Standardizing Postoperative PICU Handovers Improves Handover Metrics and Patient Outcomes

Breuer, Ryan; Taicher, Brad M.; Turner, David A.; Cheifetz, Ira M.; Rehder, Kyle J

doi:10.1097/pcc.0000000000000343

Cited by 78 publications

(66 citation statements)

References 24 publications

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“…Despite the results ultimately being statistically insignificant, the impact of structured handovers on the number of handover errors cannot be ignored. The number of handover‐related errors is closely linked to the overall patient safety outcomes (Breuer, Taicher, Turner, Cheifetz, & Rehder, ; Zou & Zhang, ). When the handover report is communicated to the incoming nurse is not complete and accurate, the risk of patient safety being compromised increases significantly as the nursing care provided would not be complete (Randmaa, Mårtensson, Swenne, & Engström, ).…”

Section: Discussionmentioning

confidence: 99%

A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

Bukoh

Siah

2020

J Nurs Manag

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Nursing handovers, or handoffs, entail the process of transferring and accepting both the responsibility for the care of a patient and patient-specific information. This conveyance of patient data ensures the continuity and safety of the patient care in inpatient setting (The Joint Commission Center for Healthcare, 2014). However, when a misalignment of expectations occurs between the sender of information and the receiver, serious communication failures follow during the handover (The Joint Commission, 2017). A study on Harvard-affiliated hospitals has linked communication failures to 1,744 patient deaths in 5 years (Bailey, 2016). Therefore, it is essential that, in a high-turnover healthcare setting, effective communication be in place to ensure the clear and concise sharing of patient information (Gooch, 2016). AbstractAim: This review aimed to elucidate the effectiveness of structured handovers in improving patient outcomes in the wards.Background: Studies have reported that the lack of quality handovers is one of the main causes of adverse effects. Evaluation: A search over six electronic databases: MEDLINE; CINAHL; Web ofScience; EMBASE; Scopus; and CENTRAL via Ovid concluded nine studies and synthesized by two independent reviewers based on the Cochrane Handbook for Systematic Reviews of Interventions. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was used to guide the undertaking of this review and meta-analysis. All studies published up to February 2019 were considered in this review. Key issues:This review has demonstrated that structured handovers reduced the incidences of patient complications, medication errors and general adverse events.However, the results were not statistically significant.Conclusion: Current structured handover formats were effective in reducing problematic handovers such as omission of information, inaccurate information and documentation errors. Implications for Nursing Management:Although there is limited high-quality and rigorous research conducted to gain a clearer understanding of the impacts on patient-related outcomes in nursing care, structured handovers remained effective in reducing the number of mistakes in information transfer. K E Y W O R D S communication, patient safety, handoff | 745 BUKOH and SIaH 2 | BACKG ROU N D Continuity management in an inpatient setting is essential to provide safe and effective patient care to minimize risks of medical errors and to achieve this, good communication within the nursing team is vital. A structured and standardized nursing handover can improve patient outcomes, including lowered patient fall rates, lengths of stay in the hospital, mortality and the number of code or medical emergency team calls (Mardis et al., 2017). Additionally, measures for nurse-related outcomes demonstrated improvement, with enhanced continuity of care for patients through better compliance to plans of care, timely delivery of care and improved recall of information provided (Smeulers, Lucas, & Vermeulen, 2014). As su...

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Section: Discussionmentioning

confidence: 99%

A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

Bukoh

Siah

2020

J Nurs Manag

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“…Cuando un paciente cumpla alguno de los criterios de ingreso especificados en estas guías el médico responsable del paciente debería consultar al equipo de la UCIP o al intensivista pediátrico consultor del SECI o SRRP para planificar el ingreso en la UCIP (36). Los ingresos potenciales en la UCIP deberían ser notificados al intensivista pediátrico precozmente ya que el tratamiento intensivo inicial puede diferir significativamente del tratamiento estándar.…”

Section: Oportunidad Del Cuidado Intensivo Pediátrico Y Seguridad Delunclassified

Guias de ingreso, alta y triage para las unidades de cuidados intensivos pediátricos en España

et al. 2018

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Esta es la versión de autor del artículo publicado en: This is an author produced version of a paper published in: Copyright: © 2018 ElsevierEl acceso a la versión del editor puede requerir la suscripción del recurso Access to the published version may require subscription 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 1 GUIAS DE INGRESO, ALTA Y TRIAGE PARA LAS UNIDADES DE CUIDADOS INTENSIVOS PEDIÁTRICOS EN ESPAÑA GUIDELINES OF ADMISSION, DISCHARGE AND TRIAGE FOR THE PEDIATRIC INTENSIVE CARE UNITS IN SPAIN GUIAS DE INGRESO, ALTA Y TRIAGE PARA LAS UNIDADES DE CUIDADOS INTENSIVOS PEDIÁTRICOS EN ESPAÑA ResumenLa Unidad de Cuidados Intensivos Pediátricos (UCIP) es una unidad física asistencial hospitalaria independiente especialmente diseñada para el tratamiento de pacientes pediátricos quienes debido su gravedad o condiciones potencialmente letales requieren observación y asistencia médica intensiva integral y continua por un equipo médico que haya obtenido competencia especial en medicina intensiva pediátrica.La aplicación oportuna de terapia intensiva a los pacientes críticos reduce la mortalidad, el tiempo de estancia y los costes asistenciales. Con los objetivos de respetar el derecho del niño al disfrute del más alto nivel posible de salud y a servicios para el tratamiento de las enfermedades y la rehabilitación de la salud y de garantizar la calidad asistencial y la seguridad de los pacientes pediátricos críticos, la Asociación Española de Pediatría (AEP), la Sociedad Española de Cuidados Intensivos Pediátricos (SECIP) y la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC) han desarrollado y aprobado las guías de ingreso, alta y triage para las UCIP en España.Mediante la aplicación de estas guías se puede optimizar el uso de las UCIP españolas de forma que los pacientes pediátricos reciban el nivel de cuidados médicos más apropiado para su situación clínica. GUIDELINES OF ADMISSION, DISCHARGE AND TRIAGE FOR THE PEDIATRIC INTENSIVE CARE UNITS IN SPAIN AbstractA Pediatric Intensive Care Unit (PICU) is a separate physical facility or unit specifically designed for the treatment of pediatric patients who, because of the severity of illness or other lifethreatening conditions, require intensive, comprehensive observations and care by staff physicians who have obtained special competence in pediatric intensive care medicine.Timely and personal intervention by an intensivist reduces mortality, reduces length of stay, and decreases cost of care. With the aim of honoring the right of the child to the enjoyment of the highest attainable standard of health and to facilities for the treatment of illness and rehabilitation of health and guaranteeing quality of care and the safety of critically ill pediatric patients, the Spanish Association of Pediatrics (AEP), Spanish Society of Pediatric...

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“…Most studies have focused on handover communication challenges;[10111213141516171819202122] other studies have also stated the importance of coordination between the incoming and outgoing nurses. [232425] Another research showed the importance of using a checklist in handover process and suggested that applying checklist could improve intrahospital transport of intensive care patient to other floors.…”

Section: Discussionmentioning

confidence: 99%

“…[303132] Stelfox et al reported that we have to avoid transfer delays to minimize challenges of the transfer of patient information and responsibility of care. [21]…”

Section: Discussionmentioning

confidence: 99%

Challenges of patient handover process in healthcare services: A systematic review

Raeisi

Rarani

Soltani

2019

J Edu Health Promot

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Standardizing Postoperative PICU Handovers Improves Handover Metrics and Patient Outcomes

Abstract: Postoperative communication and patient outcomes can be improved and sustained over time with implementation of a standardized handover protocol.

Cited by 78 publications

References 24 publications

A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

Guias de ingreso, alta y triage para las unidades de cuidados intensivos pediátricos en España

Challenges of patient handover process in healthcare services: A systematic review

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