A Model for a Standardized and Sustainable Pediatric Anesthesia-Intensive Care Unit Hand-Off Process
Background and Objectives: The hand-off process between pediatric anesthesia and intensive care unit (ICU) teams involves the exchange of patient health information and plays a major role in reducing errors and increasing staff satisfaction. Our objectives were to (1) standardize the hand-off proces...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-09-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/7/9/123 |
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| author | Priti G. Dalal Theodore J. Cios Theodore K. M. DeMartini Amit A. Prasad Meghan C. Whitley Joseph B. Clark Leon Lin Dennis J. Mujsce Robert E. Cilley |
| author_facet | Priti G. Dalal Theodore J. Cios Theodore K. M. DeMartini Amit A. Prasad Meghan C. Whitley Joseph B. Clark Leon Lin Dennis J. Mujsce Robert E. Cilley |
| author_sort | Priti G. Dalal |
| collection | DOAJ |
| description | Background and Objectives: The hand-off process between pediatric anesthesia and intensive care unit (ICU) teams involves the exchange of patient health information and plays a major role in reducing errors and increasing staff satisfaction. Our objectives were to (1) standardize the hand-off process in children’s ICUs, and (2) evaluate the provider satisfaction, efficiency and sustainability of the improved hand-off process. Methods: Following multidisciplinary discussions, the hand-off process was standardized for transfers of care between anesthesia-ICU teams. A pre-implementation and two post-implementation (6 months, >2 years) staff satisfaction surveys and audits were conducted to evaluate the success, quality and sustainability of the hand-off process. Results: There was no difference in the time spent during the sign out process following standardization—median 5 min for pre-implementation versus 5 and 6 min for post-implementation at six months and >2 years, respectively. There was a significant decrease in the number of missed items (airway/ventilation, venous access, medications, and laboratory values pertinent events) post-implementation compared to pre-implementation (<i>p</i> ≤ 0.001). In the >2 years follow-up survey, 49.2% of providers felt that the hand-off could be improved versus 78.4% in pre-implementation and 54.2% in the six-month survey (<i>p</i> < 0.001). Conclusion: A standardized interactive hand-off improves the efficiency and staff satisfaction, with a decreased rate of missed information at the cost of no additional time. |
| first_indexed | 2024-03-10T16:36:21Z |
| format | Article |
| id | doaj.art-e59d36a772674477b392167d7c06f498 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T16:36:21Z |
| publishDate | 2020-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-e59d36a772674477b392167d7c06f4982023-11-20T12:25:23ZengMDPI AGChildren2227-90672020-09-017912310.3390/children7090123A Model for a Standardized and Sustainable Pediatric Anesthesia-Intensive Care Unit Hand-Off ProcessPriti G. Dalal0Theodore J. Cios1Theodore K. M. DeMartini2Amit A. Prasad3Meghan C. Whitley4Joseph B. Clark5Leon Lin6Dennis J. Mujsce7Robert E. Cilley8Departments of Anesthesiology and Peri-Operative Medicine, Penn State Health Milton S Hershey Medical Center, Penn State Health Children’s Hospital, Hershey, PA 17033, USADepartments of Anesthesiology and Peri-Operative Medicine, Penn State Health Milton S Hershey Medical Center, Penn State Health Children’s Hospital, Hershey, PA 17033, USADivision of Pediatric Critical Care, Department of Pediatrics, Penn State Health Children’s Hospital, Hershey, PA 17033, USADepartments of Anesthesiology and Peri-Operative Medicine, Penn State Health Milton S Hershey Medical Center, Penn State Health Children’s Hospital, Hershey, PA 17033, USADepartments of Anesthesiology and Peri-Operative Medicine, Penn State Health Milton S Hershey Medical Center, Penn State Health Children’s Hospital, Hershey, PA 17033, USADivision of Pediatric Cardiac Surgery, Department of Pediatrics, Penn State Health Children’s Hospital, Hershey, PA 17033, USADepartment of Emergency Medicine, Ohio State Universirty, Columbus, OH 43210, USADivision of Newborn Medicine, Department of Pediatrics, Penn State Health Children’s Hospital, Hershey, PA 17033, USADivision of Pediatric Surgery, Department of Surgey, Penn State Health Children’s Hospital, Hershey, PA 17033, USABackground and Objectives: The hand-off process between pediatric anesthesia and intensive care unit (ICU) teams involves the exchange of patient health information and plays a major role in reducing errors and increasing staff satisfaction. Our objectives were to (1) standardize the hand-off process in children’s ICUs, and (2) evaluate the provider satisfaction, efficiency and sustainability of the improved hand-off process. Methods: Following multidisciplinary discussions, the hand-off process was standardized for transfers of care between anesthesia-ICU teams. A pre-implementation and two post-implementation (6 months, >2 years) staff satisfaction surveys and audits were conducted to evaluate the success, quality and sustainability of the hand-off process. Results: There was no difference in the time spent during the sign out process following standardization—median 5 min for pre-implementation versus 5 and 6 min for post-implementation at six months and >2 years, respectively. There was a significant decrease in the number of missed items (airway/ventilation, venous access, medications, and laboratory values pertinent events) post-implementation compared to pre-implementation (<i>p</i> ≤ 0.001). In the >2 years follow-up survey, 49.2% of providers felt that the hand-off could be improved versus 78.4% in pre-implementation and 54.2% in the six-month survey (<i>p</i> < 0.001). Conclusion: A standardized interactive hand-off improves the efficiency and staff satisfaction, with a decreased rate of missed information at the cost of no additional time.https://www.mdpi.com/2227-9067/7/9/123patient hand-offintensive carechildrenanesthesia |
| spellingShingle | Priti G. Dalal Theodore J. Cios Theodore K. M. DeMartini Amit A. Prasad Meghan C. Whitley Joseph B. Clark Leon Lin Dennis J. Mujsce Robert E. Cilley A Model for a Standardized and Sustainable Pediatric Anesthesia-Intensive Care Unit Hand-Off Process Children patient hand-off intensive care children anesthesia |
| title | A Model for a Standardized and Sustainable Pediatric Anesthesia-Intensive Care Unit Hand-Off Process |
| title_full | A Model for a Standardized and Sustainable Pediatric Anesthesia-Intensive Care Unit Hand-Off Process |
| title_fullStr | A Model for a Standardized and Sustainable Pediatric Anesthesia-Intensive Care Unit Hand-Off Process |
| title_full_unstemmed | A Model for a Standardized and Sustainable Pediatric Anesthesia-Intensive Care Unit Hand-Off Process |
| title_short | A Model for a Standardized and Sustainable Pediatric Anesthesia-Intensive Care Unit Hand-Off Process |
| title_sort | model for a standardized and sustainable pediatric anesthesia intensive care unit hand off process |
| topic | patient hand-off intensive care children anesthesia |
| url | https://www.mdpi.com/2227-9067/7/9/123 |
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