title: Improving the quality of the operating room to intensive care unit handover at an urban teaching hospital through a bundled intervention.
abstract: OBJECTIVE
  To evaluate the efficacy of a bundled intervention to improve the quality of the operating room to intensive care unit (ICU) clinical handover.
  
  
  METHODS
  Prospective, interventional study.
  
  
  METHODS
  An urban, public teaching hospital with more than 1500 direct postoperative ICU admissions each year.
  
  
  METHODS
  A bundled intervention to include the addition of a direct anesthesia provider to ICU nurse telephone report, a mnemonic to standardize the handover process, and improved template for postoperative documentation by the anesthesia team.
  
  
  METHODS
  Preintervention (baseline) and postintervention survey data were solicited from key stakeholders, which included anesthesia providers and ICU nursing staff.
  
  
  RESULTS
  Anesthesia provider and ICU nursing staff satisfaction levels rose significantly following implementation of the bundled intervention. In addition, perceived effectiveness of the handover process and note increased significantly. The satisfaction level of the ICU nurses with respect to the phone report received before patient arrival in the ICU nearly doubled.
  
  
  CONCLUSIONS
  The implementation of a bundled handover intervention was associated with increased stakeholder satisfaction as well as a perception of increased efficacy and quality of the overall handover process and postoperative anesthesia documentation.
authors.affiliation: Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA. Electronic address: Tiffany.Moon@UTSouthwestern.edu.
authors.forename: Tiffany S
authors.initials: TS
authors.lastname: Moon
authors.affiliation: University of Texas Southwestern Medical School, Dallas, TX, USA.
authors.forename: Michael X
authors.initials: MX
authors.lastname: Gonzales
authors.affiliation: Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Amy P
authors.initials: AP
authors.lastname: Woods
authors.affiliation: Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Pamela E
authors.initials: PE
authors.lastname: Fox
mesh_terms: D000776:Anesthesiology / Q000458:organization & administration / Q000592:standards; D001291:Attitude of Health Personnel; D003142:Communication; D006302:Health Services Research / Q000379:methods; D006784:Hospitals, Teaching / Q000458:organization & administration / Q000592:standards; D006786:Hospitals, Urban / Q000458:organization & administration / Q000592:standards; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration / Q000592:standards*; D009741:Nursing Staff, Hospital / Q000523:psychology; D009873:Operating Rooms / Q000458:organization & administration / Q000592:standards*; D010043:Outcome and Process Assessment, Health Care / Q000379:methods; D010348:Patient Care Team; D062209:Patient Handoff / Q000458:organization & administration / Q000592:standards*; D010360:Patient Transfer / Q000458:organization & administration / Q000592:standards; D011182:Postoperative Care / Q000592:standards*; D011446:Prospective Studies; D058996:Quality Improvement; D013781:Texas
keywords: Handoff; Handover; Intensive care unit; Operating room; Quality improvement; Transfer of care