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Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room

Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room
Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room
Background: we aimed to describe how anaesthetists hand over information and professional responsibility to nurses in the operating theatre recovery room.

Methods: we carried out non-participant practice observation and in-depth interviews with practitioners working in the recovery room of an English hospital and used qualitative methods to analyse the resulting transcripts.

Results: we observed 45 handovers taking place between 17 anaesthetists and 15 nurses in the recovery room of the operating theatre suite. These took place in an environment that is event-driven, time-pressured, and prone to concurrent distractions. Anaesthetists and nurses often had differing expectations of the content and timing of information transfer. The point at which transfer of responsibility for the patient occurred during the handover process was variable and depended not only on the condition of the patient but also on the professional relationship between the nurse and doctor concerned. Handover also provided an ‘audit point’ in care where the patient’s intraoperative progress was reviewed and plans were made for further management. Here, as in the transfer of responsibility, we found evidence that nurses play a greater role in defining the limits of anaesthetists’ practice than might be expected.

Conclusions: patient handovers in the recovery room are largely informal, but nevertheless show many inherent tensions, both professional and organizational. Although formalized handover procedures are often advocated for the promotion of safety, we suggest that they are likely to work best when the informal elements, and the cultural factors underlying them, are acknowledged
anaesthesia, recovery period, communication, education, continuing, interprofessional relations, postoperative care, recovery, postoperative
0007-0912
332-337
Smith, A.F.
628d52dc-ef76-40b6-9b86-7c809392878d
Pope, C.
21ae1290-0838-4245-adcf-6f901a0d4607
Goodwin, D.
44ea5b5f-3933-4171-83b6-8d48928e27ca
Mort, M.
0c5eea61-4f65-4520-92bd-7b4ead7e1247
Smith, A.F.
628d52dc-ef76-40b6-9b86-7c809392878d
Pope, C.
21ae1290-0838-4245-adcf-6f901a0d4607
Goodwin, D.
44ea5b5f-3933-4171-83b6-8d48928e27ca
Mort, M.
0c5eea61-4f65-4520-92bd-7b4ead7e1247

Smith, A.F., Pope, C., Goodwin, D. and Mort, M. (2008) Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. British Journal of Anaesthesia, 101 (3), 332-337. (doi:10.1093/bja/aen168). (PMID:18556692)

Record type: Article

Abstract

Background: we aimed to describe how anaesthetists hand over information and professional responsibility to nurses in the operating theatre recovery room.

Methods: we carried out non-participant practice observation and in-depth interviews with practitioners working in the recovery room of an English hospital and used qualitative methods to analyse the resulting transcripts.

Results: we observed 45 handovers taking place between 17 anaesthetists and 15 nurses in the recovery room of the operating theatre suite. These took place in an environment that is event-driven, time-pressured, and prone to concurrent distractions. Anaesthetists and nurses often had differing expectations of the content and timing of information transfer. The point at which transfer of responsibility for the patient occurred during the handover process was variable and depended not only on the condition of the patient but also on the professional relationship between the nurse and doctor concerned. Handover also provided an ‘audit point’ in care where the patient’s intraoperative progress was reviewed and plans were made for further management. Here, as in the transfer of responsibility, we found evidence that nurses play a greater role in defining the limits of anaesthetists’ practice than might be expected.

Conclusions: patient handovers in the recovery room are largely informal, but nevertheless show many inherent tensions, both professional and organizational. Although formalized handover procedures are often advocated for the promotion of safety, we suggest that they are likely to work best when the informal elements, and the cultural factors underlying them, are acknowledged

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More information

Published date: September 2008
Keywords: anaesthesia, recovery period, communication, education, continuing, interprofessional relations, postoperative care, recovery, postoperative
Organisations: Health Sciences

Identifiers

Local EPrints ID: 72395
URI: https://eprints.soton.ac.uk/id/eprint/72395
ISSN: 0007-0912
PURE UUID: cf8964af-5a60-4a13-95a4-777fb6f2e2aa
ORCID for C. Pope: ORCID iD orcid.org/0000-0002-8935-6702

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Date deposited: 11 Feb 2010
Last modified: 03 Dec 2019 01:49

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Contributors

Author: A.F. Smith
Author: C. Pope ORCID iD
Author: D. Goodwin
Author: M. Mort

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