title: Structured Handover in the Pediatric Postanesthesia Care Unit.
abstract: OBJECTIVE
  To establish a structured handover in the pediatric postanesthesia care unit.
  
  
  METHODS
  An observational prequality and postquality improvement design was used.
  
  
  METHODS
  Convenience samples of 52 preimplementation and 51 postimplementation handover interactions (N = 103) were observed and compared to a 42-item Introductions, Situation, Background, Assessment, Recommendations, & Questions checklist. Patient care team members' satisfaction was assessed using voluntary electronic surveys. Data were analyzed for descriptive measures and differences in the pre- and postchecklist, and satisfaction total scores were compared using a two-sample t test.
  
  
  RESULTS
  The implementation of the handover checklist resulted in a statistically significant increase in the percentage of items discussed during five of six handover phases (P < .001). Overall, a significant increase in provider satisfaction was demonstrated from preimplementation to postimplementation (P < .01). The average duration of handover (in minutes) was not significantly different from pre (mean = 5.80 ± 3.80) to post (mean = 6.80 ± 2.30), P = .15.
  
  
  CONCLUSIONS
  A structured handover checklist is associated with increased communication of handover content information and improved provider satisfaction. No statistically significant effect on handover duration time was found.
authors: Emily
authors: E
authors: Funk
authors: Brad
authors: B
authors: Taicher
authors: Julie
authors: J
authors: Thompson
authors: Kelly
authors: K
authors: Iannello
authors: Brett
authors: B
authors: Morgan
authors: Sharon
authors: S
authors: Hawks
mesh_terms: D002648:Child; D006801:Humans; D062209:Patient Handoff; D016528:Postanesthesia Nursing
keywords: ISBARQ; PACU; SBAR; communication; handover; pediatric