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Surgical Intraoperative Handoff Initiative: Standardizing Operating Room Communication Using SHRIMPS.
Stephens, Wesley A; Anderson, Madeline J; Levy, Brittany E; Lantz, Sherry; Harris, Andrew M; Newcomb, Melissa R.
Afiliación
  • Stephens WA; From the Department of Surgery, University of Kentucky Healthcare, Lexington, KY (Stephens, Anderson, Levy).
  • Anderson MJ; From the Department of Surgery, University of Kentucky Healthcare, Lexington, KY (Stephens, Anderson, Levy).
  • Levy BE; From the Department of Surgery, University of Kentucky Healthcare, Lexington, KY (Stephens, Anderson, Levy).
  • Lantz S; Department of Surgery, Lexington VA Medical Center, Lexington, KY (Lantz, Harris, Newcomb).
  • Harris AM; Department of Surgery, Lexington VA Medical Center, Lexington, KY (Lantz, Harris, Newcomb).
  • Newcomb MR; Department of Surgery, Lexington VA Medical Center, Lexington, KY (Lantz, Harris, Newcomb).
J Am Coll Surg ; 239(4): 387-393, 2024 Oct 01.
Article en En | MEDLINE | ID: mdl-38895954
ABSTRACT

BACKGROUND:

Operating room (OR) handoffs are not universally standardized, although standardized sign outs have been proven to provide effective communication in other aspects of healthcare. We hypothesize that creating a standardized handoff will improve communication between OR staff. STUDY

DESIGN:

A frontline stakeholder approached our quality improvement team with concern regarding inadequate quality surgical technician handoffs during staff changes. An audit tool was created for a pilot cohort of 23 cases to evaluate surgical technician handoffs from May 2022 to November 2022. Handoffs occurred in 82.6% of cases. Elements of handoff varied significantly, with an average of 34.4% completion of critical handoff elements. Audits were reviewed with stakeholders to develop a standardized communication checklist, including domains regarding sponges, sharps, hidden items, replaced items, instruments, implants, medications, procedure overview, and specimens. An acronym of these domains, SHRIMPS, was affixed to each OR wall.

RESULTS:

In the initial Plan-Do-Study-Act cycle, piloted in urology, general surgery, and neurosurgery, 100% of the 15 observed cases included handoff, averaging 76 seconds per handoff. Additionally, 100% of cases announced a handoff to the surgeon, and all elements were addressed 99.6% of the time. Plan-Do-Study-Act cycle 2 involved implementation to all service lines. Of the 68 cases observed, 100% included handoff, averaging 69.4 seconds per handoff, with 98.2% of elements addressed, though only 97.1% of handoffs were announced.

CONCLUSIONS:

Little communication standardization exists within the OR, especially regarding intraoperative staff changes. Implementation of a standardized handoff between surgical technicians resulted in substantial improvement in critical communication during staff changes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Quirófanos / Mejoramiento de la Calidad / Pase de Guardia Límite: Humans Idioma: En Revista: J Am Coll Surg Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Quirófanos / Mejoramiento de la Calidad / Pase de Guardia Límite: Humans Idioma: En Revista: J Am Coll Surg Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos