Evidence map›Paper›PMID 41248419›Full record

ArticleBMJ open2025

Assessing the impact of a semi-structured intraoperative anaesthesia handoff cognitive aid on surgical patient outcomes: study protocol for a cluster randomised trial.

Aubrey Samost-Williams, Charles E Green, Lillian S Kao, Srikanth Sridhar, Daniel I Sessler, Alparslan Turan, Eric J Thomas

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06533111 (Improving Surgical Patient Outcomes Through Implementation of a SemiStructured Intraoperative Anesthesia Handoff Tool), which is not on this map. Not yet cited in PubMed.

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

NCT06533111 nacompletednot on this map

Improving Surgical Patient Outcomes Through Implementation of a SemiStructured Intraoperative Anesthesia Handoff Tool

TypeinterventionalSponsorThe University of Texas Health Science Center, HoustonRan2024 to 2026Enrolled3,763ConditionsPost-operative ComplicationsArmsEpic Health Record semi-structured handoff cognitive aid, Usual care
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Aubrey Samost-WilliamsAnesthesiology, Critical Care, and Pain Medicine, The University of Texas Health Science Center at Houston, Houston, Texas, USA aubrey.samostwilliams@uth.tmc.edu.ORCID http://orcid.org/0000-0003-4747-461X
Charles E GreenPsychiatry and Pediatrics, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Lillian S KaoSurgery, Center for Surgical Trials and Evidence-based Practice, The University of Texas Health Science Center, Houston, Texas, USA.ORCID http://orcid.org/0000-0002-3567-8159
Srikanth SridharAnesthesiology, Critical Care, and Pain Medicine, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Daniel I SesslerAnesthesiology, Critical Care, and Pain Medicine, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Alparslan TuranAnesthesiology, Critical Care, and Pain Medicine, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Eric J ThomasInternal Medicine, The University of Texas Health Scince Center at Houston, Houston, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntraoperative anaesthesia handoffs represent a risk point in the care of surgical patients. Although often necessary to prevent fatigue, improve vigilance and optimise operational efficiency, critical information can be lost, potentially leading to postoperative complications. Structured handoffs can increase the transfer of knowledge during intraoperative anaesthesia handoffs, improving their quality. We therefore propose to test the primary hypothesis that a semi-structured intraoperative anaesthesia handoff cognitive aid reduces the number of serious 30-day complications in surgical patients. METHODS AND ANALYSIS: We will enrol adults having non-cardiac surgery who are scheduled to have an intraoperative anaesthesia handoff for operational reasons. We plan a cluster randomised trial (enrolling over 18 months, anticipated sample size approximately 4500 patients) that will compare the Epic Electronic Health Record intraoperative anaesthesia handoff cognitive aid to routine handoffs. Our primary outcome will be the number of serious postoperative complications within 30 days. Our secondary outcomes will be: (1) the number of minor complications; and (2) the duration of postoperative hospitalisation. Bayesian analysis with generalised linear multilevel modelling will be used to estimate the effect of structured handoffs on the primary and secondary outcomes. ETHICS AND DISSEMINATION: This study has been approved by the local institutional review board with a waiver of informed consent. Results will be disseminated in the medical literature with de-identified data available on request. TRIAL REGISTRATION NUMBER: NCT06533111.

Indexed as

AnesthesiaPatient HandoffPostoperative ComplicationsBayes TheoremCognitionElectronic Health RecordsHumansRandomized Controlled Trials as TopicANAESTHETICSQuality in health careRandomized Controlled TrialSafety

Identifiers

PMID41248419
PMCPMC12587940

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Registered trials

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.