Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration

Thomas J. Caruso, Juan L. Marquez, Diane S. Wu, Jenny A. Shaffer, Raymond Balise, Marguerite Groom, Kit Leong, Karley Mariano, Anita Honkanen, Paul J. Sharek

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: In the transition of a patient from the operating room (OR) to the postanesthesia care unit (PACU), it was hypothesized that (1) standardizing the members of sending and receiving teams and (2) requiring a structured handoff process would increase the overall amount of patient information transferred in the OR-to-PACU handoff process. Methods: A prospective cohort study was conducted at a 311-bed freestanding academic pediatric hospital in Northern California. The intervention, which was conducted in February-March 2013, consisted of (1) requiring the sending team to include a surgeon, an anesthesiologist, and a circulating nurse, and the receiving team to include the PACU nurse; (2) standardizing the content of the handoff on the basis of literature-guided recommendations; and (3) presenting the handoff verbally in the I-PASS format. Data included amount of patient information transferred, duration of handoff, provider presence, and nurse satisfaction. Results: Forty-one audits during the preimplementation phase and 45 audits during the postimplementation phase were analyzed. Overall information transfer scores increased significantly from a mean score of 49% to 83% (p < .0001). Twenty-two PACU nurse satisfaction surveys were completed after the preimplementation phase and 14 surveys were completed in the postimplementation phase. Paired mean total satisfaction scores increased from 36 to 44 (p =. 004). The duration of the handoffs trended downward from 4.1 min to 3.5 min (p = 0.10). Conclusion: A standardized, team-based approach to OR-to-PACU handoffs increased the quantity of patient information transferred, increased PACU nurse satisfaction, and did not increase the handoff duration.

Original languageEnglish (US)
Pages (from-to)35-42
Number of pages8
JournalJoint Commission Journal on Quality and Patient Safety
Volume41
Issue number1
StatePublished - Jan 1 2015
Externally publishedYes

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Nurses
Operating Rooms
Patients' Rooms
Pediatric Hospitals
Cohort Studies
Prospective Studies
Surveys and Questionnaires

ASJC Scopus subject areas

  • Leadership and Management

Cite this

Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration. / Caruso, Thomas J.; Marquez, Juan L.; Wu, Diane S.; Shaffer, Jenny A.; Balise, Raymond; Groom, Marguerite; Leong, Kit; Mariano, Karley; Honkanen, Anita; Sharek, Paul J.

In: Joint Commission Journal on Quality and Patient Safety, Vol. 41, No. 1, 01.01.2015, p. 35-42.

Research output: Contribution to journalArticle

Caruso, TJ, Marquez, JL, Wu, DS, Shaffer, JA, Balise, R, Groom, M, Leong, K, Mariano, K, Honkanen, A & Sharek, PJ 2015, 'Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration', Joint Commission Journal on Quality and Patient Safety, vol. 41, no. 1, pp. 35-42.
Caruso, Thomas J. ; Marquez, Juan L. ; Wu, Diane S. ; Shaffer, Jenny A. ; Balise, Raymond ; Groom, Marguerite ; Leong, Kit ; Mariano, Karley ; Honkanen, Anita ; Sharek, Paul J. / Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration. In: Joint Commission Journal on Quality and Patient Safety. 2015 ; Vol. 41, No. 1. pp. 35-42.
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abstract = "Background: In the transition of a patient from the operating room (OR) to the postanesthesia care unit (PACU), it was hypothesized that (1) standardizing the members of sending and receiving teams and (2) requiring a structured handoff process would increase the overall amount of patient information transferred in the OR-to-PACU handoff process. Methods: A prospective cohort study was conducted at a 311-bed freestanding academic pediatric hospital in Northern California. The intervention, which was conducted in February-March 2013, consisted of (1) requiring the sending team to include a surgeon, an anesthesiologist, and a circulating nurse, and the receiving team to include the PACU nurse; (2) standardizing the content of the handoff on the basis of literature-guided recommendations; and (3) presenting the handoff verbally in the I-PASS format. Data included amount of patient information transferred, duration of handoff, provider presence, and nurse satisfaction. Results: Forty-one audits during the preimplementation phase and 45 audits during the postimplementation phase were analyzed. Overall information transfer scores increased significantly from a mean score of 49{\%} to 83{\%} (p < .0001). Twenty-two PACU nurse satisfaction surveys were completed after the preimplementation phase and 14 surveys were completed in the postimplementation phase. Paired mean total satisfaction scores increased from 36 to 44 (p =. 004). The duration of the handoffs trended downward from 4.1 min to 3.5 min (p = 0.10). Conclusion: A standardized, team-based approach to OR-to-PACU handoffs increased the quantity of patient information transferred, increased PACU nurse satisfaction, and did not increase the handoff duration.",
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AU - Balise, Raymond

AU - Groom, Marguerite

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N2 - Background: In the transition of a patient from the operating room (OR) to the postanesthesia care unit (PACU), it was hypothesized that (1) standardizing the members of sending and receiving teams and (2) requiring a structured handoff process would increase the overall amount of patient information transferred in the OR-to-PACU handoff process. Methods: A prospective cohort study was conducted at a 311-bed freestanding academic pediatric hospital in Northern California. The intervention, which was conducted in February-March 2013, consisted of (1) requiring the sending team to include a surgeon, an anesthesiologist, and a circulating nurse, and the receiving team to include the PACU nurse; (2) standardizing the content of the handoff on the basis of literature-guided recommendations; and (3) presenting the handoff verbally in the I-PASS format. Data included amount of patient information transferred, duration of handoff, provider presence, and nurse satisfaction. Results: Forty-one audits during the preimplementation phase and 45 audits during the postimplementation phase were analyzed. Overall information transfer scores increased significantly from a mean score of 49% to 83% (p < .0001). Twenty-two PACU nurse satisfaction surveys were completed after the preimplementation phase and 14 surveys were completed in the postimplementation phase. Paired mean total satisfaction scores increased from 36 to 44 (p =. 004). The duration of the handoffs trended downward from 4.1 min to 3.5 min (p = 0.10). Conclusion: A standardized, team-based approach to OR-to-PACU handoffs increased the quantity of patient information transferred, increased PACU nurse satisfaction, and did not increase the handoff duration.

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