Cited by 250Hospital Admissions and OutcomesPatient Safety and Medication ErrorsHealthcare Operations and Scheduling Optimization

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Can We Make Postoperative Patient Handovers Safer? A Systematic Review of the Literature

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Segall, Noa, Bonifacio, Alberto S., Schroeder, Rebecca A., Barbeito, Atilio, Rogers, Dawn, Thornlow, Deirdre K., Emery, James, Kellum, Sally, Wright, Melanie C., Mark, Jonathan B.·2012·Anesthesia & Analgesia

DOI 10.1213/ane.0b013e318253af4bPMC PMC6152818

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Abstract

Postoperative patient handovers are fraught with technical and communication errors and may negatively impact patient safety. We systematically reviewed the literature on handover of care from the operating room to postanesthesia or intensive care units and summarized process and communication recommendations based on these findings. From >500 papers, we identified 31 dealing with postoperative handovers. Twenty-four included recommendations for structuring the handover process or information transfer. Several recommendations were broadly supported, including (1) standardize processes (e.g., through the use of checklists and protocols); (2) complete urgent clinical tasks before the information transfer; (3) allow only patient-specific discussions during verbal handovers; (4) require that all relevant team members be present; and (5) provide training in team skills and communication. Only 4 of the studies developed an intervention and formally assessed its impact on different process measures. All 4 interventions improved metrics of effectiveness, efficiency, and perceived teamwork. Most of the papers were cross-sectional studies that identified barriers to safe, effective postoperative handovers including the incomplete transfer of information and other communication issues, inconsistent or incomplete teams, absent or inefficient execution of clinical tasks, and poor standardization. An association between poor-quality handovers and adverse events was also demonstrated. More innovative research is needed to define optimal patient handovers and to determine the effect of handover quality on patient outcomes.

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Joy, 2011, Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit., Pediatr Crit Care Med, 12, 304, 10.1097/PCC.0b013e3181fe25a1 · DOI

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Authors: Segall, N., Bonifacio, A. S., Schroeder, R. A., Barbeito, A., Rogers, D., Thornlow, D. K., Emery, J., Kellum, S., Wright, M. C., & Mark, J. B.
Affiliations: Duke University (US)
Durham VA Medical Center (US)
Duke Medical Center (US)
Trinity Health (US)
Corresponding author: Segall, Noa
Schroeder, Rebecca A.
ORCID: Segall, Noa
Schroeder, Rebecca A.
Wright, Melanie C.
Venue: Anesthesia & Analgesia
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2012-07
Volume: 115
Issue: 1
Pages: 102-115
ISSN: 0003-2999 (ISSN-L)
DOI: 10.1213/ane.0b013e318253af4b
PMC: PMC6152818
OpenAlex: W2107099173
Cited by: 250
References: 59
Citations by year: 2026: 11 · 2025: 5 · 2024: 15 · 2023: 20 · 2022: 10 · 2021: 27 · 2020: 14 · 2019: 22 · 2018: 29 · 2017: 28 · 2016: 19 · 2015: 23 · 2014: 14 · 2013: 10 · 2012: 2
FWCI: 3.47
Type: journal article
Language: en
Open access: green
europepmc.org
Locations: Anesthesia & Analgesia (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Agency for Healthcare Research and Quality (K02HS015704)
Topics: Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
Social Sciences › Decision Sciences › Management Science and Operations Research › Healthcare Operations and Scheduling Optimization
Keywords: patient safety, communication errors, handover checklist, team communication, adverse events, information transmission
MeSH terms: Anesthesia Recovery Period, Clinical Protocols, Continuity of Patient Care, Humans, Intensive Care Units, Operating Rooms, Patient Care Team, Patient Transfer, Practice Patterns, Physicians', Postoperative Care, Practice Guidelines as Topic, Medical Errors, Guideline Adherence, Quality Indicators, Health Care, Interdisciplinary Communication, Checklist, Patient Safety

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Can We Make Postoperative Patient Handovers Safer? A Systematic Review of the Literature

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