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April 19, 2019Nursing ReportsOpen Access

A quantitative study on personnel’s experiences with patient handovers between the operating room and the postoperative anesthesia care unit before and after the implementation of a structured communication tool

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Key result

Implementation of the ISBAR communication tool significantly improved personnel's overall impression of handover quality between the operating room and the PACU (P=0.001).

Why the study?

Postoperative patient handover is challenged by interruptions, time pressure, and lack of a supporting framework, prompting evaluation of a structured communication tool.

Does the implementation of the ISBAR communication tool improve personnel's experiences with the quality of patient handovers between the operating room and the PACU?

Population

Personnel involved in handovers in South-eastern Norway (n=116 before, n=90 after)

Comparison

Before vs after implementation of the ISBAR tool

Design

Before-and-after questionnaire study

Authors

ALAnn‐Chatrin Linqvist LeonardsenØstfold University CollegeEMEllen Klavestad MoenØstfold Hospital TrustGKGro KarlsøenØstfold Hospital Trust

Discussion

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Member takes

Implication

May support ISBAR for perceived handover quality; leaves open effects on clinical outcomes.

Study Design

Type

Observational (n=206)

Multicenter

No

Structured PICO

Does the implementation of the ISBAR communication tool improve personnel's experiences with the quality of patient handovers between the operating room and the PACU?

P
Population
206 personnel involved in patient handovers between the operating room and the postoperative anesthesia care unit surveyed before (n=116) and after (n=90) ISBAR implementation.
E
Exposure
Implementation of the Identification-Situation-Assessment-Recommendations (ISBAR) communication tool
C
Comparator
Standard handover process before implementation of the ISBAR tool
O
Outcome
Personnel's experiences with the quality of patient handovers

Main Result

p-value: p=0.001

Implementation of the ISBAR structured communication tool significantly improves personnel's perception of handover quality and safety between the operating room and the PACU.

Cite This Study

Leonardsen et al. (2019) conducted an observational in Patient handovers (n=206). Identification-Situation-Assessment-Recommendations (ISBAR) tool vs. Before implementation was evaluated on Overall impression of quality in handovers (p=0.001). Implementation of the ISBAR communication tool significantly improved personnel's overall impression of handover quality between the operating room and the PACU (P=0.001).

synapsesocial.com/papers/6a62bff13c4f8a4b5b07da00https://doi.org/10.4081/nursrep.2019.8041
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