Evidence map›Paper›PMID 30655594›Full record

Observational studyJournal of perinatology : official journal of the California Perinatal Association2019

Impact of patient handover structure on neonatal perioperative safety.

D J France, J Slagle, E Schremp, S Moroz, L D Hatch, P Grubb, A Lorinc, C U Lehmann, J Robinson, M Crankshaw and 5 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of perinatology : official journal of the California Perinatal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Hot Topics in Safety for Pediatric Anesthesia.Children (Basel, Switzerland) · 2020
    Review
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

15 authors.

D J FranceDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA. dan.france@vumc.org.ORCID http://orcid.org/0000-0002-5648-8223
J SlagleDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
E SchrempDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
S MorozDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
L D HatchCenter for Research and Innovation in Systems Safety, Vanderbilt University Medical Center, Nashville, TN, USA.
P GrubbDepartment of Pediatrics, Division of Neonatology, Primary Children's Hospital, University of Utah, Salt Lake City, UT, USA.ORCID http://orcid.org/0000-0002-9544-7555
A LorincDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
C U LehmannDepartment of Pediatrics, Division of Neonatology, Primary Children's Hospital, University of Utah, Salt Lake City, UT, USA.ORCID http://orcid.org/0000-0001-9559-4646
J RobinsonDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.
M CrankshawNeonatal Intensive Care Unit, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA.
M SullivanPerioperative Services, Vanderbilt University Medical Center, Nashville, TN, USA.
T NewmanDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
T WallaceNeonatal Intensive Care Unit, Nationwide Children's Hospital, Columbus, OH, USA.
M B WeingerDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
M L BlakelyDepartment of Pediatric Surgery, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA.

Funding

The Impact of Non-Routine Events on Neonatal Safety in the Perioperative EnvironmentR01HD086792 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BLAKELY, MARTIN LEE, FRANCE, DANIEL JOSEPH · 2016 to 2019
$1.9M
NICHD NIH HHS R01 HD086792
6 · The paper itself

Abstract

objectiveTo compare the incidence, severity, preventability, and contributing factors of non-routine events-deviations from optimal care based on the clinical situation-associated with team-based, nurse-to-nurse, and mixed handovers in a large cohort of surgical neonates. STUDY

designA prospective observational study and one-time cross-sectional provider survey were conducted at one urban academic children's hospital. 130 non-cardiac surgical cases in 109 neonates who received pre- and post-operative NICU care.

resultsThe incidence of clinician-reported NREs was high (101/130 cases, 78%) but did not differ significantly across acuity-tailored neonatal handover practices. National Surgical Quality Improvement-Pediatric occurrences of major morbidity were significantly higher (p < 0.001) in direct team handovers than indirect nursing or mixed handovers.

conclusionsNREs occur at a high rate and are of variable severity in neonatal perioperative care. NRE rates and contributory factors were homogenous across handover types. Surveyed clinicians recommend structured handovers for all patients at every transfer point regardless of acuity.

Indexed as

Intensive Care Units, NeonatalPatient SafetyCross-Sectional StudiesFemaleHospitals, PediatricHumansInfant, NewbornMalePatient HandoffPerioperative CareProspective StudiesQuality Improvement

Identifiers

PMID30655594
PMCPMC6592629

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Registered trials

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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.