title: Resident-led Implementation of a Standardized Handoff System to Facilitate Transfer of Postoperative Neurosurgical Patients to the ICU.
abstract: Transitions in care are pivotal moments for patient safety. Although many strategies have been suggested for handoff improvement in the healthcare realm, little focus has been placed on patient safety during the transition from the operative to the postoperative setting. Many surgical trainees have received limited instruction, if any, on how to conduct comprehensive handoffs that ensure the safe transition of care and optimize continuity of care. Therefore, structured transfers of patient care can be invaluable. Here, we describe the implementation of a standardized handoff system developed by residents in an academic neurosurgery department to communicate key perioperative data via both electronic documentation and in-person discussion as a means of reinforcement. Our results are part of a comprehensive effort to strengthen the culture of safety surrounding the care and treatment of neurosurgical patients at our institution.
authors.affiliation: Department of Neurological Surgery, University of California, San Francisco ; Research Fellow, Howard Hughes Medical Institute.
authors.forename: Harjus S
authors.initials: HS
authors.lastname: Birk
authors.affiliation: Department of Neurological Surgery, University of California, San Francisco.
authors.forename: Seunggu J
authors.initials: SJ
authors.lastname: Han
authors.affiliation: Department of Neurological Surgery, University of California, San Francisco.
authors.forename: John D
authors.initials: JD
authors.lastname: Rolston
authors.affiliation: Department of Neurological Surgery, University of Toronto.
authors.forename: Nathan C
authors.initials: NC
authors.lastname: Rowland
authors.affiliation: Department of Neurological Surgery, University of California, San Francisco.
authors.forename: Catherine
authors.initials: C
authors.lastname: Lau
authors.affiliation: Department of Neurological Surgery, University of California, San Francisco.
authors.forename: Philip V
authors.initials: PV
authors.lastname: Theodosopoulos
authors.affiliation: Department of Neurological Surgery, University of California, San Francisco.
authors.forename: Michael W
authors.initials: MW
authors.lastname: McDermott
keywords: interdisciplinary communication; perioperative care; surgical handoff; transfer of care