Improving postoperative handover: a prospective observational study.

BACKGROUND: The information provided during the postoperative handover influences the delivery of care of patients in the postoperative recovery unit through their care on the ward. There is a need for a structured and systematic approach to postoperative handover. The aim of this study was to impr...

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Váldodahkkit: Nagpal, K, Abboudi, M, Manchanda, C, Vats, A, Sevdalis, N, Bicknell, C, Vincent, C, Moorthy, K
Materiálatiipa: Journal article
Giella:English
Almmustuhtton: 2013
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author Nagpal, K
Abboudi, M
Manchanda, C
Vats, A
Sevdalis, N
Bicknell, C
Vincent, C
Moorthy, K
author_facet Nagpal, K
Abboudi, M
Manchanda, C
Vats, A
Sevdalis, N
Bicknell, C
Vincent, C
Moorthy, K
author_sort Nagpal, K
collection OXFORD
description BACKGROUND: The information provided during the postoperative handover influences the delivery of care of patients in the postoperative recovery unit through their care on the ward. There is a need for a structured and systematic approach to postoperative handover. The aim of this study was to improve postoperative handover through the implementation of a new handover protocol, which involved a handover proforma and standardization of the handover process. METHODS: This prospective pre-post intervention study demonstrated the improvement in postoperative handover through standardization. There was a significant reduction in information omissions and task errors and improvement in communication and teamwork with the new handover protocol. RESULTS: There was a significant reduction in overall information omissions from 9 to 3 (P < .001) omissions per handover and task errors from 2.8 to .8 (P < .001) with the new handover protocol. Teamwork and nurses' satisfaction score significantly improved from a median of 3 to 4 (P < .001) and median of 4 to 5 (P < .001). Duration of handover decreased from a median of 8 to 7 minutes (P < .376). CONCLUSIONS: The study demonstrates that standardization of postoperative handover improved communication and teamwork and reduced information omissions and task errors. There was an improvement in the quality of the handover after the introduction of the new handover protocol, which was easy and simple to use.
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spelling oxford-uuid:be8274d0-b6fe-4a2f-ac2c-eee5179c94d32022-03-27T05:40:04ZImproving postoperative handover: a prospective observational study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:be8274d0-b6fe-4a2f-ac2c-eee5179c94d3EnglishSymplectic Elements at Oxford2013Nagpal, KAbboudi, MManchanda, CVats, ASevdalis, NBicknell, CVincent, CMoorthy, K BACKGROUND: The information provided during the postoperative handover influences the delivery of care of patients in the postoperative recovery unit through their care on the ward. There is a need for a structured and systematic approach to postoperative handover. The aim of this study was to improve postoperative handover through the implementation of a new handover protocol, which involved a handover proforma and standardization of the handover process. METHODS: This prospective pre-post intervention study demonstrated the improvement in postoperative handover through standardization. There was a significant reduction in information omissions and task errors and improvement in communication and teamwork with the new handover protocol. RESULTS: There was a significant reduction in overall information omissions from 9 to 3 (P < .001) omissions per handover and task errors from 2.8 to .8 (P < .001) with the new handover protocol. Teamwork and nurses' satisfaction score significantly improved from a median of 3 to 4 (P < .001) and median of 4 to 5 (P < .001). Duration of handover decreased from a median of 8 to 7 minutes (P < .376). CONCLUSIONS: The study demonstrates that standardization of postoperative handover improved communication and teamwork and reduced information omissions and task errors. There was an improvement in the quality of the handover after the introduction of the new handover protocol, which was easy and simple to use.
spellingShingle Nagpal, K
Abboudi, M
Manchanda, C
Vats, A
Sevdalis, N
Bicknell, C
Vincent, C
Moorthy, K
Improving postoperative handover: a prospective observational study.
title Improving postoperative handover: a prospective observational study.
title_full Improving postoperative handover: a prospective observational study.
title_fullStr Improving postoperative handover: a prospective observational study.
title_full_unstemmed Improving postoperative handover: a prospective observational study.
title_short Improving postoperative handover: a prospective observational study.
title_sort improving postoperative handover a prospective observational study
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