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Improving postoperative handover from anaesthetists to non-anaesthetists in a children's intensive care unit: the receiver's perception.
Singapore Med J. 2016 May; 57(5):242-53.SM

Abstract

INTRODUCTION

The efficiency of postoperative handover of paediatric patients to the children's intensive care unit (CICU) varies according to institutions, clinical setup and workflow. Reorganisation of handover flow based on findings from observational studies has been shown to improve the efficiency of information transfer. This study aimed to evaluate a new handover process based on recipients' perceptions, focusing on completeness and comprehensiveness of verbal communication, and the usability of a situation, background, assessment and recommendation (SBAR) form.

METHODS

This was a prospective interventional study conducted in the CICU of KK Women's and Children's Hospital, Singapore. It comprised four phases: (1) evaluation of the current handover process through an audit and opinion survey; (2) development of a new handover process based on the opinion survey and hospital personnel feedback; (3) implementation; and (4) evaluation of the new handover process. The new handover process was based on a PETS (pre-handover, equipment handover, timeout and sign out) protocol with a 'single traffic communication' flow and a new SBAR handover document. It included relevant patient information, and the options 'not applicable' and 'none', to increase compliance and reduce ambiguity.

RESULTS

Significantly more recipients indicated that the new SBAR form was the most important handover tool and provided more useful information. Recipients' perceptions indicated improvement in information sufficiency and clarity; reduction of omission errors; and fewer inconsistencies in patient descriptions in the new process.

CONCLUSION

Dual customisation of the handover process, PETS protocol and SBAR form is necessary to meet the workflow and information demands of the receiving team.

Authors+Show Affiliations

Department of Paediatric Anaesthesia, KK Women's and Children's Hospital, Singapore.Department of Paediatric Anaesthesia, KK Women's and Children's Hospital, Singapore.Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore.Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore.Department of Anaesthesia, Changi General Hospital, Singapore.Children's Intensive Care Unit, KK Women's and Children's Hospital, Singapore.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27211792

Citation

Fabila, Teddy Suratos, et al. "Improving Postoperative Handover From Anaesthetists to Non-anaesthetists in a Children's Intensive Care Unit: the Receiver's Perception." Singapore Medical Journal, vol. 57, no. 5, 2016, pp. 242-53.
Fabila TS, Hee HI, Sultana R, et al. Improving postoperative handover from anaesthetists to non-anaesthetists in a children's intensive care unit: the receiver's perception. Singapore Med J. 2016;57(5):242-53.
Fabila, T. S., Hee, H. I., Sultana, R., Assam, P. N., Kiew, A., & Chan, Y. H. (2016). Improving postoperative handover from anaesthetists to non-anaesthetists in a children's intensive care unit: the receiver's perception. Singapore Medical Journal, 57(5), 242-53. https://doi.org/10.11622/smedj.2016090
Fabila TS, et al. Improving Postoperative Handover From Anaesthetists to Non-anaesthetists in a Children's Intensive Care Unit: the Receiver's Perception. Singapore Med J. 2016;57(5):242-53. PubMed PMID: 27211792.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Improving postoperative handover from anaesthetists to non-anaesthetists in a children's intensive care unit: the receiver's perception. AU - Fabila,Teddy Suratos, AU - Hee,Hwan Ing, AU - Sultana,Rehena, AU - Assam,Pryseley Nkouibert, AU - Kiew,Anne, AU - Chan,Yoke Hwee, PY - 2016/5/24/entrez PY - 2016/5/24/pubmed PY - 2017/4/7/medline KW - PETS protocol KW - SBAR form KW - handover process KW - opinion survey KW - paediatric SP - 242 EP - 53 JF - Singapore medical journal JO - Singapore Med J VL - 57 IS - 5 N2 - INTRODUCTION: The efficiency of postoperative handover of paediatric patients to the children's intensive care unit (CICU) varies according to institutions, clinical setup and workflow. Reorganisation of handover flow based on findings from observational studies has been shown to improve the efficiency of information transfer. This study aimed to evaluate a new handover process based on recipients' perceptions, focusing on completeness and comprehensiveness of verbal communication, and the usability of a situation, background, assessment and recommendation (SBAR) form. METHODS: This was a prospective interventional study conducted in the CICU of KK Women's and Children's Hospital, Singapore. It comprised four phases: (1) evaluation of the current handover process through an audit and opinion survey; (2) development of a new handover process based on the opinion survey and hospital personnel feedback; (3) implementation; and (4) evaluation of the new handover process. The new handover process was based on a PETS (pre-handover, equipment handover, timeout and sign out) protocol with a 'single traffic communication' flow and a new SBAR handover document. It included relevant patient information, and the options 'not applicable' and 'none', to increase compliance and reduce ambiguity. RESULTS: Significantly more recipients indicated that the new SBAR form was the most important handover tool and provided more useful information. Recipients' perceptions indicated improvement in information sufficiency and clarity; reduction of omission errors; and fewer inconsistencies in patient descriptions in the new process. CONCLUSION: Dual customisation of the handover process, PETS protocol and SBAR form is necessary to meet the workflow and information demands of the receiving team. SN - 0037-5675 UR - https://www.unboundmedicine.com/medline/citation/27211792/Improving_postoperative_handover_from_anaesthetists_to_non_anaesthetists_in_a_children's_intensive_care_unit:_the_receiver's_perception_ L2 - https://sma.org.sg/UploadedImg/files/SMJ/5705/5705a3.pdf DB - PRIME DP - Unbound Medicine ER -