TY - JOUR
T1 - Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes
AU - Lazzara, Elizabeth H.
AU - Simonson, Richard J.
AU - Gisick, Logan M.
AU - Griggs, Andrew C.
AU - Rickel, Emily A.
AU - Wahr, Joyce
AU - Lane-Fall, Meghan B.
AU - Keebler, Joseph R.
N1 - Publisher Copyright:
© 2022 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2022
Y1 - 2022
N2 - Anaesthesia handoffs are associated with negative outcomes (e.g. inappropriate treatments, post-operative complications, and in-hospital mortality). To minimise these adverse outcomes, federal bodies (e.g. Joint Commission) have mandated handoff standardisation. Due to the proliferation of handoff interventions and research, there is a need to meta-analyze anaesthesia handoffs. Therefore, we performed meta-analyses on the provider, patient, organisational, and handoff outcomes related to post-operative anaesthesia handoff protocols. We meta-analysed 41 articles with post-operative anaesthesia handoffs that implemented a standardised handoff protocol. Compared to no standardisation, a standardised post-operative anaesthesia handoff changed provider outcomes with an OR of 4.03 (95% CI 3.20–5.08), patient outcomes with an OR of 1.49 (95% CI 1.32–1.69), organisational outcomes with an OR of 4.25 (95% CI 2.51–7.19), handoff outcomes with an OR of 8.52 (95% CI 7.05–10.31). Our meta-analyses demonstrate that standardised post-operative anaesthesia handoffs altered patient, provider, organisational, and handoff outcomes. Practitioner Summary: We conducted meta-analyses to assess the effects of post-operative anaesthesia handoff standardisation on provider, patient, organisational, and handoff outcomes. Our findings suggest that standardised post-operative anaesthesia handoffs changed all listed outcomes in a positive direction. We discuss the implications of these findings as well as notable limitations in this literature base.
AB - Anaesthesia handoffs are associated with negative outcomes (e.g. inappropriate treatments, post-operative complications, and in-hospital mortality). To minimise these adverse outcomes, federal bodies (e.g. Joint Commission) have mandated handoff standardisation. Due to the proliferation of handoff interventions and research, there is a need to meta-analyze anaesthesia handoffs. Therefore, we performed meta-analyses on the provider, patient, organisational, and handoff outcomes related to post-operative anaesthesia handoff protocols. We meta-analysed 41 articles with post-operative anaesthesia handoffs that implemented a standardised handoff protocol. Compared to no standardisation, a standardised post-operative anaesthesia handoff changed provider outcomes with an OR of 4.03 (95% CI 3.20–5.08), patient outcomes with an OR of 1.49 (95% CI 1.32–1.69), organisational outcomes with an OR of 4.25 (95% CI 2.51–7.19), handoff outcomes with an OR of 8.52 (95% CI 7.05–10.31). Our meta-analyses demonstrate that standardised post-operative anaesthesia handoffs altered patient, provider, organisational, and handoff outcomes. Practitioner Summary: We conducted meta-analyses to assess the effects of post-operative anaesthesia handoff standardisation on provider, patient, organisational, and handoff outcomes. Our findings suggest that standardised post-operative anaesthesia handoffs changed all listed outcomes in a positive direction. We discuss the implications of these findings as well as notable limitations in this literature base.
KW - Patient safety
KW - safety culture
KW - socio-technical systems
KW - team working
UR - http://www.scopus.com/inward/record.url?scp=85129265716&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85129265716&partnerID=8YFLogxK
U2 - 10.1080/00140139.2021.2020341
DO - 10.1080/00140139.2021.2020341
M3 - Article
C2 - 35438045
AN - SCOPUS:85129265716
SN - 0014-0139
VL - 65
SP - 1138
EP - 1153
JO - Ergonomics
JF - Ergonomics
IS - 8
ER -