Why the study?
Does a standardized transfer protocol reduce defect rates during handovers from the cardiac surgical suite to the pediatric intensive care unit?
Does a standardized transfer protocol reduce defect rates during handovers from the cardiac surgical suite to the pediatric intensive care unit?
Implementation of a standardized transfer protocol using video recording and rapid process improvement significantly and sustainably reduced handover defects from the cardiac surgical suite to the PICU.
Supports standardized handover protocols in cardiac surgical transfers; hypothesis-generating and requires prospective multicenter validation.
The article reports the long-term sustainability of a standardized transfer protocol from cardiac surgical suite to the pediatric intensive care unit. Using rapid process improvement technique, the original mean defect rate per handover decreased from 13.2 to 0 and 0.3, 12, and 24 months postimplementation, respectively. This study stresses the importance of long-term assessment to control for possible observation biases; it also illustrates a successful implementation strategy that used video recording to engage staff in identifying solutions to the observed defects.
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Northway et al. (2014) studied this question.
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