Skip to main content
Journal cover image

Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach.

Publication ,  Journal Article
Segall, N; Bonifacio, AS; Barbeito, A; Schroeder, RA; Perfect, SR; Wright, MC; Emery, JD; Atkins, BZ; Taekman, JM; Mark, JB
Published in: Jt Comm J Qual Patient Saf
September 2016

BACKGROUND: Patient handovers (handoffs) following surgery have often been characterized by poor teamwork, unclear procedures, unstructured processes, and distractions. A study was conducted to apply a human-centered approach to the redesign of operating room (OR)-to-ICU patient handovers in a broad surgical ICU (SICU) population. This approach entailed (1) the study of existing practices, (2) the redesign of the handover on the basis of the input of hand over participants and evidence in the medical literature, and (3) the study of the effects of this change on processes and communication. METHODS: The Durham [North Carolina] Veterans Affairs Medical Center SICU is an 11-bed mixed surgical specialty unit. To understand the existing process for receiving postoperative patients in the SICU, ethnographic methods-a series of observations, surveys, interviews, and focus groups-were used. The handover process was redesigned to better address providers' work flow, information needs, and expectations, as well as concerns identified in the literature. RESULTS: Technical and communication flaws were uncovered, and the handover was redesigned to address them. For the 49 preintervention and 49 postintervention handovers, the information transfer score and number of interruptions were not significantly different. However, staff workload and team behaviors scores improved significantly, while the hand over duration was not prolonged by the new process. Handover participants were also significantly more satisfied with the new handover method. CONCLUSIONS: An HCD approach led to improvements in the patient handover process from the OR to the ICU in a mixed adult surgical population. Although the specific handover process would unlikely be optimal in another clinical setting if replicated exactly, the HCD foundation behind the redesign process is widely applicable.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Jt Comm J Qual Patient Saf

DOI

ISSN

1553-7250

Publication Date

September 2016

Volume

42

Issue

9

Start / End Page

400 / 414

Location

Netherlands

Related Subject Headings

  • Patient Handoff
  • Operating Rooms
  • North Carolina
  • Models, Organizational
  • Intensive Care Units
  • Humans
  • Hospitals, Veterans
  • General & Internal Medicine
  • Anthropology, Cultural
  • 4203 Health services and systems
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Segall, N., Bonifacio, A. S., Barbeito, A., Schroeder, R. A., Perfect, S. R., Wright, M. C., … Mark, J. B. (2016). Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf, 42(9), 400–414. https://doi.org/10.1016/s1553-7250(16)42081-7
Segall, Noa, Alberto S. Bonifacio, Atilio Barbeito, Rebecca A. Schroeder, Sharon R. Perfect, Melanie C. Wright, James D. Emery, B Zane Atkins, Jeffrey M. Taekman, and Jonathan B. Mark. “Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach.Jt Comm J Qual Patient Saf 42, no. 9 (September 2016): 400–414. https://doi.org/10.1016/s1553-7250(16)42081-7.
Segall N, Bonifacio AS, Barbeito A, Schroeder RA, Perfect SR, Wright MC, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016 Sep;42(9):400–14.
Segall, Noa, et al. “Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach.Jt Comm J Qual Patient Saf, vol. 42, no. 9, Sept. 2016, pp. 400–14. Pubmed, doi:10.1016/s1553-7250(16)42081-7.
Segall N, Bonifacio AS, Barbeito A, Schroeder RA, Perfect SR, Wright MC, Emery JD, Atkins BZ, Taekman JM, Mark JB. Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016 Sep;42(9):400–414.
Journal cover image

Published In

Jt Comm J Qual Patient Saf

DOI

ISSN

1553-7250

Publication Date

September 2016

Volume

42

Issue

9

Start / End Page

400 / 414

Location

Netherlands

Related Subject Headings

  • Patient Handoff
  • Operating Rooms
  • North Carolina
  • Models, Organizational
  • Intensive Care Units
  • Humans
  • Hospitals, Veterans
  • General & Internal Medicine
  • Anthropology, Cultural
  • 4203 Health services and systems