Evaluation of Intraoperative Hand-Off Frequency, Duration, and Context: A Mixed Methods Analysis.

The Journal of Surgical Research
Lane L FrasierCaprice C Greenberg

Abstract

Hand-offs in the operating room contribute to poor communication, reduced team function, and may be poorly coordinated with other activities. Conversely, they may represent a missed opportunity for improved communication. We sought to better understand the coordination and impact of intraoperative hand-offs. We prospectively audio-video (AV) recorded 10 operations and evaluated intraoperative hand-offs. Data collected included percentage of time team members were absent due to breaks, relationships between hand-offs and intraoperative events (incision, surgical counts), and occurrences of simultaneous hand-offs. We also identified announcement that a hand-off had occurred and anchoring, in which team members not involved in the hand-off participated and provided information. Spanning 2919 min of audio-video data, there were 74 hand-offs (range, 4-14 per case) totaling 225.2 min, representing 7.7% of time recorded. Thirty-two (45.1%) hand-offs were interrupted or delayed because of competing activities; eight hand-offs occurred during an instrument or laparotomy pad count. Six cases had simultaneous hand-offs; two cases had two episodes of simultaneous hand-offs. Eight hand-offs included an announcement. Seven included anchoring...Continue Reading

References

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Oct 30, 2016·Surgery·Lane L FrasierCaprice C Greenberg
Sep 30, 2016·JAMA Surgery·Lane L FrasierCaprice C Greenberg
Mar 23, 2016·American Journal of Surgery·Carly E GlarnerCaprice C Greenberg
Jan 30, 2019·The Journal of Surgical Research·Lane L FrasierCaprice C Greenberg

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