ArticlePatient safety in surgery2021
The impact of a structured handover checklist for intraoperative staff shift changes on effective communication, OR team satisfaction, and patient safety: a pilot study.
Article in Patient safety in surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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.
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Who cites it
8 citing papers in PubMed, 35 citations in OpenAlex.
- Trauma handover practices between ambulance clinicians, emergency department staff and trauma teams: scoping review.BMC emergency medicine · 2026Article
- Artificial intelligence and precision nursing in the operating room: transforming perioperative safety and surgical outcomes.Frontiers in bioengineering and biotechnology · 2026Review
- Communication handover barriers among nurses and paramedics in emergency care settings.BMC nursing · 2025Article
- Enhancing the quality of surgical care through improved patient handover processes.Patient safety in surgery · 2025Article
- Improving team dynamics in an acute older people care unit to improve quality and safety of care.SAGE open medicine · 2025Article
- Operating room organization and surgical performance: a systematic review.Patient safety in surgery · 2024Review
- The Effects of an Order-Assist Mobile Application on Pediatric Anesthesia Safety: An Observational Study.Children (Basel, Switzerland) · 2023Article
- The role of teamwork and non-technical skills for improving emergency surgical outcomes: an international perspective.Patient safety in surgery · 2022Review
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveHandover without a structured format is prone to the omission of information and could be a potential risk to patient safety. We sought to determine the effect of a structured checklist on the quality of intraoperative change of shift handover between scrubs and circulars.
methodsWe conducted a control intervention study on operating room wards of two teaching hospitals from 20 Feb to 21 Nov 2020. This research was conducted in three stages as follows: assessing the current situation (as a group before the intervention), performing the intervention and evaluating the effect of using a checklist on handover quality after the intervention in two groups: with and without checklist. We examined the quality of handover between scrub and circular personnel in terms of handover duration and quality, omission of information and improvement in OR staff satisfaction.
resultsA total of 120 handovers were observed and evaluated. After intervention in the group using the checklist, the percentage of information omission in surgical report was decreased from 19.5 to 12.1% between scrubs (P < 0.00) and from 16.8 to 14.1% between circulars (P < 0.03). Also, in the role of scrub, the mean overall score of handover process quality was significantly higher after the intervention (x̄ = 7 ± 1.5) than before it (x̄ = 6.5 ± 0.9) (p < 0.02). In the role of circulating, despite the positive effect of overall score checklist, no significant difference was observed (p < 0.08). The use of checklist significantly increased the handover duration between scrubs (p < 0.03) and circulars (p < 0.00). The overall mean percentage of handover satisfaction increased from 67.5% before the intervention to 85.5% after the intervention (p < 0.00).
conclusionThe implementation of a new structured handover checklist had a positive impact on improving the quality of communication between the surgical team, reducing the information omission rate and increasing the satisfaction.
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