以质量求发展,以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (24): 23-26.doi: 10.16460/j.issn1008-9969.2024.24.023

Previous Articles     Next Articles

Optimization and application effect of handover checklist for patients transferring from operating room to anesthesia recovery room after general anesthesia surgery

XIANG Jun-xia, MA Xiu-li, KANG Rong, LENG Fei, GUO Jiang-hong   

  1. Dept. of Anesthesiology, Shanxi Cancer Hospital/ Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical sciences / Affiliated Cancer Hospital of Shanxi Medical University, Taiyuan 030013, China
  • Received:2024-07-05 Online:2024-12-25 Published:2025-01-09

Abstract: Objective To optimize the handover checklist for postoperative patients undergoing general anesthesia from operating room to anesthesia recovery room and explore its application effect. Methods Totally 140 patients who met the admission and exclusion criteria in anesthesia department were selected as research subjects. The control group used traditional handover checklist, while the experimental group the optimized checklist, which was completed in a “check and tick” manner, with handover time limited to within 5 minutes. The incidence of adverse events during the handover from operating room to anesthesia recovery room between the two groups was compared. Results The overall incidence of adverse events during the handover with the new checklist significantly decreased, showing statistical significance (P<0.001). Conclusion The checklist helps standardize handover process, reduce the incidence of adverse events, and improve the safety and efficiency of patient handover.

Key words: post-anesthesia care unit, checklist, patient handover, postoperative general anesthesia patient

CLC Number: 

  • R473
[1] 房蒙蒙,陈庆红,卓洁,等.ETCO_2监测指标在新冠肺炎复工期间指导PACU医护人员选择拔除气管导管时机的作用[J].当代护士(下旬刊),2021,28(6):48-50.DOI:10.19793/j.cnki.1006-6411.2021.18.016.
[2] 丁红. 麻醉恢复室责任护士病情交接“十知道”的创建与实施[J] 护理学报,2014,21(6):1-3.DOI:10.16460/j.issn1008-9969.2014.06.006.
[3] Haydar B,Baetzel A,Stewart M, et al.Complications associated with the anesthesia transport of pediatric patients: an analysis of the wake up safe database[J].Anesth Analg, 2020,131(1):245-254.DOI: 10.1213/ANE.0000000000004433.
[4] Hosseini Moghaddam M, Molazem Z, Momennasab M.Challenges associated with patient transfer from postanesthesia care unit to surgical unit in iran: a mixed-method study[J].J Perianesth Nurs,2021,36(5):518-525.DOI: 10.1016/j.jopan.2020.10.011.
[5] Halladay ML, Thompson JA, Vacchiano CA.Enhancing the quality of the anesthesia to postanesthesia care unit patient transfer through use of an electronic medical record-based handoff tool[J].J Perianesth Nurs, 2019,34(3):622-632.DOI: 10.1016/j.jopan.2018.09.002.
[6] Halterman RS, Gaber M,Janjua MST,et al.Use of a checklist for the postanesthesia care unit patient handoff[J]. J Perianesth Nurs, 2019,34(4):834-841.DOI:10.1016/j.jopan.2018.10.007.
[7] 黄有义. 麻醉恢复室医护交接班的最佳证据应用[C]//第四届上海国际护理大会论文汇编.上海:上海市护理学会,2019: 977.
[8] 李发娟,张桂宁,邓红菊,等.核查单在预防导尿管相关性尿路感染中的应用[J].护理学报,2019,26(22):57-60.DOI:10.16460/j.issn1008-9969.2019.22.057.
[9] Lane S, Gross M, Arzola C,et al.What are we missing? The quality of intraoperative handover before and after introduction of a checklist[J]. Can J Anaesth,2022,69(7):832-840.DOI: 10.1007/s12630-022-02238-9.
[10] 余茴香,刘樱,胡保红,等.肠内营养安全输注核查单的设计及应用效果研究[J].中国护理管理,2024,24(4):582-587.DOI:10.3969/j.issn.1672-1756.2024.04.019.
[11] Street M, Phillips NM,Haesler E,et al.Refining nursing assessment and management with a new postanaesthetic care discharge tool to minimize surgical patient risk[J]. J Adv Nurs,2018,74(11):2566-2576.DOI: 10.1111/jan.13779.
[12] Jaulin F, Lopes T, Martin F.Standardised handover process with checklist improves quality and safety of care in the postanaesthesia care unit: the Postanaesthesia Team Handover trial[J]. Br J Anaesth, 2021,127(6):962-970.DOI: 10.1016/j.bja.2021.07.002.
[13] 郭曲练,程智刚,胡浩.麻醉后监测治疗专家共识[J].临床麻醉学杂志,2021,37(1): 89-94.DOI:10.12089/jca.2021.01.020.
[14] 刘玲玉,赵娜,余志峰,等.麻醉恢复室基于行动研究的交接班流程改进[J].护理学杂志,2022,37(16): 41-43.DOI:10.3870/j.issn.1001-4152.2022.16.041.
[15] 付静如,李桂玲,张书焕.SBAR沟通模式下麻醉恢复室护理与手术室护理交接班记录单的规划及运用[J].临床护理研究,2022,31(24):18-20.
[16] 王翠云,沈媛,鲁显福.医疗失效模式与效应分析在麻醉恢复室安全交接中的应用研究[J].护士进修杂志,2021,36(19):1782-1785.DOI:10.16821/j.cnki.hsjx.2021.19.010.
[17] 祁学峰. 基于校正MEWS评分构建术后患者院内转运分级方案与应用研究[D].太原:山西医科大学,2021.DOI:10.27288/d.cnki.gsxyu.2021.000915.
[18] 常萱,董丽.情境体验在急危重症护理学教学中的应用现状[J].中华护理教育,2015,12(8):630-634.DOI:10.3761/j.issn.1672-9234.2015.08.019.
[19] Jarden RJ,Quirke S.Improving safety and documentation in intrahospital transport:development of an intrahospital transport tool for critically ill patients[J]. Intensive Crit Care Nurs,2010,26(2):101-107.DOI: 10.1016/j.iccn.2009.12.007.
[20] 王淑芹,张春艳,万娜,等.体外膜肺氧合支持危重患者院内转运核查单的编制及应用[J].护理学杂志, 2019,34(18):22-25.DOI:10.3870/j.issn.1001-4152.2019.18.022.
[21] 国家麻醉质控中心,CSA常委,CSA麻醉质量管理学组.麻醉科质量控制专家共识[R/OL].(2012-07-05)[2024-07-05].htps:/www.csahg.cn/quide/detail 1623.html.
[22] Arriaga AF.The PATH to patient safety[J].Br J Anaesth,2021,127(6):830-833.DOI: 10.1016/j.bja.2021.09.006.
[23] Randmaa M,Engström M,Swenne CL,et al.The postoperative handover: a focus group interview study with nurse anaesthetists, anaesthesiologists and PACU nurses[J].BMJ Open,2017,7(8):e015038. DOI: 10.1136/bmjopen-2016-015038.
[24] Jaulin F, Lopes T,Martin F.Standardised handover process with checklist improves quality and safety of care in the postanaesthesia care unit:the Postanaesthesia Team Handover trial[J].Br J Anaesth,2021,127(6):962-970.DOI: 10.1016/j.bja.2021.07.002.
[25] Randmaa M,Mårtensson G,Swenne CL,et al.An observational study of postoperative handover in anesthetic clinics; the content of verbal information and factors influencing receiver memory[J].J Perianesth Nurs,2015,30(2):105-115.DOI: 10.1016/j.jopan.2014.01.012.
[1] WU Chao-yu, LIU Shang-kun. Crisis management competence of nurses in post-anesthesia care unit: a qualitative study [J]. Journal of Nursing, 2025, 32(3): 17-21.
[2] ZHEN Yong-qi, YE Xiang-hong, WANG Ling-ling. Development of Nursing Rounds Checklist for Patients with Severe Abdominal Trauma [J]. Journal of Nursing, 2021, 28(3): 15-19.
[3] BAO Yan-qiao, ZHANG Wen-li, BIAN Xiao-lu, LIU Fang-mei. Effect of Narrative Nursing on Mental Health of Nurses Fighting against COVID-19 [J]. Journal of Nursing, 2020, 27(6): 44-48.
[4] MI Yuan-yuan ,HUANG Hai-yan ,SUN Liang . Design and Application of Humanistic Nursing Communication Table in ICU [J]. Journal of Nursing, 2017, 24(7): 72-76.
[5] FENG Jin-hua,YANG Jie,HU Yan-jie,ZHANG Wei,LI Ka. Effects of Doctor-nurse Preoperative Checklist on Prevention of Surgery Suspension in Patients Gastrointestinal Cancer [J]. Journal of Nursing, 2015, (24): 7-10.
[6] SUN Hong-mei,QIAN Wei-ping,LIU Bo-lan,LI Si-te,LIN Dong-xia,XU Li-yan,PENG Min-ling. Psychological Symptom of 118 in vitro Fertilization Embryo Transfer Patients [J]. Journal of Nursing, 2015, (14): 70-72.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!