Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety Redley, Bernice, Bucknall, Tracey, Evans, Sue and Botti, Mari 2016, Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety, International journal for quality in health care, vol. 28, no. 5, pp. 573-579, doi: 10.1093/intqhc/mzw073. Attached Files Name Description MIMEType Size Downloads Title Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety Author(s) Redley, Bernice orcid.org/0000-0002-2376-3989 Bucknall, Tracey orcid.org/0000-0001-9089-3583 Evans, Sue Botti, Mari orcid.org/0000-0002-2782-0987 Journal name International journal for quality in health care Volume number 28 Issue number 5 Start page 573 End page 579 Total pages 7 Publisher Oxford University Press Place of publication Oxford, Eng. Publication date 2016 ISSN 1464-3677 Keyword(s) standards quality assurance health care safety audit anaesthesia risk management Science & Technology Life Sciences & Biomedicine Health Care Sciences & Services Health Policy & Services RECOVERY ROOM INCIDENTS INFORMATION-TRANSFER PATIENT HANDOVERS TEAM PERFORMANCE COMMUNICATION CHECKLIST FEASIBILITY ANESTHESIA ISOBAR Summary OBJECTIVES: To examine quality and safety in inter-professional clinical handovers in Post Anaesthetic Care Units (PACUs) and make recommendations for tools to standardize handover processes. DESIGN: Mixed methods combining data from observations and focus groups. SETTING: Three PACUs, one public tertiary hospital and two private hospitals. PARTICIPANTS: Observations were made of 185 patient handovers from anaesthetists to nurses. Eight focus groups were conducted with 62 staff (15 anaesthetists and 47 nurses) across the study sites. INTERVENTION: Inter-professional clinical handovers in PACU's. MAIN OUTCOME MEASURES: Characteristics of the structure and processes that support safe inter-professional PACU handover practice. RESULTS: Characteristics of the process, content, activities and risks during anaesthetist to nurse patient handover into the PACU were integrated into four steps in the PACU handover process summarized by the acronym COLD (Connect, Observe, Listen and Delegate), a verbal communication tool (ISoBAR), a checklist of critical information for safe patient transfer into PACU and a matrix of factors perceived to increase handover risk. CONCLUSIONS: The standard structure and checklists for optimal content of patient handovers were derived from existing practices and consensus, hence, expected to provide ecologically valid and practical resources to improve quality and safety during clinical handovers in the PACU. Language eng DOI 10.1093/intqhc/mzw073 Field of Research 110301 Anaesthesiology 111003 Clinical Nursing: Secondary (Acute Care) 111716 Preventive Medicine Socio Economic Objective 920210 Nursing HERDC Research category C1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2016, The Authors Persistent URL http://hdl.handle.net/10536/DRO/DU:30084996 Document type: Journal Article Collections: Faculty of Health School of Nursing and Midwifery School of Health Sciences Centre for Quality and Patient Safety Research Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Wed, 20 Jul 2016, 12:29:40 EST Thu, 21 Jul 2016, 05:02:24 EST Thu, 21 Jul 2016, 08:52:55 EST Sat, 20 Aug 2016, 06:10:27 EST Mon, 10 Oct 2016, 13:05:09 EST Mon, 10 Oct 2016, 13:16:31 EST Mon, 10 Oct 2016, 15:24:43 EST Sat, 04 Mar 2017, 01:31:26 EST Sat, 18 Mar 2017, 01:32:30 EST Mon, 22 May 2017, 11:11:43 EST Mon, 22 May 2017, 11:13:36 EST Filtered Full Citation counts:   Cited 5 times in TR Web of Science Cited 6 times in Scopus Search Google Scholar Access Statistics: 259 Abstract Views, 1 File Downloads  -  Detailed Statistics Created: Wed, 20 Jul 2016, 12:29:40 EST

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