title: Surgical suite to pediatric intensive care unit handover protocol: implementation process and long-term sustainability.
abstract: The article reports the long-term sustainability of a standardized transfer protocol from cardiac surgical suite to the pediatric intensive care unit. Using rapid process improvement technique, the original mean defect rate per handover decreased from 13.2 to 0 and 0.3, 12, and 24 months postimplementation, respectively. This study stresses the importance of long-term assessment to control for possible observation biases; it also illustrates a successful implementation strategy that used video recording to engage staff in identifying solutions to the observed defects.
authors.affiliation: Critical Care Unit, BC Children's Hospital and Sunny Hill Health Centre for Children, The University of British Columbia, British Columbia Canada (Mss Northway, Thibault, and Yarske, and Mr Krahn, and Drs Kissoon and Collet); Child & Family Research Institute, Vancouver, Canada (Drs Kissoon, Yuskiv, and Collet); and Department of Pediatrics, The University of British Columbia, British Columbia, Canada (Dr Kissoon and Collet).
authors.forename: Tracie
authors.initials: T
authors.lastname: Northway
authors.forename: Gordon
authors.initials: G
authors.lastname: Krahn
authors.forename: Kristine
authors.initials: K
authors.lastname: Thibault
authors.forename: Lisa
authors.initials: L
authors.lastname: Yarske
authors.forename: Nataliya
authors.initials: N
authors.lastname: Yuskiv
authors.forename: Niranjan
authors.initials: N
authors.lastname: Kissoon
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Collet
mesh_terms: D006348:Cardiac Surgical Procedures; D016507:Cardiology Service, Hospital / Q000458:organization & administration*; D002648:Child; D003142:Communication; D003422:Critical Care; D006801:Humans; D015278:Intensive Care Units, Pediatric / Q000458:organization & administration*; D019300:Medical Errors / Q000517:prevention & control; D010348:Patient Care Team; D062209:Patient Handoff / Q000592:standards; D010360:Patient Transfer / Q000379:methods*; D058996:Quality Improvement / Q000592:standards