The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: A randomized controlled trial

Journal of Critical Care
Cornelie SalzwedelDaniel A Reuter

Abstract

Handover of patient care is a potential safety risk for the patient due to loss of information which may result in adverse outcome. We hypothesized that a checklist for handover from the operating room (OR) to the intensive care unit (ICU) will lead to an increase of quality regarding information transfer compared with a nonstandardized handover procedure. The study was conducted as a prospective, randomized trial in a university hospital. The quality of handovers with checklist was compared with handovers without checklist. Handovers were recorded by digital voice recorder and analyzed using an individual rating sheet for each patient. This enabled to discriminate between items that "must be handed over" (red items) and items that "should be handed over" (yellow items). A total of 121 patient handovers from OR to ICU were included. Significantly more red items were handed over in the study group compared with the control group (study group: median 87.1%, 25-27 percentile 77.1%-90.0%; control group: median 75.0%, 25-75 percentile 66.7%-88.6%; P < .01). This study gives first evidence that the use of a standardized checklist for patient handover from OR to ICU increases the quantity and quality of transmitted medical information.

References

Nov 9, 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·Brian F JoyJason M Kane
Sep 6, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Michelle A PetrovicElizabeth A Martinez
Jan 31, 2013·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Cornelie SalzwedelGunter Nils Schmidt
Dec 21, 2013·Acta Anaesthesiologica Scandinavica·A MilbyF Wappler
Apr 10, 2014·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Agnès LeotsakosBill Munier

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Citations

Sep 14, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Marian Smeulers, Hester Vermeulen
Jan 12, 2017·Journal of Nursing Management·Trudi MannixAllison Roderick
Aug 2, 2017·Anesthesia and Analgesia·Barbara K BurianKeith J Ruskin
Aug 4, 2018·Computers, Informatics, Nursing : CIN·Yao-Kuang SunKuang-Hua Cheng
Oct 3, 2019·International Anesthesiology Clinics·Aalok V AgarwalaHeather Nixon
Dec 29, 2020·Nursing & Health Sciences·Margaret NjambiBernice Redley
May 2, 2021·International Journal of Medical Informatics·Joanna AbrahamThomas Kannampallil
May 27, 2021·Anesthesiology Research and Practice·Tesfaye Belaneh AgizewMamaru Mollalign Temesgen

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