Implementation of a SAFE OB Handover for CRNAs.

Area of Science:

• Anesthesiology
• Obstetrics
• Patient Safety

Background:

• Verbal anesthesia handovers in obstetrics often omit critical patient information, potentially leading to adverse events.
• Standardized tools are needed to improve the quality and completeness of handover communication.

Purpose of the Study:

• To implement and evaluate the SAFE Handover Tool for Certified Registered Nurse Anesthetists (CRNAs) in a Level III Maternal Care unit.
• To assess the impact of the SAFE Handover Tool on handover quality and provider communication.

Main Methods:

• A mixed-methods approach was used to assess handover quality before and after implementation.
• The SAFE Handover Tool (Sick patients, At-risk patients, Follow-ups, Epidurals) was utilized during handovers.
• Descriptive, statistical, and content analyses were performed.

Main Results:

• Significant improvements in handover quality were observed post-implementation.
• The SAFE Handover Tool increased the discussion of relevant parturients and enhanced provider communication.
• Situational awareness among CRNAs improved.

Conclusions:

• The SAFE Handover Tool is an effective, low-cost, and sustainable method for improving CRNA handovers in obstetrical anesthesia.
• Implementation of the tool enhances patient safety and communication.
• A modified tool was integrated into the electronic charting system.