A Structured Transfer of Care Process Reduces Perioperative Complications in Cardiac Surgery Patients

Anesthesia and Analgesia
Michael HallMichael Hutchens

Abstract

Serious complications are common during the intensive care of postoperative cardiac surgery patients. Some of these complications may be influenced by communication during the process of handover of care from the operating room to the intensive care unit (ICU) team. A structured transfer of care process may reduce the rate of communication errors and perioperative complications. We hypothesized that a collaborative, comprehensive, structured handover of care from the intraoperative team to the ICU team would reduce a specific set of postoperative complications. We tested this hypothesis by developing and introducing a comprehensive multidisciplinary transfer of care process. We measured patient outcomes before and after the intervention using a linkage between 2 care databases: an Anesthesia Information Management System and a critical care complication registry database. There were 1127 total postoperative cardiac surgery admissions during the study period, 550 before and 577 after the intervention. There was no statistical difference between overall complications before and after the intervention (P = .154). However, there was a statistically significant reduction in preventable complications after the intervention (P = .023)...Continue Reading

Associated Clinical Trials

References

May 28, 2010·Annals of Surgery·Kamal NagpalKrishna Moorthy
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Oct 27, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Samara R ZavalkoffAdrian B Dancea
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May 1, 2012·Anesthesia and Analgesia·Noa SegallUNKNOWN Durham VA Patient Safety Center of Inquiry
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Jul 3, 2016·Heart Failure Clinics·Muhammed Waqas, Jennifer A Cowger

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Citations

Jul 22, 2017·Anesthesia and Analgesia·Megan J OlejniczakRichard C Prielipp
Oct 5, 2019·Health Care Analysis : HCA : Journal of Health Philosophy and Policy·Marij Bontemps-HommenFrans Vosman
Feb 7, 2021·BMC Anesthesiology·Fabian DusseFrank Wappler

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