Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit.
OBJECTIVE
To determine whether the implementation of a standardized handover protocol could reduce the number of errors occurring during patient transitions from the operating room to the intensive care unit.


METHODS
Prospective, interventional study.


METHODS
Pediatric cardiac intensive care unit.


METHODS
Seventy-nine patient handovers in patients transitioning from the operating room to the cardiac intensive care unit after congenital cardiac surgery.


METHODS
A preintervention assessment of patient handovers was obtained by direct observation using a standardized checklist. A teamwork-driven handover process and protocol was developed using traditional and novel quality-improvement techniques. The postimplementation observational assessment of handovers was performed using the same preintervention assessment tool. Preintervention and postintervention data metrics were analyzed and compared.


RESULTS
Forty-one and 38 observations were performed in the preintervention and postintervention periods, respectively. Protocol implementation improved key areas of the handover process. Technical errors per handover were reduced from 6.24 to 1.52 (p < .0001), and critical verbal handoff information omissions were reduced from 6.33 to 2.38 (p < .0001) per handover. There was no change in duration of either the verbal handoff briefing or the overall handover process. Caregivers noted improvement in teamwork and handoff content received after the intervention.


CONCLUSIONS
A formal, structured handover process for pediatric patients transitioning to the intensive care unit after cardiac surgery can reduce medical errors that occur during the admission process and improve teamwork among caregivers.
Division of Pediatric Critical Care, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA. bjoy@childrensmemorial.org
Brian F
BF
Joy
Emily
E
Elliott
Courtney
C
Hardy
Christine
C
Sullivan
Carl L
CL
Backer
Jason M
JM
Kane
D006348:Cardiac Surgical Procedures; D002648:Child; D002985:Clinical Protocols / Q000592:standards*; D003266:Continuity of Patient Care; D006801:Humans; D015278:Intensive Care Units, Pediatric; D019300:Medical Errors / Q000517:prevention & control*; D019370:Observation; D009873:Operating Rooms; D010360:Patient Transfer / Q000592:standards*; D011446:Prospective Studies; D017751:Safety Management