A Healthy Work Environment Endeavor: Postoperative Handover from the OR to ICU

2.50
Hdl Handle:
http://hdl.handle.net/10755/291003
Category:
Full-text
Type:
Presentation
Title:
A Healthy Work Environment Endeavor: Postoperative Handover from the OR to ICU
Author(s):
Dermenchyan, Anna
Lead Author STTI Affiliation:
Gamma Tau-at-Large
Author Details:
Anna Dermenchyan, RN, BSN, CCRN-CSC, adermenchyan@mednet.ucla.edu
Abstract:

Session presented on Saturday, April 13, 2013

In January 2005, American Association of Critical-Care Nurses published the Healthy Work Environment Standards in response to the concerns of acute and critical care nurses about the deterioration of healthcare work environments.  In this report six standards were identified: skilled communication, true collaboration, effective decision-making, appropriate staffing, meaningful recognition and authentic leadership.  In numerous studies, ineffective communication between nurses and physicians was the single factor most significantly associated with increased hospital mortality. In addition, during the transitions of care such as postoperative handover process, inadequate communication was implicated in nearly 70% of all errors and adverse events.  These findings prompted the Joint Commission to introduce national patient safety goals, which require health care organizations to implement standardized handover protocols and facilitate communication between providers. 

The purpose of this project was to design an evidence-based guideline and create a standardized handover tool for the postoperative handover from the Operating Room to the Cardiothoracic Intensive Care Unit.  Using an evidence-based practice model the levels of evidence ranging from systematic review, observational studies and expert opinion were synthesized to formulate an evidence-based guideline and a handover tool.  All members of the multidisciplinary team who were involved with the care of the patient were asked to be part of the process.  Results indicate that the structured handover tool and process improves accuracy and completeness of information shared during the handover, thus decreasing omission of any critical information.  In addition, the standardized tool alters the handover report environment from one that is noisy with multiple parallel conversations to an orderly exchange of information. In conclusion, during the critical period of a patient handover report the standardized tool and process enhanced communication, collaboration and decision-making among health care providers, which are critical components of a healthy work environment.

Keywords:
Postoperative Handover; Effective Communication; Evidence-Based Practice
Repository Posting Date:
13-May-2013
Date of Publication:
13-May-2013
Conference Date:
2013
Conference Name:
Creating Healthy Work Environments
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Creating Healthy Work Environments. Held at the JW Marriott, Indianapolis

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryFull-texten_GB
dc.typePresentationen_GB
dc.titleA Healthy Work Environment Endeavor: Postoperative Handover from the OR to ICUen_GB
dc.contributor.authorDermenchyan, Annaen_GB
dc.contributor.departmentGamma Tau-at-Largeen_GB
dc.author.detailsAnna Dermenchyan, RN, BSN, CCRN-CSC, adermenchyan@mednet.ucla.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/291003-
dc.description.abstract<p>Session presented on Saturday, April 13, 2013</p>In January 2005, American Association of Critical-Care Nurses published the Healthy Work Environment Standards in response to the concerns of acute and critical care nurses about the deterioration of healthcare work environments.&nbsp; In this report six standards were identified: skilled communication, true collaboration, effective decision-making, appropriate staffing, meaningful recognition and authentic leadership.&nbsp; In numerous studies, ineffective communication between nurses and physicians was the single factor most significantly associated with increased hospital mortality. In addition, during the transitions of care such as postoperative handover process, inadequate communication was implicated in nearly 70% of all errors and adverse events. &nbsp;These findings prompted the Joint Commission to introduce national patient safety goals, which require health care organizations to implement standardized handover protocols and facilitate communication between providers.&nbsp; <p>The purpose of this project was to design an evidence-based guideline and create a standardized handover tool for the postoperative handover from the Operating Room to the Cardiothoracic Intensive Care Unit. &nbsp;Using an evidence-based practice model the levels of evidence ranging from systematic review, observational studies and expert opinion were synthesized to formulate an evidence-based guideline and a handover tool. &nbsp;All members of the multidisciplinary team who were involved with the care of the patient were asked to be part of the process.&nbsp; Results indicate that the structured handover tool and process improves accuracy and completeness of information shared during the handover, thus decreasing omission of any critical information.&nbsp; In addition, the standardized tool alters the handover report environment from one that is noisy with multiple parallel conversations to an orderly exchange of information. In conclusion, during the critical period of a patient handover report the standardized tool and process enhanced communication, collaboration and decision-making among health care providers, which are critical components of a healthy work environment.en_GB
dc.subjectPostoperative Handoveren_GB
dc.subjectEffective Communicationen_GB
dc.subjectEvidence-Based Practiceen_GB
dc.date.available2013-05-13T10:26:06Z-
dc.date.issued2013-05-13-
dc.date.accessioned2013-05-13T10:26:06Z-
dc.conference.date2013en_GB
dc.conference.nameCreating Healthy Work Environmentsen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.descriptionCreating Healthy Work Environments. Held at the JW Marriott, Indianapolisen_GB
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