Standardizing postoperative handoffs using the evidence-based IPASS framework through a multidisciplinary initiative improves handoff communication for neurosurgical patients in the neuro-intensive care unit

Schmidt, Richard F.; Vibbert, Matthew; Vernick, Coleen; Mendelson, Andrew; Harley, Caitlin; Labella, Giuliana; Houser, Jessica; Becher, P.M.; Simko, Erin; Jabbour, Pascal; Tjoumakaris, Stavropoula; Gooch, M. Reid; Sharan, Ashwini; Farrell, Christopher; Rosenwasser, Robert H.; Jaffe, Rebecca; Jallo, Jack

doi:10.1016/j.jocn.2021.07.039

Cited by 8 publications

(5 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Using a multidisciplinary approach to develop and revise the tool and handoff process ensured engagement and ownership from the beginning of the project, in agreement with other studies. 5 Although we have not demonstrated sustained success in all outcome measures of interest, there remains much to learn from single-center experiences in how they work to overcome specific problems.…”

Section: Discussionmentioning

confidence: 88%

See 1 more Smart Citation

Handoff Tool Improves Transitions from the Operating Room to the Neonatal Intensive Care Unit

Gallois,

Zagory,

Barkemeyer

et al. 2023

Pediatric Quality &Amp; Safety

View full text Add to dashboard Cite

Introduction: Standardized handoffs reduce medical errors and prevent adverse events or near misses. This article describes a quality improvement initiative implementing a unique standardized handoff tool and process to transition from the operating room to the neonatal intensive care unit (NICU) at a level-four regional center with many inpatients requiring surgical intervention. Before this project, there was no standardized handoff tool or process for postsurgical transitions. The primary aim was to achieve 80% compliance with completing a structured postoperative OR to NICU handoff tool within 12 months of implementation. Methods: An interdisciplinary team developed and implemented a standardized NICU postoperative handoff tool and process that requires face-to-face communication, defines team members who should be present, and highlights communication with the family. In addition, the handoff tool compliance and process measures were monitored, evaluated, and audited. Results: Although not consistent, we achieved eighty percent compliance with the outcome measures using the handoff tool. We did not sustain 80% of appropriate providers present at handoff. In addition, insufficient data assess overall parental satisfaction with the surgical experience. Although improved, the process measure of immediate postoperative family updates did not reach the targeted goal. However, the balancing measure of staff experience and satisfaction did improve. Conclusion: Implementing a standardized handoff tool and process with an interdisciplinary and interdepartmental collaboration improves critical patient transitions from the operating room to the NICU.

show abstract

Section: Discussionmentioning

confidence: 88%

“… 2 Adequate communication and multidisciplinary collaboration for these transitions are imperative to ensure the best care for patients and their families. 5 Standardized handoffs throughout transition times reduce medical errors, prevent adverse events, and improve communication. 6 – 8 …”

Section: Introductionmentioning

confidence: 99%

Handoff Tool Improves Transitions from the Operating Room to the Neonatal Intensive Care Unit

Gallois,

Zagory,

Barkemeyer

et al. 2023

Pediatric Quality &Amp; Safety

View full text Add to dashboard Cite

show abstract

“…Providers further referenced the intricacy of neurological care as a significant barrier that transcends pure resource allocation challenges. Several researchers have noted that neurological care is multidisciplinary and highly specialized, with unique complexities [ 76 , 77 ]. This multidisciplinary nature poses challenges in designing and implementing MNCs effectively.…”

Section: Discussionmentioning

confidence: 99%

The feasibility, appropriateness, and usability of mobile neuro clinics in addressing the neurosurgical and neurological demand in Uganda

Mukumbya,

Kitya,

Trillo-Ordonez

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Introduction Uganda has a high demand for neurosurgical and neurological care. 78% of the over 50 million population reside in rural and remote communities where access to neurosurgical and neurological services is lacking. This study aimed to determine the feasibility, appropriateness, and usability of mobile neuro clinics (MNCs) in providing neurological care to rural and remote Ugandan populations. Methods Neurosurgery, neurology, and mobile health clinic providers participated in an education and interview session to assess the feasibility, appropriateness, and usability of the MNC intervention. A qualitative analysis of the interview responses using the constructs in the updated Consolidated Framework for Implementation Research was performed. Providers’ opinions were weighted using average sentiment scores on a novel sentiment-weighted scale adapted from the CFIR. A stakeholder analysis was also performed to assess the power and interest of the actors described by the participants. Results Twenty-one healthcare providers completed the study. Participants discussed the potential benefits and concerns of MNCs as well as potential barriers and critical incidents that could jeopardize the intervention. Of the five CFIR domains evaluated, variables in the implementation process domain showed the highest average sentiment scores, followed by the implementation climate constructs, inner setting, innovation, and outer setting domains. Furthermore, many interested stakeholders were identified with diverse roles and responsibilities for implementing MNCs. These findings demonstrate that MNC innovation is feasible, appropriate, and usable. Conclusion The findings of this study support the feasibility, appropriateness, and usability of MNCs in Uganda. However, integration of this innovation requires careful planning and stakeholder engagement at all levels to ensure the best possible outcomes.

show abstract

“…Providers further referenced the intricacy of neurological care as a significant barrier that transcends pure resource allocation challenges. Several researchers have noted that neurological care is multidisciplinary and highly specialized, with unique complexities [76,77]. This multidisciplinary nature poses challenges in designing and implementing MNCs effectively.…”

Section: Implementation Process Domainmentioning

confidence: 99%

Untitled

View full text Add to dashboard Cite

Standardizing postoperative handoffs using the evidence-based IPASS framework through a multidisciplinary initiative improves handoff communication for neurosurgical patients in the neuro-intensive care unit

Cited by 8 publications

References 15 publications

Handoff Tool Improves Transitions from the Operating Room to the Neonatal Intensive Care Unit

Handoff Tool Improves Transitions from the Operating Room to the Neonatal Intensive Care Unit

The feasibility, appropriateness, and usability of mobile neuro clinics in addressing the neurosurgical and neurological demand in Uganda

Untitled

Contact Info

Product

Resources

About