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Examining transfer of care processes in nurse anesthesia practice: introducing the PATIENT protocol
1Center for Research in Human Simulation, Department of Nurse Anesthesia, Virginia Commonwealth University, Richmond, Virginia, USA. smwright@vcu.edu
AANA Journal
|August 9, 2013
Summary
Improving anesthesia patient safety requires effective communication during care transfers. This study examined Certified Registered Nurse Anesthetists' practices and developed a checklist to enhance situation awareness and reduce errors.
Area of Science:
- Anesthesiology
- Human Factors
- Patient Safety
Background:
- Inadequate situation awareness is linked to preventable anesthesia accidents.
- Effective patient information exchange during anesthesia care transfers is crucial for continuity of care.
Purpose of the Study:
- To examine current intraoperative transfer of care practices among Certified Registered Nurse Anesthetists (CRNAs).
- To develop, implement, and evaluate a communication checklist tool aimed at improving situation awareness during anesthesia care handoffs.
Main Methods:
- A 2-phase, nonexperimental exploratory study design.
- Examination of existing CRNA transfer of care protocols.
- Development and evaluation of a novel communication checklist tool.
Main Results:
- Findings will elucidate current CRNA transfer of care practices.
- The study aims to demonstrate the checklist's potential to enhance situation awareness.
- The research seeks to identify methods for minimizing practice variations in care transfers.
Conclusions:
- Understanding current practices is essential for improving anesthesia patient safety.
- A structured communication tool can promote organized situation awareness during patient handoffs.
- Standardizing transfer of care processes can minimize variations and enhance patient care continuity.
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