Impact of patient handover structure on neonatal perioperative safety
Objective To compare the incidence, severity, preventability, and contributing factors of non-routine events— deviations from optimal care based on the clinical situation —associated with team-based, nurse-to-nurse, and mixed handovers in a large cohort of surgical neonates. Study design A prospecti...
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| Veröffentlicht in: | Journal of perinatology 2019-03, Vol.39 (3), p.453-467 |
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| creator | France, D. J. Slagle, J. Schremp, E. Moroz, S. Hatch, L. D. Grubb, P. Lorinc, A. Lehmann, C. U. Robinson, J. Crankshaw, M. Sullivan, M. Newman, T. Wallace, T. Weinger, M. B. Blakely, M. L. |
| description | Objective
To compare the incidence, severity, preventability, and contributing factors of non-routine events—
deviations from optimal care based on the clinical situation
—associated with team-based, nurse-to-nurse, and mixed handovers in a large cohort of surgical neonates.
Study design
A prospective observational study and one-time cross-sectional provider survey were conducted at one urban academic children’s hospital. 130 non-cardiac surgical cases in 109 neonates who received pre- and post-operative NICU care.
Results
The incidence of clinician-reported NREs was high (101/130 cases, 78%) but did not differ significantly across acuity-tailored neonatal handover practices. National Surgical Quality Improvement—Pediatric occurrences of major morbidity were significantly higher (
p
|
| doi_str_mv | 10.1038/s41372-018-0305-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6592629</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2185862006</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-39a8a83a85fd8b42868080b61a68c5bea130496944989b128924f2a20727d7843</originalsourceid><addsrcrecordid>eNp1kUtr3DAUhUVpaSaPH5BNMHSTjdOrt7QJhJAXBLpp1-LaIycOHsuV5IH599EweTXQje7ifPfoHg4hxxTOKHDzMwnKNauBmho4yFp9IQsqtKqlFPwrWYAWvDZcqD2yn9ITwFbU38keByWltGJBru5WE7a5Cl01Ye79mKtHHJdh7WOVcpzbPEdfhbEafRgx41BNPvahPIVe-yph5_PmkHzrcEj-6GUekD_XV78vb-v7Xzd3lxf3dSs05JpbNGg4GtktTSOYUQYMNIqiMq1sPFIOwiorhDW2ocxYJjqGDDTTS20EPyDnO99pblZ-2ZZzIw5uiv0K48YF7N2_ytg_uoewdkpappgtBqcvBjH8nX3KbtWn1g8DlnxzcoxqK0AVtqA_PqFPYY5jiVcoI41iAKpQdEe1MaQUffd2DAW3LcntSnKlJLctyW13Tj6meNt4baUAbAekIo0PPr5__X_XZ0PsnDU</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2185862006</pqid></control><display><type>article</type><title>Impact of patient handover structure on neonatal perioperative safety</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>France, D. J. ; Slagle, J. ; Schremp, E. ; Moroz, S. ; Hatch, L. D. ; Grubb, P. ; Lorinc, A. ; Lehmann, C. U. ; Robinson, J. ; Crankshaw, M. ; Sullivan, M. ; Newman, T. ; Wallace, T. ; Weinger, M. B. ; Blakely, M. L.</creator><creatorcontrib>France, D. J. ; Slagle, J. ; Schremp, E. ; Moroz, S. ; Hatch, L. D. ; Grubb, P. ; Lorinc, A. ; Lehmann, C. U. ; Robinson, J. ; Crankshaw, M. ; Sullivan, M. ; Newman, T. ; Wallace, T. ; Weinger, M. B. ; Blakely, M. L.</creatorcontrib><description>Objective
To compare the incidence, severity, preventability, and contributing factors of non-routine events—
deviations from optimal care based on the clinical situation
—associated with team-based, nurse-to-nurse, and mixed handovers in a large cohort of surgical neonates.
Study design
A prospective observational study and one-time cross-sectional provider survey were conducted at one urban academic children’s hospital. 130 non-cardiac surgical cases in 109 neonates who received pre- and post-operative NICU care.
Results
The incidence of clinician-reported NREs was high (101/130 cases, 78%) but did not differ significantly across acuity-tailored neonatal handover practices. National Surgical Quality Improvement—Pediatric occurrences of major morbidity were significantly higher (
p
< 0.001) in direct team handovers than indirect nursing or mixed handovers.
Conclusions
NREs occur at a high rate and are of variable severity in neonatal perioperative care. NRE rates and contributory factors were homogenous across handover types. Surveyed clinicians recommend structured handovers for all patients at every transfer point regardless of acuity.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-018-0305-6</identifier><identifier>PMID: 30655594</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/308/409 ; 692/700/478/174 ; Acuity ; Children ; Continuity of care ; Cross-Sectional Studies ; Female ; Hospitalization ; Hospitals ; Hospitals, Pediatric ; Humans ; Incidence ; Infant, Newborn ; Informed consent ; Intensive care ; Intensive Care Units, Neonatal ; Interdisciplinary aspects ; Male ; Medicine ; Medicine & Public Health ; Morbidity ; Mortality ; Neonates ; Newborn babies ; Nurses ; Nursing ; Patient Handoff - statistics & numerical data ; Patient Safety ; Pediatric Surgery ; Pediatrics ; Perioperative care ; Perioperative Care - standards ; Prospective Studies ; Quality control ; Quality Improvement - organization & administration ; Surgery</subject><ispartof>Journal of perinatology, 2019-03, Vol.39 (3), p.453-467</ispartof><rights>Springer Nature America, Inc. 2019</rights><rights>2019© Springer Nature America, Inc. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-39a8a83a85fd8b42868080b61a68c5bea130496944989b128924f2a20727d7843</citedby><cites>FETCH-LOGICAL-c470t-39a8a83a85fd8b42868080b61a68c5bea130496944989b128924f2a20727d7843</cites><orcidid>0000-0002-9544-7555 ; 0000-0002-5648-8223 ; 0000-0001-9559-4646</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,782,786,887,27931,27932</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30655594$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>France, D. J.</creatorcontrib><creatorcontrib>Slagle, J.</creatorcontrib><creatorcontrib>Schremp, E.</creatorcontrib><creatorcontrib>Moroz, S.</creatorcontrib><creatorcontrib>Hatch, L. D.</creatorcontrib><creatorcontrib>Grubb, P.</creatorcontrib><creatorcontrib>Lorinc, A.</creatorcontrib><creatorcontrib>Lehmann, C. U.</creatorcontrib><creatorcontrib>Robinson, J.</creatorcontrib><creatorcontrib>Crankshaw, M.</creatorcontrib><creatorcontrib>Sullivan, M.</creatorcontrib><creatorcontrib>Newman, T.</creatorcontrib><creatorcontrib>Wallace, T.</creatorcontrib><creatorcontrib>Weinger, M. B.</creatorcontrib><creatorcontrib>Blakely, M. L.</creatorcontrib><title>Impact of patient handover structure on neonatal perioperative safety</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective
To compare the incidence, severity, preventability, and contributing factors of non-routine events—
deviations from optimal care based on the clinical situation
—associated with team-based, nurse-to-nurse, and mixed handovers in a large cohort of surgical neonates.
Study design
A prospective observational study and one-time cross-sectional provider survey were conducted at one urban academic children’s hospital. 130 non-cardiac surgical cases in 109 neonates who received pre- and post-operative NICU care.
Results
The incidence of clinician-reported NREs was high (101/130 cases, 78%) but did not differ significantly across acuity-tailored neonatal handover practices. National Surgical Quality Improvement—Pediatric occurrences of major morbidity were significantly higher (
p
< 0.001) in direct team handovers than indirect nursing or mixed handovers.
Conclusions
NREs occur at a high rate and are of variable severity in neonatal perioperative care. NRE rates and contributory factors were homogenous across handover types. Surveyed clinicians recommend structured handovers for all patients at every transfer point regardless of acuity.</description><subject>692/308/409</subject><subject>692/700/478/174</subject><subject>Acuity</subject><subject>Children</subject><subject>Continuity of care</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Hospitals, Pediatric</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant, Newborn</subject><subject>Informed consent</subject><subject>Intensive care</subject><subject>Intensive Care Units, Neonatal</subject><subject>Interdisciplinary aspects</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Patient Handoff - statistics & numerical data</subject><subject>Patient Safety</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Perioperative care</subject><subject>Perioperative Care - standards</subject><subject>Prospective Studies</subject><subject>Quality control</subject><subject>Quality Improvement - organization & administration</subject><subject>Surgery</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kUtr3DAUhUVpaSaPH5BNMHSTjdOrt7QJhJAXBLpp1-LaIycOHsuV5IH599EweTXQje7ifPfoHg4hxxTOKHDzMwnKNauBmho4yFp9IQsqtKqlFPwrWYAWvDZcqD2yn9ITwFbU38keByWltGJBru5WE7a5Cl01Ye79mKtHHJdh7WOVcpzbPEdfhbEafRgx41BNPvahPIVe-yph5_PmkHzrcEj-6GUekD_XV78vb-v7Xzd3lxf3dSs05JpbNGg4GtktTSOYUQYMNIqiMq1sPFIOwiorhDW2ocxYJjqGDDTTS20EPyDnO99pblZ-2ZZzIw5uiv0K48YF7N2_ytg_uoewdkpappgtBqcvBjH8nX3KbtWn1g8DlnxzcoxqK0AVtqA_PqFPYY5jiVcoI41iAKpQdEe1MaQUffd2DAW3LcntSnKlJLctyW13Tj6meNt4baUAbAekIo0PPr5__X_XZ0PsnDU</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>France, D. J.</creator><creator>Slagle, J.</creator><creator>Schremp, E.</creator><creator>Moroz, S.</creator><creator>Hatch, L. D.</creator><creator>Grubb, P.</creator><creator>Lorinc, A.</creator><creator>Lehmann, C. U.</creator><creator>Robinson, J.</creator><creator>Crankshaw, M.</creator><creator>Sullivan, M.</creator><creator>Newman, T.</creator><creator>Wallace, T.</creator><creator>Weinger, M. B.</creator><creator>Blakely, M. 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J. ; Slagle, J. ; Schremp, E. ; Moroz, S. ; Hatch, L. D. ; Grubb, P. ; Lorinc, A. ; Lehmann, C. U. ; Robinson, J. ; Crankshaw, M. ; Sullivan, M. ; Newman, T. ; Wallace, T. ; Weinger, M. B. ; Blakely, M. L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-39a8a83a85fd8b42868080b61a68c5bea130496944989b128924f2a20727d7843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>692/308/409</topic><topic>692/700/478/174</topic><topic>Acuity</topic><topic>Children</topic><topic>Continuity of care</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Hospitals, Pediatric</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant, Newborn</topic><topic>Informed consent</topic><topic>Intensive care</topic><topic>Intensive Care Units, Neonatal</topic><topic>Interdisciplinary aspects</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Patient Handoff - statistics & numerical data</topic><topic>Patient Safety</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Perioperative care</topic><topic>Perioperative Care - standards</topic><topic>Prospective Studies</topic><topic>Quality control</topic><topic>Quality Improvement - organization & administration</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>France, D. J.</creatorcontrib><creatorcontrib>Slagle, J.</creatorcontrib><creatorcontrib>Schremp, E.</creatorcontrib><creatorcontrib>Moroz, S.</creatorcontrib><creatorcontrib>Hatch, L. D.</creatorcontrib><creatorcontrib>Grubb, P.</creatorcontrib><creatorcontrib>Lorinc, A.</creatorcontrib><creatorcontrib>Lehmann, C. U.</creatorcontrib><creatorcontrib>Robinson, J.</creatorcontrib><creatorcontrib>Crankshaw, M.</creatorcontrib><creatorcontrib>Sullivan, M.</creatorcontrib><creatorcontrib>Newman, T.</creatorcontrib><creatorcontrib>Wallace, T.</creatorcontrib><creatorcontrib>Weinger, M. B.</creatorcontrib><creatorcontrib>Blakely, M. 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J.</au><au>Slagle, J.</au><au>Schremp, E.</au><au>Moroz, S.</au><au>Hatch, L. D.</au><au>Grubb, P.</au><au>Lorinc, A.</au><au>Lehmann, C. U.</au><au>Robinson, J.</au><au>Crankshaw, M.</au><au>Sullivan, M.</au><au>Newman, T.</au><au>Wallace, T.</au><au>Weinger, M. B.</au><au>Blakely, M. L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of patient handover structure on neonatal perioperative safety</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>39</volume><issue>3</issue><spage>453</spage><epage>467</epage><pages>453-467</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>Objective
To compare the incidence, severity, preventability, and contributing factors of non-routine events—
deviations from optimal care based on the clinical situation
—associated with team-based, nurse-to-nurse, and mixed handovers in a large cohort of surgical neonates.
Study design
A prospective observational study and one-time cross-sectional provider survey were conducted at one urban academic children’s hospital. 130 non-cardiac surgical cases in 109 neonates who received pre- and post-operative NICU care.
Results
The incidence of clinician-reported NREs was high (101/130 cases, 78%) but did not differ significantly across acuity-tailored neonatal handover practices. National Surgical Quality Improvement—Pediatric occurrences of major morbidity were significantly higher (
p
< 0.001) in direct team handovers than indirect nursing or mixed handovers.
Conclusions
NREs occur at a high rate and are of variable severity in neonatal perioperative care. NRE rates and contributory factors were homogenous across handover types. Surveyed clinicians recommend structured handovers for all patients at every transfer point regardless of acuity.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>30655594</pmid><doi>10.1038/s41372-018-0305-6</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0002-9544-7555</orcidid><orcidid>https://orcid.org/0000-0002-5648-8223</orcidid><orcidid>https://orcid.org/0000-0001-9559-4646</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0743-8346 |
| ispartof | Journal of perinatology, 2019-03, Vol.39 (3), p.453-467 |
| issn | 0743-8346 1476-5543 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6592629 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | 692/308/409 692/700/478/174 Acuity Children Continuity of care Cross-Sectional Studies Female Hospitalization Hospitals Hospitals, Pediatric Humans Incidence Infant, Newborn Informed consent Intensive care Intensive Care Units, Neonatal Interdisciplinary aspects Male Medicine Medicine & Public Health Morbidity Mortality Neonates Newborn babies Nurses Nursing Patient Handoff - statistics & numerical data Patient Safety Pediatric Surgery Pediatrics Perioperative care Perioperative Care - standards Prospective Studies Quality control Quality Improvement - organization & administration Surgery |
| title | Impact of patient handover structure on neonatal perioperative safety |
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