Undivided attention improves postoperative anesthesia handover recall

Abstract

Alejandro Arenas,1 Burton J Tabaac,1 Galina Fastovets,2 Vinod Patil3 1Department of Clinical Sciences, American University of the Caribbean School of Medicine, Cupecoy, Sint Maarten; 2Department of Surgery, Broomfield Hospital, National Health Service, Chelmsford, UK; 3Department of Anesthesia, Queens Hospital, National Health Service, Romford, UK Background: For years, undivided attention during the presurgical “timeout” has been utilized as a precaution to ensure patient safety. The information relayed during the timeout is presented in a confirmatory nature rather than a delegation of new information. However, it is a standard of practice in which all members of the operating theater provide their full and undivided attention. Standards of patient care should be contiguous throughout the preoperative, perioperative, and postoperative stages of surgery. In this manner, it is expected that the same undivided attention afforded during the timeout should be maintained when transferring the patient to the postanesthesia care unit. Methods: In this study, information was collected regarding handover of information during the transfer status postsurgical procedures. Data were collected via observing interactions between the anesthesiologist and the nurse during verbal patient transfers. Results: This study demonstrated that the presence of undivided attention during the handover of a surgical patient in the postanesthesia care unit has a direct correlation with improved recall of the information discussed during handover. Conclusion: Focus is on the quantity of information that can be recalled by the transferring nurse, and whether or not undivided attention affects the outcome. Analysis focuses on suggestions to better improve patient safety and recovery when being transferred in an anesthetic setting. The practice of patient handover should be standardized to better improve the safety and quality of medical care. Keywords: communication, continuous quality improvement, healthcare quality improvement, safety culture, undivided attention, patient care