Clinician perceptions of operating room to intensive care unit handoffs and implications for patient safety: a qualitative study.

Journal Article (Journal Article)

BACKGROUND: Operating room (OR) to the intensive care unit (ICU) handoffs are known sources of medical error, yet little is known about the relationship between process failures and patient harm. METHODS: Interviews were conducted with clinicians involved in the OR-to-ICU handoff to characterize the relationship between handoff process failures and patient harm. Qualitative analysis was used to inductively identify key themes. RESULTS: A total of 38 interviews were conducted. Dominant themes included early communication from the OR to the ICU, team member participation in the handoff, and relationships between clinicians; clinician perspectives varied depending substantially on role within the team. CONCLUSIONS: The findings suggest that ambiguous roles and conflicting expectations of team members during the OR-to-ICU handoff can increase risk of patient harm. Future studies should investigate early postoperative ICU care as outcome markers of handoff quality and the effect of interprofessional education on clinician adherence to interventions.

Full Text

Duke Authors

Cited Authors

  • McElroy, LM; Macapagal, KR; Collins, KM; Abecassis, MM; Holl, JL; Ladner, DP; Gordon, EJ

Published Date

  • October 2015

Published In

Volume / Issue

  • 210 / 4

Start / End Page

  • 629 - 635

PubMed ID

  • 26198333

Pubmed Central ID

  • PMC4575850

Electronic International Standard Serial Number (EISSN)

  • 1879-1883

Digital Object Identifier (DOI)

  • 10.1016/j.amjsurg.2015.05.008


  • eng

Conference Location

  • United States