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dc.contributor.authorTalley, D.A.
dc.contributor.authorDunlap, E.
dc.contributor.authorSilverman, D.
dc.contributor.authorKatzer, S.
dc.contributor.authorHuffines, M.
dc.contributor.authorDove, C.
dc.contributor.authorAnders, M.
dc.contributor.authorGalvagno, S.M.
dc.contributor.authorTisherman, S.A.
dc.date.accessioned2019-10-15T19:01:19Z
dc.date.available2019-10-15T19:01:19Z
dc.date.issued2019
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85072847292&doi=10.4037%2fccn2019523&partnerID=40&md5=b5da43c9ebc59a6ea0a702cf4a22e2ce
dc.identifier.urihttp://hdl.handle.net/10713/11158
dc.description.abstractBACKGROUND: Evidence-based research demonstrates that postoperative formalized handoff improves communication and satisfaction among hospital staff members, leading to improved patient outcomes. OBJECTIVE: To improve postoperative patient safety in the surgical intensive care unit of a tertiary academic medical center. METHODS: A verbal and written formal reporting method was designed, implemented, and evaluated. The intervention created an admission "time-out," allowing the handoff from surgical and anesthesia teams to the intensive care unit team and bedside nurses to occur in a more structured manner. Before and 1 year after implementation of the intervention, nurses completed surveys on the quality of postoperative handoff. RESULTS: After the intervention, the proportion of nurses who reported receiving handoff from the surgical team increased from 20% to 60% (P < .001). More nurses felt satisfied with the surgical handoff (46% before vs 74% after the intervention; P < .001), and more nurses frequently felt included in the handoff process (42% vs 74%; P < .001). Nurses perceived improved communication with surgical teams (93%), anesthesia teams (89%), and the intensive care unit team (94%), resulting in a perception of better patient care (88%). CONCLUSION: After implementation of a systematic multidisciplinary handoff process, surgical intensive care nurses reported improved frequency and completeness of the postoperative handoff process, resulting in a perception of better patient care.en_US
dc.description.urihttps://doi.org/10.4037/ccn2019523en_US
dc.language.isoen_USen_US
dc.publisherAmerican Association of Critical-Care Nursesen_US
dc.relation.ispartofCritical care nurse
dc.subject.meshCritical Careen_US
dc.subject.meshPatient Handoffen_US
dc.subject.meshPostoperative Careen_US
dc.titleImproving Postoperative Handoff in a Surgical Intensive Care Uniten_US
dc.typeArticleen_US
dc.identifier.doi10.4037/ccn2019523
dc.identifier.pmid31575601


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