Improving the postoperative handover process in the intensive care unit of a tertiary teaching hospital

Journal of Clinical Nursing
Jian-Guo Yang, Jun Zhang

Abstract

The aim of this study was to improve the postoperative handover process and immediate postoperative patient outcomes. The objective was to implement a postoperative handover protocol in the neurosurgical intensive care unit of a tertiary teaching hospital. Postoperative handover is a multidisciplinary collaborative medical activity that involves information transfer, sequenced tasks and high-quality teamwork. Evidence suggests that a lack of a standardised postoperative handover protocol adversely influences care quality and potentially compromises patient safety. As there is a lack of such protocols in China, there is an identified need for improvement. This was a pretest/post-test study with follow-up after three months. A postoperative handover protocol that included a postoperative handover checklist, a standardised handover pathway and core team member involvement was developed based on research evidence and expert opinions and was then implemented and evaluated. Following the implementation of this protocol, improved teamwork was achieved, surgeons were more frequently present at bedside handovers, the rate of transferring key messages increased, the rate of ventilator weaning within the first six hours of neurosurgical i...Continue Reading

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Citations

Sep 14, 2014·The Journal of Emergency Medicine·Susan M PetersonLinda Regan
Aug 25, 2016·Revista da Escola de Enfermagem da U S P·Bethania Ferreira GoulartLucieli Dias Pedreschi Chaves
Aug 4, 2018·Computers, Informatics, Nursing : CIN·Yao-Kuang SunKuang-Hua Cheng
Feb 12, 2020·Journal of Clinical Nursing·Georgia TobianoAndrea P Marshall
Dec 29, 2020·Nursing & Health Sciences·Margaret NjambiBernice Redley
Feb 25, 2021·Applied Clinical Informatics·Joanna AbrahamAlicia Meng
May 2, 2021·International Journal of Medical Informatics·Joanna AbrahamThomas Kannampallil
Aug 8, 2021·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Mahboobeh Hosseini MoghaddamMarzieh Momennasab
Aug 9, 2021·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Mahboobeh Hosseini MoghaddamMarzieh Momennasab

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