An observational study of patient care outcomes sensitive to handover quality in the Post-Anaesthetic Care Unit

Journal of Clinical Nursing
Nichole LillibridgeBernice Redley

Abstract

To identify patient care outcome indicators sensitive to the quality of interprofessional handover between the anaesthetist and the Post-Anaesthetic Care Unit nurse. The relationship between interprofessional clinical handover when patients are transferred from the operating theatre to the Post-Anaesthetic Care Unit and patient outcomes of subsequent patient care delivery is not well understood. Naturalistic, exploratory descriptive design using observation. Observations of 31 patient journeys through Post-Anaesthetic Care Units across three public and private hospitals. Characteristics of interprofessional handover on arrival in the Post-Anaesthetic Care Unit, the trajectory of patient care activities in Post-Anaesthetic Care Unit and patient outcomes were observed. Of the 821 care activities observed across 31 "patient journeys" in the Post-Anaesthetic Care Unit, observations (assessments and vital signs) (52.5 %), communication (15.8 %) and pain management (assessment of pain and analgesic administration) (10.3%) were most common. Examination of patterns in handover communications and subsequent trajectories of patient care activities revealed three patient trajectory typologies and two patient outcome indicators expected to...Continue Reading

References

May 3, 2008·The Medical Journal of Australia·David I Ben-TovimKatherine M McGrath
Jul 22, 2009·The Medical Journal of Australia·Jill M PorteousPauline F Crommelin
Oct 24, 2009·Critical Care Medicine·James M Blum, Kevin K Tremper
Dec 17, 2009·Research in Nursing & Health·Margarete Sandelowski
Aug 17, 2010·BMJ : British Medical Journal·Timothy M TrebbleMarc Baker
May 1, 2012·Anesthesia and Analgesia·Noa SegallUNKNOWN Durham VA Patient Safety Center of Inquiry
Jun 16, 2012·Annals of Emergency Medicine·Lisa A CalderJamie Brehaut
Jul 18, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Bernice RedleyMari Botti

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Citations

Dec 29, 2020·Nursing & Health Sciences·Margaret NjambiBernice Redley
Jan 13, 2021·Journal of Clinical Nursing·Elizabeth ReineTone Rustøen

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