Date of this Version

2023

Document Type

DNP Project

Abstract

Background: The continuity of high-quality and safe patient care is supported by the transfer of information during the transfer of patient care. The integrity of this process is often compromised by poor communication, resulting in misunderstanding, and loss of information.1 These deficiencies are largely due to a lack of uniformity that fosters inconsistencies and prevents the effective exchange of information, contributing to unfavorable consequences.5 The objective of this project was to determine if consistent use of handoff tools during the transfer of patient care influences the content that is conveyed, performance improvement, and patient outcomes. 3

Methods: To determine how handoff procedures affect patient care, a detailed evaluation of current practices was conducted. Practicing anesthesia providers were surveyed to inquire if the use of handoff tools is effective in preventing adverse patient outcomes and what method is most beneficial to facilitate the transfer of information. An education module was developed to educate providers about the issues associated with ineffective communication and the advantages of using standardized handoff techniques. Pre- and post-tests were conducted to assess the knowledge gained and evaluate attitudes surrounding the utilization of uniform practices when transferring patient information. Data collection, survey delivery, and module distribution used an anonymous online platform.

Results: Data obtained suggest the uniformity and consistency provided by the implementation of standardized handoff tools can reduce medication errors, decrease adverse patient events, improve communication among providers, and promote improvements in patient safety.

Discussion: Results indicate that providing education on the consequences of ineffective communication, and the techniques to remedy these deficiencies improve provider knowledge regarding the effectiveness of handoff tools during patient transfer. Comparison of pre-and posttest results align with the review of the literature supporting the use of handoff tools to reduce communication breakdown and promote patient safety. Limitations include limited sample size, self-reporting bias, and a shortened timeline.

Conclusion: Participation in the education module increased provider understanding concerning the consequences of inadequate communication, highlighted the influence of effective standardized handoff tools in the prevention of adverse outcomes, and improved patient safety.

Keywords: Anesthesia, certified registered nurse anesthetist, CRNA, patient outcomes, SBAR, I-PASS, handoff tool

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