title: [Quality of the anesthesiologist written record during the transfer of postoperative patients: Influence of implementing a structured communication tool].
abstract: OBJECTIVE
  The lack of communication is a major cause of health care errors, especially during patient transfer between practitioners and/or healthcare units, when standardization of communication is a recommended practice. In our study we wanted to assess whether the application of the structured communication SBAR tool could influence the quality of the information written on the progress sheet by the anesthesiologist involved in the transfer of the patient after surgery.
  
  
  METHODS
  This is an observational, retrospective, randomized, quality review of the written record made by the anesthesiologist during the transfer of patients from the surgical area to the postoperative recovery unit, by applying a validated list. We evaluated three observation periods: a control period of two months in 2011 (preSBAR) and a second period of two months in 2012 (postSBAR); in the latter two groups of patients were transferred (postSBAR +) or without SBAR (postSBAR-).
  
  
  RESULTS
  The strength of agreement between raters obtained an intraclass correlation coefficient of 0.8459 (p <0.001). There were significant differences in the study group, with highest average score in the group with SBAR (postSBAR + group: mean ± SD 7.56 ± 1.20 versus postSBAR-group: 5.41 ± 2.98, p <0.001) and depending on the anesthesiologist responsible for the intervention participated in the study (mean ± SD: 7.00 ± 1.99, compared to 4.81 ± 3.24 in the non-participants, p <0.001).
  
  
  CONCLUSIONS
  There was an improvement in the quality of written records made in 2012 during the implementation of the SBAR, without the actual application of this instrument appearing to influence it. The anesthesiologists that were involved in new forms of patient safety were also those who made written records of highest quality.
authors.affiliation: Servicio Anestesiología, Reanimación y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, España. Electronic address: mj.garciasanchez@gmail.com.
authors.forename: M J
authors.initials: MJ
authors.lastname: García-Sánchez
authors.affiliation: Servicio Anestesiología, Reanimación y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, España.
authors.forename: C
authors.initials: C
authors.lastname: Fernández-Guerrero
authors.affiliation: Servicio Anestesiología, Reanimación y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, España.
authors.forename: P
authors.initials: P
authors.lastname: López-Toribio
authors.affiliation: Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Granada, Granada, España.
authors.forename: A
authors.initials: A
authors.lastname: Bueno-Cavanillas
authors.affiliation: Servicio Anestesiología, Reanimación y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, España.
authors.forename: M
authors.initials: M
authors.lastname: Prieto-Cuéllar
authors.affiliation: Servicio Anestesiología, Reanimación y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, España.
authors.forename: E M
authors.initials: EM
authors.lastname: Guzmán-Malpica
authors.affiliation: Servicio Anestesiología, Reanimación y Terapia del Dolor, AGS Sur de Granada, Granada, España.
authors.forename: P
authors.initials: P
authors.lastname: Cuevas-Valenzuela
authors.affiliation: Servicio Anestesiología, Reanimación y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, España.
authors.forename: E
authors.initials: E
authors.lastname: Moreno-Abril
authors.affiliation: Unidad de Reanimación, Servicio Anestesiología, Reanimación y Terapia del Dolor, Complejo Hospitalario de Granada, Granada, España.
authors.forename: P
authors.initials: P
authors.lastname: Lara-Ramos
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000776:Anesthesiology; D002648:Child; D002675:Child, Preschool; D003144:Communication Barriers; D000068598:Data Accuracy; D005568:Forms and Records Control; D006801:Humans; D033183:Interdisciplinary Communication; D008499:Medical Records; D008875:Middle Aged; D009873:Operating Rooms; D010348:Patient Care Team; D061214:Patient Safety; D010360:Patient Transfer; D011184:Postoperative Period; D011897:Random Allocation; D011997:Recovery Room; D012189:Retrospective Studies; D055815:Young Adult
keywords: Adverse events; Communication; Comunicación; Cuidados postoperatorios; Eventos adversos; Periodo postoperatorio; Postoperative care; Postoperative period; Safety; Seguridad