Enablers and Barriers to Multicenter Perioperative Handoff Collaboration: Lessons Learned From a Successful Model Outside the Operating Room

Michael, Meghan M.; Ambardekar, Aditee; Pukenas, Erin W.; Karamchandani, Kunal; Nguyen, Huong Thi Linh; Potestio, Christopher; Tubinis, Michelle D.; Huang, Norman; Riesenberg, Lee Ann

doi:10.1213/ane.0000000000005724

Cited by 1 publication

(3 citation statements)

References 20 publications

(50 reference statements)

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“…Many challenges in the perioperative environment affect patient handoffs, including interprofessional interdependence, handoff frequency, care acuity, time pressure, and environmental distractions (Etherington et al, 2019;Abraham et al, 2021b;Michael et al, 2021;Lazzara et al, 2022). Foundational teamwork training for all providers in perioperative handoffs will improve their ability to manage and overcome these challenges and, therefore, improve handoffs (Salas et al, 2008;Greilich et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

“…Perioperative handoffs are particularly challenging due to this setting's unique interdependence of interprofessional roles, acuity and complexity of care, handoff frequency, time constraints, and environmental distractions (Etherington et al, 2019;Abraham et al, 2021b;Michael et al, 2021). Previous interventions have improved perioperative handoff quality; however, high-quality studies demonstrating improved patient outcomes are still needed (Lyons and Popejoy, 2014;Abraham et al, 2021c,d;Stenquist et al, 2022).…”

Section: Importance Of Teamwork In Interprofessional Perioperative Ha...mentioning

confidence: 99%

“…Recent literature indicates that healthcare organizations must implement a multi-level approach, incorporating both top-down and bottom-up cultural change initiatives (Rosenbluth et al, 2018;Keebler et al, 2022). Leadership must provide support to ensure transfer of training (Grossman and Salas, 2011), consistently message teamwork as a priority, and provide infrastructure for teaming events to take place, such as resources for handoff tool integration into electronic medical records (Abraham et al, 2021a(Abraham et al, , 2023Michael et al, 2021). Resources and existing policies must be in place to provide trainees with opportunities to perform and reinforce newly trained skills (Tracey and Tews, 2005;Grossman and Salas, 2011).…”

Section: Challenge 4: Comprehensively Evaluating Training Impactmentioning

confidence: 99%

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Handoffs and the challenges to implementing teamwork training in the perioperative environment

et al. 2023

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Perioperative handoffs are high-risk events for miscommunications and poor care coordination, which cause patient harm. Extensive research and several interventions have sought to overcome the challenges to perioperative handoff quality and safety, but few efforts have focused on teamwork training. Evidence shows that team training decreases surgical morbidity and mortality, and there remains a significant opportunity to implement teamwork training in the perioperative environment. Current perioperative handoff interventions face significant difficulty with adherence which raises concerns about the sustainability of their impact. In this perspective article, we explain why teamwork is critical to safe and reliable perioperative handoffs and discuss implementation challenges to the five core components of teamwork training programs in the perioperative environment. We outline evidence-based best practices imperative for training success and acknowledge the obstacles to implementing those best practices. Explicitly identifying and discussing these obstacles is critical to designing and implementing teamwork training programs fit for the perioperative environment. Teamwork training will equip providers with the foundational teamwork competencies needed to effectively participate in handoffs and utilize handoff interventions. This will improve team effectiveness, adherence to current perioperative handoff interventions, and ultimately, patient safety.

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Section: Discussionmentioning

confidence: 99%

Section: Importance Of Teamwork In Interprofessional Perioperative Ha...mentioning

confidence: 99%

Section: Challenge 4: Comprehensively Evaluating Training Impactmentioning

confidence: 99%

See 1 more Smart Citation

Handoffs and the challenges to implementing teamwork training in the perioperative environment

et al. 2023

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Enablers and Barriers to Multicenter Perioperative Handoff Collaboration: Lessons Learned From a Successful Model Outside the Operating Room

Cited by 1 publication

References 20 publications

Handoffs and the challenges to implementing teamwork training in the perioperative environment

Handoffs and the challenges to implementing teamwork training in the perioperative environment

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