Improving Postoperative Handoff in a Surgical Intensive Care Unit.

Academic Medical Centers Adult Aged Aged, 80 and over Baltimore Critical Care / standards Female Humans Male Middle Aged Nursing Care / standards Patient Care Team / standards Patient Handoff / standards Patient Transfer / standards Postoperative Care / standards Practice Guidelines as Topic Surveys and Questionnaires Tertiary Care Centers

Journal

Critical care nurse
ISSN: 1940-8250
Titre abrégé: Crit Care Nurse
Pays: United States
ID NLM: 8207799

Informations de publication

Date de publication:
Oct 2019
Historique:
entrez: 3 10 2019
pubmed: 3 10 2019
medline: 10 3 2020
Statut: ppublish

Résumé

Evidence-based research demonstrates that postoperative formalized handoff improves communication and satisfaction among hospital staff members, leading to improved patient outcomes. To improve postoperative patient safety in the surgical intensive care unit of a tertiary academic medical center. A verbal and written formal reporting method was designed, implemented, and evaluated. The intervention created an admission "time-out," allowing the handoff from surgical and anesthesia teams to the intensive care unit team and bedside nurses to occur in a more structured manner. Before and 1 year after implementation of the intervention, nurses completed surveys on the quality of postoperative handoff. After the intervention, the proportion of nurses who reported receiving handoff from the surgical team increased from 20% to 60% ( After implementation of a systematic multidisciplinary handoff process, surgical intensive care nurses reported improved frequency and completeness of the postoperative handoff process, resulting in a perception of better patient care.

Sections du résumé

BACKGROUND BACKGROUND
Evidence-based research demonstrates that postoperative formalized handoff improves communication and satisfaction among hospital staff members, leading to improved patient outcomes.
OBJECTIVE OBJECTIVE
To improve postoperative patient safety in the surgical intensive care unit of a tertiary academic medical center.
METHODS METHODS
A verbal and written formal reporting method was designed, implemented, and evaluated. The intervention created an admission "time-out," allowing the handoff from surgical and anesthesia teams to the intensive care unit team and bedside nurses to occur in a more structured manner. Before and 1 year after implementation of the intervention, nurses completed surveys on the quality of postoperative handoff.
RESULTS RESULTS
After the intervention, the proportion of nurses who reported receiving handoff from the surgical team increased from 20% to 60% (
CONCLUSION CONCLUSIONS
After implementation of a systematic multidisciplinary handoff process, surgical intensive care nurses reported improved frequency and completeness of the postoperative handoff process, resulting in a perception of better patient care.

Identifiants

DOI: 10.4037/ccn2019523 PMID: 31575601
pubmed: 31575601
pii: 39/5/e13
doi: 10.4037/ccn2019523
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e13-e21

Informations de copyright

©2019 American Association of Critical-Care Nurses.

Auteurs

Deborah A Talley (DA)

Deborah A. Talley, Eleanor Dunlap, Dawn Silverman, and Stephanie Katzer are acute care nurse practitioners in the surgical intensive care unit, University of Maryland Medical Center, Baltimore, Maryland. Meredith Huffines is a senior clinical nurse II in the surgical intensive care unit, University of Maryland Medical Center. Cindy Dove is Director of Nursing for Surgery and Cardiac Surgical Services, University of Maryland Medical Center. Megan Anders is an anesthesiologist and Associate Chair for Safety and Quality, Department of Anesthesiology, University of Maryland Medical Center. Samuel M. Galvagno is an associate professor and Associate Medical Director, surgical intensive care unit, University of Maryland Medical Center, and Associate Chief Medical Officer, Maryland Critical Care Network, Baltimore. He is a colonel in the US Air Force and Director of Critical Care Air Transport Team operations, 943rd Aerospace Medicine Squadron, Davis-Monthan Air Force Base, Arizona. Samuel A. Tisherman is Medical Director, surgical intensive care unit, surgical intermediate care unit, and the Center for Critical Care and Trauma Education, University of Maryland Medical Center dschwartz2@umm.edu.

Eleanor Dunlap (E)

Deborah A. Talley, Eleanor Dunlap, Dawn Silverman, and Stephanie Katzer are acute care nurse practitioners in the surgical intensive care unit, University of Maryland Medical Center, Baltimore, Maryland. Meredith Huffines is a senior clinical nurse II in the surgical intensive care unit, University of Maryland Medical Center. Cindy Dove is Director of Nursing for Surgery and Cardiac Surgical Services, University of Maryland Medical Center. Megan Anders is an anesthesiologist and Associate Chair for Safety and Quality, Department of Anesthesiology, University of Maryland Medical Center. Samuel M. Galvagno is an associate professor and Associate Medical Director, surgical intensive care unit, University of Maryland Medical Center, and Associate Chief Medical Officer, Maryland Critical Care Network, Baltimore. He is a colonel in the US Air Force and Director of Critical Care Air Transport Team operations, 943rd Aerospace Medicine Squadron, Davis-Monthan Air Force Base, Arizona. Samuel A. Tisherman is Medical Director, surgical intensive care unit, surgical intermediate care unit, and the Center for Critical Care and Trauma Education, University of Maryland Medical Center.

Dawn Silverman (D)

Deborah A. Talley, Eleanor Dunlap, Dawn Silverman, and Stephanie Katzer are acute care nurse practitioners in the surgical intensive care unit, University of Maryland Medical Center, Baltimore, Maryland. Meredith Huffines is a senior clinical nurse II in the surgical intensive care unit, University of Maryland Medical Center. Cindy Dove is Director of Nursing for Surgery and Cardiac Surgical Services, University of Maryland Medical Center. Megan Anders is an anesthesiologist and Associate Chair for Safety and Quality, Department of Anesthesiology, University of Maryland Medical Center. Samuel M. Galvagno is an associate professor and Associate Medical Director, surgical intensive care unit, University of Maryland Medical Center, and Associate Chief Medical Officer, Maryland Critical Care Network, Baltimore. He is a colonel in the US Air Force and Director of Critical Care Air Transport Team operations, 943rd Aerospace Medicine Squadron, Davis-Monthan Air Force Base, Arizona. Samuel A. Tisherman is Medical Director, surgical intensive care unit, surgical intermediate care unit, and the Center for Critical Care and Trauma Education, University of Maryland Medical Center.

Stephanie Katzer (S)

Deborah A. Talley, Eleanor Dunlap, Dawn Silverman, and Stephanie Katzer are acute care nurse practitioners in the surgical intensive care unit, University of Maryland Medical Center, Baltimore, Maryland. Meredith Huffines is a senior clinical nurse II in the surgical intensive care unit, University of Maryland Medical Center. Cindy Dove is Director of Nursing for Surgery and Cardiac Surgical Services, University of Maryland Medical Center. Megan Anders is an anesthesiologist and Associate Chair for Safety and Quality, Department of Anesthesiology, University of Maryland Medical Center. Samuel M. Galvagno is an associate professor and Associate Medical Director, surgical intensive care unit, University of Maryland Medical Center, and Associate Chief Medical Officer, Maryland Critical Care Network, Baltimore. He is a colonel in the US Air Force and Director of Critical Care Air Transport Team operations, 943rd Aerospace Medicine Squadron, Davis-Monthan Air Force Base, Arizona. Samuel A. Tisherman is Medical Director, surgical intensive care unit, surgical intermediate care unit, and the Center for Critical Care and Trauma Education, University of Maryland Medical Center.

Meredith Huffines (M)

Deborah A. Talley, Eleanor Dunlap, Dawn Silverman, and Stephanie Katzer are acute care nurse practitioners in the surgical intensive care unit, University of Maryland Medical Center, Baltimore, Maryland. Meredith Huffines is a senior clinical nurse II in the surgical intensive care unit, University of Maryland Medical Center. Cindy Dove is Director of Nursing for Surgery and Cardiac Surgical Services, University of Maryland Medical Center. Megan Anders is an anesthesiologist and Associate Chair for Safety and Quality, Department of Anesthesiology, University of Maryland Medical Center. Samuel M. Galvagno is an associate professor and Associate Medical Director, surgical intensive care unit, University of Maryland Medical Center, and Associate Chief Medical Officer, Maryland Critical Care Network, Baltimore. He is a colonel in the US Air Force and Director of Critical Care Air Transport Team operations, 943rd Aerospace Medicine Squadron, Davis-Monthan Air Force Base, Arizona. Samuel A. Tisherman is Medical Director, surgical intensive care unit, surgical intermediate care unit, and the Center for Critical Care and Trauma Education, University of Maryland Medical Center.

Cindy Dove (C)

Deborah A. Talley, Eleanor Dunlap, Dawn Silverman, and Stephanie Katzer are acute care nurse practitioners in the surgical intensive care unit, University of Maryland Medical Center, Baltimore, Maryland. Meredith Huffines is a senior clinical nurse II in the surgical intensive care unit, University of Maryland Medical Center. Cindy Dove is Director of Nursing for Surgery and Cardiac Surgical Services, University of Maryland Medical Center. Megan Anders is an anesthesiologist and Associate Chair for Safety and Quality, Department of Anesthesiology, University of Maryland Medical Center. Samuel M. Galvagno is an associate professor and Associate Medical Director, surgical intensive care unit, University of Maryland Medical Center, and Associate Chief Medical Officer, Maryland Critical Care Network, Baltimore. He is a colonel in the US Air Force and Director of Critical Care Air Transport Team operations, 943rd Aerospace Medicine Squadron, Davis-Monthan Air Force Base, Arizona. Samuel A. Tisherman is Medical Director, surgical intensive care unit, surgical intermediate care unit, and the Center for Critical Care and Trauma Education, University of Maryland Medical Center.

Megan Anders (M)

Deborah A. Talley, Eleanor Dunlap, Dawn Silverman, and Stephanie Katzer are acute care nurse practitioners in the surgical intensive care unit, University of Maryland Medical Center, Baltimore, Maryland. Meredith Huffines is a senior clinical nurse II in the surgical intensive care unit, University of Maryland Medical Center. Cindy Dove is Director of Nursing for Surgery and Cardiac Surgical Services, University of Maryland Medical Center. Megan Anders is an anesthesiologist and Associate Chair for Safety and Quality, Department of Anesthesiology, University of Maryland Medical Center. Samuel M. Galvagno is an associate professor and Associate Medical Director, surgical intensive care unit, University of Maryland Medical Center, and Associate Chief Medical Officer, Maryland Critical Care Network, Baltimore. He is a colonel in the US Air Force and Director of Critical Care Air Transport Team operations, 943rd Aerospace Medicine Squadron, Davis-Monthan Air Force Base, Arizona. Samuel A. Tisherman is Medical Director, surgical intensive care unit, surgical intermediate care unit, and the Center for Critical Care and Trauma Education, University of Maryland Medical Center.

Samuel M Galvagno (SM)

Deborah A. Talley, Eleanor Dunlap, Dawn Silverman, and Stephanie Katzer are acute care nurse practitioners in the surgical intensive care unit, University of Maryland Medical Center, Baltimore, Maryland. Meredith Huffines is a senior clinical nurse II in the surgical intensive care unit, University of Maryland Medical Center. Cindy Dove is Director of Nursing for Surgery and Cardiac Surgical Services, University of Maryland Medical Center. Megan Anders is an anesthesiologist and Associate Chair for Safety and Quality, Department of Anesthesiology, University of Maryland Medical Center. Samuel M. Galvagno is an associate professor and Associate Medical Director, surgical intensive care unit, University of Maryland Medical Center, and Associate Chief Medical Officer, Maryland Critical Care Network, Baltimore. He is a colonel in the US Air Force and Director of Critical Care Air Transport Team operations, 943rd Aerospace Medicine Squadron, Davis-Monthan Air Force Base, Arizona. Samuel A. Tisherman is Medical Director, surgical intensive care unit, surgical intermediate care unit, and the Center for Critical Care and Trauma Education, University of Maryland Medical Center.

Samuel A Tisherman (SA)

Deborah A. Talley, Eleanor Dunlap, Dawn Silverman, and Stephanie Katzer are acute care nurse practitioners in the surgical intensive care unit, University of Maryland Medical Center, Baltimore, Maryland. Meredith Huffines is a senior clinical nurse II in the surgical intensive care unit, University of Maryland Medical Center. Cindy Dove is Director of Nursing for Surgery and Cardiac Surgical Services, University of Maryland Medical Center. Megan Anders is an anesthesiologist and Associate Chair for Safety and Quality, Department of Anesthesiology, University of Maryland Medical Center. Samuel M. Galvagno is an associate professor and Associate Medical Director, surgical intensive care unit, University of Maryland Medical Center, and Associate Chief Medical Officer, Maryland Critical Care Network, Baltimore. He is a colonel in the US Air Force and Director of Critical Care Air Transport Team operations, 943rd Aerospace Medicine Squadron, Davis-Monthan Air Force Base, Arizona. Samuel A. Tisherman is Medical Director, surgical intensive care unit, surgical intermediate care unit, and the Center for Critical Care and Trauma Education, University of Maryland Medical Center.

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questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Centres hospitaliers universitaires › Improving Postoperative Handoff in a Surgical...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Improving Postoperative Handoff in a Surgical...
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