Evidence map›Paper›PMID 27211792›Full record

ArticleSingapore medical journal2016

Improving postoperative handover from anaesthetists to non-anaesthetists in a children's intensive care unit: the receiver's perception.

Teddy Suratos Fabila, Hwan Ing Hee, Rehena Sultana, Pryseley Nkouibert Assam, Anne Kiew, Yoke Hwee Chan

Abstract read
In one paragraph

Article in Singapore medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Review
  5. The satisfaction regarding handovers between ambulance and emergency department nurses: an observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018
    Observational
  6. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach.Joint Commission journal on quality and patient safety · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Teddy Suratos FabilaDepartment of Paediatric Anaesthesia, KK Women's and Children's Hospital, Singapore.
Hwan Ing HeeDepartment of Paediatric Anaesthesia, KK Women's and Children's Hospital, Singapore.
Rehena SultanaCentre for Quantitative Medicine, Duke-NUS Medical School, Singapore.
Pryseley Nkouibert AssamCentre for Quantitative Medicine, Duke-NUS Medical School, Singapore.
Anne KiewDepartment of Anaesthesia, Changi General Hospital, Singapore.
Yoke Hwee ChanChildren's Intensive Care Unit, KK Women's and Children's Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe efficiency of postoperative handover of paediatric patients to the children's intensive care unit (CICU) varies according to institutions, clinical setup and workflow. Reorganisation of handover flow based on findings from observational studies has been shown to improve the efficiency of information transfer. This study aimed to evaluate a new handover process based on recipients' perceptions, focusing on completeness and comprehensiveness of verbal communication, and the usability of a situation, background, assessment and recommendation (SBAR) form.

methodsThis was a prospective interventional study conducted in the CICU of KK Women's and Children's Hospital, Singapore. It comprised four phases: (1) evaluation of the current handover process through an audit and opinion survey; (2) development of a new handover process based on the opinion survey and hospital personnel feedback; (3) implementation; and (4) evaluation of the new handover process. The new handover process was based on a PETS (pre-handover, equipment handover, timeout and sign out) protocol with a 'single traffic communication' flow and a new SBAR handover document. It included relevant patient information, and the options 'not applicable' and 'none', to increase compliance and reduce ambiguity.

resultsSignificantly more recipients indicated that the new SBAR form was the most important handover tool and provided more useful information. Recipients' perceptions indicated improvement in information sufficiency and clarity; reduction of omission errors; and fewer inconsistencies in patient descriptions in the new process.

conclusionDual customisation of the handover process, PETS protocol and SBAR form is necessary to meet the workflow and information demands of the receiving team.

Indexed as

AnesthesiaAttitude of Health PersonnelIntensive Care UnitsPatient HandoffChildCritical CareHospitals, PediatricHumansMedical ErrorsNursesObservational Studies as TopicPediatricsPostoperative CarePostoperative PeriodProspective StudiesSingaporehandover processopinion surveypaediatricPETS protocolSBAR form

Identifiers

PMID27211792
PMCPMC4876414

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.