1. Implementation of a SAFE OB Handover for CRNAs.
- Author
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Gabot, Mark H.
- Subjects
- *
MATERNAL health services , *PATIENT aftercare , *MEDICAL quality control , *LENGTH of stay in hospitals , *THERAPEUTICS , *RELIABILITY (Personality trait) , *ANESTHESIA , *ANESTHESIOLOGY , *NURSING , *CLINICAL trials , *CRITICALLY ill , *RESEARCH methodology , *ATTITUDE (Psychology) , *PATIENTS , *PEER relations , *MEDICAL care costs , *DISEASES , *PATIENT satisfaction , *MEDICAL personnel , *TERTIARY care , *HUMAN services programs , *PRE-tests & post-tests , *TREATMENT delay (Medicine) , *SURVEYS , *T-test (Statistics) , *COMPARATIVE studies , *QUALITY assurance , *AT-risk people , *COMMUNICATION , *DESCRIPTIVE statistics , *INTERPROFESSIONAL relations , *SCALE analysis (Psychology) , *CONTENT analysis , *MATERNAL mortality , *THEMATIC analysis , *DATA analysis software , *STATISTICAL correlation , *PATIENT safety ,RESEARCH evaluation - Abstract
Unstructured, verbal, obstetrical anesthesia handovers have led to omission of critical information, which can harm patients or delay care. The SAFE Handover Tool is a standardized mnemonic: Sick patients, At-risk patients, Follow-ups, and Epidurals. Use of the tool during handover significantly increases the percentage of relevant parturients that are discussed and improves provider communication. This study implemented the SAFE Handover Tool for Certified Registered Nurse Anesthetists (CRNAs) in a Level III (Subspecialty) Maternal Care unit. A mixed methodology was used to operationalize handover quality. Descriptive, statistical, and content analyses showed significant improvements between PRE- and POST-implementation assessments of handover quality after using the SAFE Handover Tool. The SAFE Handover Tool improved the quality of CRNA communication and enabled situational awareness. A modified SAFE Handover Tool was subsequently integrated into the obstetrical anesthesia electronic charting system. The SAFE Handover Tool is a novel, low-cost, sustainable method to improve CRNA handovers and patient safety. [ABSTRACT FROM AUTHOR]
- Published
- 2022