Development and Implementation of a Postoperative Patient Handoff Guideline in a Postoperative Anesthesia Care Unit
Keywords:
Patient handoff, Completeness of handoff, Adequacy of handoff, Postoperative patientAbstract
Postoperative patient handoff is crucial for patient safety and continuity of patient care. This implementation research aimed to develop a postoperative patient handoff guideline in a postoperative anesthesia care unit and to examine its effectiveness. Participants in the guideline implementation phase were 31 nurses in the anesthetic team who delivered the handoff, 9 post-anesthetic care unit nurses who received the handoff, and the handoff patient’s data, which included 50 patients’ data before implementing the guideline and 55 patients’ data during the implementation. The instrument for data collection was comprised of the Completeness of Handoff Information Evaluation Form and the Adequacy of Handoff Information Questionnaire, which were developed by the researcher based on a literature review. They were checked for their content validity by 5 experts and yielded the item-objective congruence indexes of 0.98 and 0.93, respectively. The developed guideline had three components, including 1) preparation before transferring patients from the operating room, 2) the handoff process, and 3) the handoff method and handoff information. During the guideline implementation, the completeness of handoff information increased from 14.00% before implementation to 87.27%, the adequacy of handoff information increased from 42.00 % to 85.45%, and the percentage of callbacks for further information decreased from 58.00 % to 14.55%. The study findings reveal that the developed guideline is effective for increasing the completeness and adequacy of handoff information, as well as decreasing the number of callbacks for further information after handoff.
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