Evaluation of a Paper-Based Checklist versus an Electronic Handover Tool Based on the Situation Background Assessment Recommendation (SBAR) Concept in Patients after Surgery for Congenital Heart Disease
(1) Background: we compare a new SBAR based electronic handover tool versus a paper-based checklist for handover in a pediatric intensive care unit (PICU). (2) Methods: this is a randomized, observational study of 40 electronic vs. 40 paper checklist handovers after pediatric cardiac surgery, with a...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/24/5724 |
| _version_ | 1797503527572996096 |
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| author | Carolin Rehm Richard Zoller Alina Schenk Nicole Müller Nadine Strassberger-Nerschbach Sven Zenker Ehrenfried Schindler |
| author_facet | Carolin Rehm Richard Zoller Alina Schenk Nicole Müller Nadine Strassberger-Nerschbach Sven Zenker Ehrenfried Schindler |
| author_sort | Carolin Rehm |
| collection | DOAJ |
| description | (1) Background: we compare a new SBAR based electronic handover tool versus a paper-based checklist for handover in a pediatric intensive care unit (PICU). (2) Methods: this is a randomized, observational study of 40 electronic vs. 40 paper checklist handovers after pediatric cardiac surgery, with a 48 items checklist for comparison of reporting frequencies and notification of disturbances and noise. PICU staff satisfaction was evaluated by a 12-item questionnaire. (3) Results: in 14 out of 40 cases, there were problems with data processing (incomplete or no data processing). Some item groups (e.g., hemodynamics) were consistently reported at higher frequencies than other groups. Items not specifically asked for did not get reported. Some items, automatically processed in the SBAR handover page, did not get reported. Many handovers suffered a noisy and distracting atmosphere. There was no difference in staff satisfaction between the two handover approaches. Nurses were highly unsatisfied with the general approach by which the handover was performed. (4) Conclusions: human error appears to be a main factor for unreliable data processing. Software is still too complicated, and multitasking is a stressful and error prone event. Handover is a complex task with many factors required for a successful completion. |
| first_indexed | 2024-03-10T03:51:56Z |
| format | Article |
| id | doaj.art-b244d1ec8b0f4a0a97f668132a5bff85 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T03:51:56Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-b244d1ec8b0f4a0a97f668132a5bff852023-11-23T08:55:18ZengMDPI AGJournal of Clinical Medicine2077-03832021-12-011024572410.3390/jcm10245724Evaluation of a Paper-Based Checklist versus an Electronic Handover Tool Based on the Situation Background Assessment Recommendation (SBAR) Concept in Patients after Surgery for Congenital Heart DiseaseCarolin Rehm0Richard Zoller1Alina Schenk2Nicole Müller3Nadine Strassberger-Nerschbach4Sven Zenker5Ehrenfried Schindler6Department of Anesthesiology, Catholic Children’s Hospital Wilhemstift, 22149 Hamburg, GermanyStaff Unit for Medical and Scientific Technology Development & Coordination, Coordination (MWTek), Commercial Directorate, University Hospital Bonn, University of Bonn, 53127 Bonn, GermanyDepartment of Medical Biometry, Informatics and Epidemiology, University Hospital Bonn, University of Bonn, 53127 Bonn, GermanyDepartment for Pediatric Cardiology, University Hospital Bonn, University of Bonn, 53127 Bonn, GermanyDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, University of Bonn, 53127 Bonn, GermanyStaff Unit for Medical and Scientific Technology Development & Coordination, Coordination (MWTek), Commercial Directorate, University Hospital Bonn, University of Bonn, 53127 Bonn, GermanyDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, University of Bonn, 53127 Bonn, Germany(1) Background: we compare a new SBAR based electronic handover tool versus a paper-based checklist for handover in a pediatric intensive care unit (PICU). (2) Methods: this is a randomized, observational study of 40 electronic vs. 40 paper checklist handovers after pediatric cardiac surgery, with a 48 items checklist for comparison of reporting frequencies and notification of disturbances and noise. PICU staff satisfaction was evaluated by a 12-item questionnaire. (3) Results: in 14 out of 40 cases, there were problems with data processing (incomplete or no data processing). Some item groups (e.g., hemodynamics) were consistently reported at higher frequencies than other groups. Items not specifically asked for did not get reported. Some items, automatically processed in the SBAR handover page, did not get reported. Many handovers suffered a noisy and distracting atmosphere. There was no difference in staff satisfaction between the two handover approaches. Nurses were highly unsatisfied with the general approach by which the handover was performed. (4) Conclusions: human error appears to be a main factor for unreliable data processing. Software is still too complicated, and multitasking is a stressful and error prone event. Handover is a complex task with many factors required for a successful completion.https://www.mdpi.com/2077-0383/10/24/5724electronic checklistpaper-based checklisthandover OR to PICU/ICUSBARPDMS |
| spellingShingle | Carolin Rehm Richard Zoller Alina Schenk Nicole Müller Nadine Strassberger-Nerschbach Sven Zenker Ehrenfried Schindler Evaluation of a Paper-Based Checklist versus an Electronic Handover Tool Based on the Situation Background Assessment Recommendation (SBAR) Concept in Patients after Surgery for Congenital Heart Disease Journal of Clinical Medicine electronic checklist paper-based checklist handover OR to PICU/ICU SBAR PDMS |
| title | Evaluation of a Paper-Based Checklist versus an Electronic Handover Tool Based on the Situation Background Assessment Recommendation (SBAR) Concept in Patients after Surgery for Congenital Heart Disease |
| title_full | Evaluation of a Paper-Based Checklist versus an Electronic Handover Tool Based on the Situation Background Assessment Recommendation (SBAR) Concept in Patients after Surgery for Congenital Heart Disease |
| title_fullStr | Evaluation of a Paper-Based Checklist versus an Electronic Handover Tool Based on the Situation Background Assessment Recommendation (SBAR) Concept in Patients after Surgery for Congenital Heart Disease |
| title_full_unstemmed | Evaluation of a Paper-Based Checklist versus an Electronic Handover Tool Based on the Situation Background Assessment Recommendation (SBAR) Concept in Patients after Surgery for Congenital Heart Disease |
| title_short | Evaluation of a Paper-Based Checklist versus an Electronic Handover Tool Based on the Situation Background Assessment Recommendation (SBAR) Concept in Patients after Surgery for Congenital Heart Disease |
| title_sort | evaluation of a paper based checklist versus an electronic handover tool based on the situation background assessment recommendation sbar concept in patients after surgery for congenital heart disease |
| topic | electronic checklist paper-based checklist handover OR to PICU/ICU SBAR PDMS |
| url | https://www.mdpi.com/2077-0383/10/24/5724 |
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