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SBAR I: Understanding the Concept01:29

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Hand hygiene01:23

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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
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Protocols for Postanesthesia Care Unit Handoff and Patient Safety: A Scoping Review.

Fabiana Zerbieri Martins1,2, Luciana Bjorklund de Lima2, Denilse Damasceno Trevilato3

  • 1Postgraduate Program in Nursing, Universidade Federal do Rio Grande do Sul - UFRGS, Porto Alegre, Brazil.

Journal of Advanced Nursing
|December 26, 2024
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Summary

Interventions guiding patient transfer to the Postanesthesia Care Unit (PACU) improve information exchange and reduce adverse events. This review highlights their potential for enhancing patient safety and professional satisfaction.

Keywords:
anaesthesia recovery periodnursingpatient handoffpatient handoverpatient safetypostanaesthesiapostanaesthesia nursingrecovery roomsignoutsignover

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Area of Science:

  • Perioperative Medicine
  • Healthcare Quality Improvement
  • Patient Safety

Background:

  • Effective patient transfer to the Postanesthesia Care Unit (PACU) is crucial for continuity of care and patient safety.
  • Interventions aimed at optimizing this transition are increasingly being studied.
  • Understanding the impact of these interventions is vital for improving surgical practices.

Purpose of the Study:

  • To map existing studies on interventions for patient transfer to the PACU.
  • To identify outcomes associated with care safety during this transfer process.

Main Methods:

  • A scoping review was conducted following JBI Manual and PRISMA-ScR guidelines.
  • The Population, Concept, and Context (PCC) framework guided the research question and inclusion/exclusion criteria.
  • A comprehensive database search was performed without date restrictions, and the protocol was registered on Open Science Framework.

Main Results:

  • Seventeen studies published between 2013 and 2024 were included.
  • Interventions focused on increasing transferred information, professional satisfaction, and team presence.
  • Key outcomes included reduced omissions, interruptions, errors, hypoxemia, nausea, vomiting, and pain.

Conclusions:

  • Interventions promoting structured patient transfer to the PACU can inform quality indicators and foster a safety culture.
  • Optimizing these transfer processes supports surgical practice management and enhances patient safety and professional experience.