Undivided attention improves postoperative anesthesia handover recall
نویسندگان
چکیده
BACKGROUND For years, undivided attention during the presurgical "timeout" has been utilized as a precaution to ensure patient safety. The information relayed during the timeout is presented in a confirmatory nature rather than a delegation of new information. However, it is a standard of practice in which all members of the operating theater provide their full and undivided attention. Standards of patient care should be contiguous throughout the preoperative, perioperative, and postoperative stages of surgery. In this manner, it is expected that the same undivided attention afforded during the timeout should be maintained when transferring the patient to the postanesthesia care unit. METHODS In this study, information was collected regarding handover of information during the transfer status postsurgical procedures. Data were collected via observing interactions between the anesthesiologist and the nurse during verbal patient transfers. RESULTS This study demonstrated that the presence of undivided attention during the handover of a surgical patient in the postanesthesia care unit has a direct correlation with improved recall of the information discussed during handover. CONCLUSION Focus is on the quantity of information that can be recalled by the transferring nurse, and whether or not undivided attention affects the outcome. Analysis focuses on suggestions to better improve patient safety and recovery when being transferred in an anesthetic setting. The practice of patient handover should be standardized to better improve the safety and quality of medical care.
منابع مشابه
Association Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing Major Surgery.
Importance Handing over the care of a patient from one anesthesiologist to another occurs during some surgeries and might increase the risk of adverse outcomes. Objective To assess whether complete handover of intraoperative anesthesia care is associated with higher likelihood of mortality or major complications compared with no handover of care. Design, Setting, and Participants A retrospe...
متن کاملThe Effect of Isoflurane Concentration on Awareness and Postoperative Depression, Anxiety and Stress in Patients Undergoing Cesarean Section with General Anesthesia
Aims and background: In recent years and recent studies have observed specific viewpoint about awareness and recall and complications of them e.g. postoperative psychological reactions. The purpose of this study was to investigate the relationship between different isoflurane MAC (1/2- 0/8) awareness and postoperative depression, anxiety and stress in patients undergoing cesarean section wi...
متن کاملThe postoperative handover: a focus group interview study with nurse anaesthetists, anaesthesiologists and PACU nurses
OBJECTIVES To investigate different professionals' (nurse anaesthetists', anaesthesiologists', and postanaesthesia care unit nurses') descriptions of and reflections on the postoperative handover. DESIGN A focus group interview study with a descriptive design using qualitative content analysis of transcripts. SETTING One anaesthetic clinic at two hospitals in Sweden. PARTICIPANTS Six focu...
متن کاملIntraoperative patient information handover between anesthesia providers
Currently, no reported studies have evaluated intraoperative handover among anesthesia providers. Studies on anesthetic handover in the US recovery room setting observed that handover processes are insufficient and, in many instances, significant intraoperative events are disregarded. An online survey tool was sent to anesthesia providers at US anesthesia residency programs nationwide (120 out ...
متن کاملImplementation of a structured information transfer checklist improves postoperative data transfer after congenital cardiac surgery.
BACKGROUND During one hospital stay, a patient can be cared for by five different units. With patient transfer from one unit to another, it is of prime importance to convey a complete picture of the patient's situation to minimise the risk of medical errors and to provide optimal patient care. OBJECTIVE(S) This study was designed to test the hypothesis that the implementation of a standardise...
متن کامل