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Transition of Care in the Cardiothoracic Intensive Care Unit: A Review of Handoffs in Perioperative Cardiothoracic and Vascular Practice

2015; Elsevier BV; Volume: 29; Issue: 4 Linguagem: Inglês

10.1053/j.jvca.2015.01.003

1532-8422

Jesse Raiten, Meghan B. Lane‐Fall, Jacob T. Gutsche, Benjamin Kohl, Michael Fabbro, Aris Sophocles, Sy-Yeu S. Chern, Lourdes Al-Ghofaily, John Augoustides,

Cardiac, Anesthesia and Surgical Outcomes

THE FAILURE TO EFFECTIVELY COMMUNICATE critical patient information among healthcare providers is a potential source of patient morbidity and mortality. 1 Horwitz L.I. Moin T. Krumholz H.M. et al. Consequences of inadequate sign-out for patient care. Arch Int Med. 2008; 168: 1755-1760 Crossref PubMed Scopus (254) Google Scholar , 2 Jeffs L. Lyons R.F. Merkely J. et al. Clinician's views on improving interorganizational care transitions. BMC Health Serv Res. 2013; 13: 289 Crossref PubMed Scopus (29) Google Scholar , 3 Lane-Fall M, Gutsche JT, Augoustides JG: Are intraoperative anesthesia handovers associated with harm? Getting to the heart of the matter in cardiac surgery: The search for the hat-trick of quality, safety and continuous improvement. J Cardiothorac Vasc Anesth 2014 [Epub ahead of print] Google Scholar , 4 Hudson C, McDonald B, Hudson J, et al: Impact of anesthetic handover on mortality and morbidity in cardiac surgery: A cohort study. J Cardiothorac Vasc Anesth 2014 [Epub ahead of print] Google Scholar Breakdowns in communication commonly contribute to sentinel events in perioperative care. 5 Greenberg C.C. Regenbogen S.E. Studdert D.M. et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007; 204: 533-540 Abstract Full Text Full Text PDF PubMed Scopus (593) Google Scholar Problems with communication are very likely during handoffs, a particular type of communication that occurs upon patient transition between locations or when patient care responsibility is transferred among members of the healthcare team. 1 Horwitz L.I. Moin T. Krumholz H.M. et al. Consequences of inadequate sign-out for patient care. Arch Int Med. 2008; 168: 1755-1760 Crossref PubMed Scopus (254) Google Scholar , 2 Jeffs L. Lyons R.F. Merkely J. et al. Clinician's views on improving interorganizational care transitions. BMC Health Serv Res. 2013; 13: 289 Crossref PubMed Scopus (29) Google Scholar , 3 Lane-Fall M, Gutsche JT, Augoustides JG: Are intraoperative anesthesia handovers associated with harm? Getting to the heart of the matter in cardiac surgery: The search for the hat-trick of quality, safety and continuous improvement. J Cardiothorac Vasc Anesth 2014 [Epub ahead of print] Google Scholar , 4 Hudson C, McDonald B, Hudson J, et al: Impact of anesthetic handover on mortality and morbidity in cardiac surgery: A cohort study. J Cardiothorac Vasc Anesth 2014 [Epub ahead of print] Google Scholar , 5 Greenberg C.C. Regenbogen S.E. Studdert D.M. et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007; 204: 533-540 Abstract Full Text Full Text PDF PubMed Scopus (593) Google Scholar