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    Conformity Through Communication: A Quality Improvement Project Implementing a Standardized Handoff Checklist from Anesthesia to the Post-Anesthesia Care Unit

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    DNP Quality Improvement Project (19.26Mb)

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    Author
    Grissett, Christine
    Abstract
    Background: The transfer of care from anesthesia providers to PACU nurses has been recognized as a high-risk handoff vulnerable to information degradation. Objectives: Introduction of a Targeted Solutions Tool (TST) a checklist used by anesthesia providers when patients transition from the operating room to the PACU to decrease callbacks for clarification by the PACU nurse. Methods: The Robins & Dai (2015) TST handoff checklist was implemented at a rural Southeastern North Carolina hospital for three months. Frequency of callbacks before and after implementation of the checklist was compared. Results: Study outcomes resulted in a 19.3% pre-intervention callback rate compared to 5.6% post-intervention (p < .0005). The ability to recall all key elements of report during handoff was (99%) when using the checklist, and (73%) without the checklist (p < .0005). The results demonstrated improved handoff satisfaction by the PACU nurse an adequacy rating of 97.3% (p < .0005). Overall, there was an increase in the report handoff time (p < .0005). Conclusions: The utilization of a TST report handoff checklist in the high-risk environment such as anesthesia to PACU has shown to reduce callbacks to anesthesia, supporting TJC’s (2012) recommendations for utilizing a TST for improved handoff communication.
    URI
    http://hdl.handle.net/10342/6317
    Subject
    callback, checklist, handoff, information degradation
    Date
    2017-07-21
    Citation:
    APA:
    Grissett, Christine. (July 2017). Conformity Through Communication: A Quality Improvement Project Implementing a Standardized Handoff Checklist from Anesthesia to the Post-Anesthesia Care Unit (DNP Scholarly Project, East Carolina University). Retrieved from the Scholarship. (http://hdl.handle.net/10342/6317.)

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Grissett, Christine. Conformity Through Communication: A Quality Improvement Project Implementing a Standardized Handoff Checklist from Anesthesia to the Post-Anesthesia Care Unit. DNP Scholarly Project. East Carolina University, July 2017. The Scholarship. http://hdl.handle.net/10342/6317. February 22, 2019.
    Chicago:
    Grissett, Christine, “Conformity Through Communication: A Quality Improvement Project Implementing a Standardized Handoff Checklist from Anesthesia to the Post-Anesthesia Care Unit” (DNP Scholarly Project., East Carolina University, July 2017).
    AMA:
    Grissett, Christine. Conformity Through Communication: A Quality Improvement Project Implementing a Standardized Handoff Checklist from Anesthesia to the Post-Anesthesia Care Unit [DNP Scholarly Project]. Greenville, NC: East Carolina University; July 2017.
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