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A Needs Assessment for Development of the TIME Anesthesia Handoff Tool
Courtney Gibney1, Young-Me Lee2, Julia Feczko3
1was a student at NorthShore University HealthSystem School of Nurse Anesthesia, Evanston, Illinois, at the time this article was written. She is a full-time nurse anesthetist at University of Chicago Medicine, Chicago, Illinois.
AANA Journal
|October 2, 2019
Summary
Anesthesia providers often lack standardized handoff processes, leading to inadequate information transfer. This study identified essential components for an anesthesia handoff tool, guiding the development of the TIME (transaction, induction, maintenance, emergence) tool.
Area of Science:
- Anesthesiology
- Patient Safety
- Healthcare Informatics
Background:
- Standardized patient handoffs are crucial for safe and effective care.
- Limited research exists on the need for specific handoff tools for anesthesia providers.
- Current anesthesia handoff practices may be inconsistent and lack essential information.
Purpose of the Study:
- To assess the need for a standardized anesthesia handoff tool.
- To identify the most critical components for developing an effective anesthesia handoff tool.
Main Methods:
- A descriptive survey design was employed.
- An online survey was distributed to anesthesia providers.
- Data were collected from 82 anesthesia providers, with 64% response rate.
Main Results:
- 64% of respondents do not use a systematic anesthesia handoff process.
- 73% reported receiving inadequate information during handoffs.
- Essential components identified include airway difficulty, invasive lines, medical history, procedure, case-specific concerns, allergies, medications, and goals.
Conclusions:
- Anesthesia providers perceive current handoff practices as inadequate.
- The identified essential components informed the development of the TIME (transaction, induction, maintenance, emergence) anesthesia handoff tool.
- The TIME tool aims to improve the conciseness and efficiency of anesthesia handoffs.
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