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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.

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Title Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety
Author(s) Redley, BerniceORCID iD for Redley, Bernice orcid.org/0000-0002-2376-3989
Bucknall, Tracey
Evans, Sue
Botti, Mari
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

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