Simulation-based education with deliberate practice may improve intraoperative handoff skills: a pilot study

Pukenas, Erin W.; Dodson, Gregory; Deal, Edward; Gratz, Irwin; Allen, Elaine; Burden, Amanda R.

doi:10.1016/j.jclinane.2014.03.015

Cited by 23 publications

(5 citation statements)

References 39 publications

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“…A pilot study of anesthesia residents found that omission of information was significantly decreased after simulation training and that these gains were sustained a year later. 34 Simulation may help team members define who needs to be present at the handover. Interprofessional teams, including nurses, anesthesia providers, respiratory therapists, and others, may benefit from the simulation setting to gain familiarity with one another and with each discipline’s particular role during the handover process.…”

Section: Effective Communicationmentioning

confidence: 99%

Communication: Is There a Standard Handover Technique to Transfer Patient Care?

Methangkool

Tollinche

Sparling

et al. 2019

International Anesthesiology Clinics

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Effective communication is integral to patient safety, especially during high-risk periods where patients are transitioning to different care areas or to different providers. However, communication failures continue to occur; The Joint Commission (TJC) reports that the number one cause of anesthesia-related sentinel events is breakdown in communication. 1 The operating room (OR), the postanesthesia care unit (PACU), and the intensive care unit (ICU) are especially vulnerable to communication failures between providers; inadequate communication in the PACU has been shown to affect mortality and morbidity. 2,3 A review of 419 reports from the Anaesthetic Incident Monitoring Study (AIMS) indicated failure in communication as the second most common contributing factor to adverse events in recovery units. 4 Indeed, observational studies have shown a direct correlation between poor handover and patient harm. 5 Therefore, the handover process is critical to the safe care of the surgical patient. The handover is a transfer of not only information but also of professional responsibilities across teams. 6 Ideally, a handover report is attended by surgical and anesthesia staff, a nurse, and a PACU or an ICU clinician, and relays information on the patient's history, intraoperative events, and postoperative care plan. According to the American Society of Anesthesiologists, standard of care requires the presence of intraoperative anesthesia staff for monitoring during transport and verbal report. 7 However, beyond this, there is a lack of consistent guidelines; reports are vulnerable to omission of pertinent information. 8 A complete omission of information occurred in 57% of surgical malpractice claims 9 and has

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Section: Effective Communicationmentioning

confidence: 99%

Communication: Is There a Standard Handover Technique to Transfer Patient Care?

Methangkool

Tollinche

Sparling

et al. 2019

International Anesthesiology Clinics

View full text Add to dashboard Cite

show abstract

“…An experimental study about training and simulated handoff between anaesthesia residents reported that after the simulated handoff, the communication failure decreased from 29.7% to 16.8%, and decreased further to 13.2% one year after the course. The residents' perceptions about handoff are also improved after the simulation [11]. Thus, handoff training program must be continually conducted to perform a consistent patient handoff [1].…”

Section: Staff Education and Handoff Trainingmentioning

confidence: 99%

How to Improve Patient Handoff Quality for Ensuring Patient Safety: A Systematic Review

Maharani¹,

Thabrany²

2018

KLS

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“…Results may have been different if the residents had been involved in creating the checklist or if they had more time to practice using the checklist. 19 Furthermore, residents may have done better if the use of a written or electronic form was specifically emphasized which we did not do because our intent was to document the results of the current practice.…”

Section: Short-term Adherence To the Checklistmentioning

confidence: 99%

“…18 Ultimately, studies suggest that handoff teaching through simulation-based education may improve handoff skills. 19,20 There is a need to evaluate the effectiveness of simulation-based education methods in improving residents' handoff competency. In the present study we investigated the efficacy of current handoff practices in the intraoperative and postoperative environment and aimed to evaluate the short and long-term effectiveness of simulation-based education methods in improving clinical anesthesia year 1 (CA-1) residents' handoff competencies.…”

Section: Manuscript Introductionmentioning

confidence: 99%

An Evaluation of CA-1 Residents’ Adherence to a Standardized Handoff Checklist

Heck

Huges

Konia

2017

JEPM

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Background: Poor-quality handoffs are a significant cause of preventable medical errors and adverse events. Handoff checklists improve handoffs but adherence to these tools is often inconsistent. In our study we aimed to investigate the effects of simulated handoff workshop and clinical instruction on resident handoff quality.Methods: A three-week pre-education intervention observation period of handoffs was conducted to assess the deficits, variability, and common practice in handoffs at the University of Minnesota Fairview Hospital. An institution specific handoff tool was then created by expert anesthesiologists at the University of Minnesota. A prospective observational assessment was then performed one year later to evaluate CA-1's adherence to the content of a standardized handoff checklist in the intraoperative and post-anesthesia care unit environment after exposure to current educational techniques.Results: With introduction of a handoff checklist tool, CA-1 residents included 70.70% (±0.11%) of handoff checklist information in their handoffs during the pre-workshop phase. Following a 2-hour simulated workshop on standardized handoffs, CA-1 residents still only included 70.00% (±0.02%) of handoff checklist information in their handoffs. CA-1 residents included 43.50% (±0.12%) of handoff checklist information in their handoffs at 6 months following the workshop. A one-way analysis of variance revealed a significant difference between the groups F(4, 135) = 18.83, p<0.05. Conclusions:The current method of education for handoffs does not ensure resident adherence to a standardized handoff technique. We propose that the inclusion of a written or electronic handoff checklist should be enforced and refresher courses should be administered early and frequently.

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Simulation-based education with deliberate practice may improve intraoperative handoff skills: a pilot study

Cited by 23 publications

References 39 publications

Communication: Is There a Standard Handover Technique to Transfer Patient Care?

Communication: Is There a Standard Handover Technique to Transfer Patient Care?

How to Improve Patient Handoff Quality for Ensuring Patient Safety: A Systematic Review

An Evaluation of CA-1 Residents’ Adherence to a Standardized Handoff Checklist

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