitor, transducer, oxygen tank, and pulse oximeter. Main Results A total of 103 handoffs were observed (53 preintervention and 50 postintervention). The mean number of defects per handoff decreased from 9.92 to 3.68 (P

Original languageEnglish (US)
Pages (from-to)111-119
Number of pages9
JournalJournal of Clinical Anesthesia
Volume27
Issue number2
DOIs
StatePublished - Mar 1 2015

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Equipment and Supplies
Tertiary Healthcare
Transducers
Cross-Sectional Studies
Oxygen

Keywords

  • Handoffs
  • Handovers
  • PACU
  • Perioperative
  • Transfers
  • Transitions

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Medicine(all)

Cite this

The perioperative handoff protocol : Evaluating impacts on handoff defects and provider satisfaction in adult perianesthesia care units. / Petrovic, Michelle Antonieta; Aboumatar, Hanan; Scholl, Adam T.; Gill, Randeep S.; Krenzischek, Dina A.; Camp, Melissa; Senger, Carolyn M.; Deng, Yi; Chang, Tracy Y.; Xie, Yanjun; Jurdi, Zahi R.; Martinez, Elizabeth A.

In: Journal of Clinical Anesthesia, Vol. 27, No. 2, 01.03.2015, p. 111-119.

Research output: Contribution to journalArticle

Petrovic, MA, Aboumatar, H, Scholl, AT, Gill, RS, Krenzischek, DA, Camp, M, Senger, CM, Deng, Y, Chang, TY, Xie, Y, Jurdi, ZR & Martinez, EA 2015, 'The perioperative handoff protocol: Evaluating impacts on handoff defects and provider satisfaction in adult perianesthesia care units', Journal of Clinical Anesthesia, vol. 27, no. 2, pp. 111-119. https://doi.org/10.1016/j.jclinane.2014.09.007
Petrovic, Michelle Antonieta ; Aboumatar, Hanan ; Scholl, Adam T. ; Gill, Randeep S. ; Krenzischek, Dina A. ; Camp, Melissa ; Senger, Carolyn M. ; Deng, Yi ; Chang, Tracy Y. ; Xie, Yanjun ; Jurdi, Zahi R. ; Martinez, Elizabeth A. / The perioperative handoff protocol : Evaluating impacts on handoff defects and provider satisfaction in adult perianesthesia care units. In: Journal of Clinical Anesthesia. 2015 ; Vol. 27, No. 2. pp. 111-119.
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