Literature DB >> 32682560

Association of intraoperative anaesthesia handovers with patient morbidity and mortality: a systematic review and meta-analysis.

Sylvain Boet1, Hadi Djokhdem2, Sarah Anne Leir3, Isabel Théberge3, Fadi Mansour2, Cole Etherington4.   

Abstract

BACKGROUND: Handover of anaesthesia patient care during surgery is common; however, its association with patient outcome is unclear. This systematic review aimed to assess the impact of anaesthesia handover during surgery on patient outcome.
METHODS: All prospective and retrospective clinical studies specifically investigating the association of intraoperative transfer of anaesthesia care between anaesthesia providers in the operating room with patient morbidity and mortality were included. Searches were conducted from inception to April 24, 2019 in Medline, Medline in Process, CINAHL, and Embase. Reference lists of included studies were searched. Studies were assessed for eligibility and data were extracted by independent reviewers in duplicate with disagreements resolved by consensus or a third reviewer. Risk of bias was assessed in duplicate using the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Data were summarised narratively given substantial heterogeneity. An exploratory meta-analysis was conducted using a random-effects model for a subset of comparable studies.
RESULTS: Eight studies met the inclusion criteria. Six studies focused on patients as the unit of analysis (npatients=605 678) and two focused on anaesthesia providers as the unit of analysis (nproviders=307). Seven studies identified a relationship between anaesthesia handovers and adverse patient outcomes, whereas one suggested that handover may be beneficial to error detection or rectification. Included studies were of fair or good quality. Meta-analysis of four studies found a 40% increased risk of patients experiencing an adverse event when an anaesthesia handover occurs during the procedure (pooled risk ratio=1.40; 95% confidence interval, 1.19 to 1.65; P<0.001; I2=98%).
CONCLUSIONS: Intraoperative anaesthesia handovers generally increase morbidity and mortality for surgical patients but could have the potential to improve safety in certain contexts. Future research should determine the specific handover characteristics that impact safety.
Copyright © 2020 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.

Entities:  

Keywords:  anaesthesia; medical errors; operating rooms; patient care team; patient handoff; patient safety; quality

Mesh:

Year:  2020        PMID: 32682560      PMCID: PMC9520752          DOI: 10.1016/j.bja.2020.05.062

Source DB:  PubMed          Journal:  Br J Anaesth        ISSN: 0007-0912            Impact factor:   11.719


  18 in total

1.  Association Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing Major Surgery.

Authors:  Philip M Jones; Richard A Cherry; Britney N Allen; Krista M Bray Jenkyn; Salimah Z Shariff; Suzanne Flier; Kelly N Vogt; Duminda N Wijeysundera
Journal:  JAMA       Date:  2018-01-09       Impact factor: 56.272

2.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

Authors:  David Moher; Alessandro Liberati; Jennifer Tetzlaff; Douglas G Altman
Journal:  Ann Intern Med       Date:  2009-07-20       Impact factor: 25.391

3.  First-year Analysis of the Operating Room Black Box Study.

Authors:  James J Jung; Peter Jüni; Gerald Lebovic; Teodor Grantcharov
Journal:  Ann Surg       Date:  2020-01       Impact factor: 12.969

4.  Evaluating safety of handoffs between anesthesia care providers.

Authors:  Shivani Jayaswal; Laura Berry; Rhonda Leopold; Stuart R Hart; Heather Scuderi-Porter; Neil Digiovanni; Austin Phillips
Journal:  Ochsner J       Date:  2011

5.  Intraoperative Care Transitions Are Not Associated with Postoperative Adverse Outcomes.

Authors:  Maxim A Terekhov; Jesse M Ehrenfeld; Richard P Dutton; Oscar D Guillamondegui; Barbara J Martin; Jonathan P Wanderer
Journal:  Anesthesiology       Date:  2016-10       Impact factor: 7.892

6.  Using Data to Enhance Performance and Improve Quality and Safety in Surgery.

Authors:  Mitchell G Goldenberg; James Jung; Teodor P Grantcharov
Journal:  JAMA Surg       Date:  2017-10-01       Impact factor: 14.766

7.  Critical incidents associated with intraoperative exchanges of anesthesia personnel.

Authors:  J B Cooper; C D Long; R S Newbower; J H Philip
Journal:  Anesthesiology       Date:  1982-06       Impact factor: 7.892

8.  Intraoperative patient information handover between anesthesia providers.

Authors:  Dominik Choromanski; Joel Frederick; George Michael McKelvey; Hong Wang
Journal:  J Biomed Res       Date:  2014-06-10

9.  Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement.

Authors:  David Moher; Larissa Shamseer; Mike Clarke; Davina Ghersi; Alessandro Liberati; Mark Petticrew; Paul Shekelle; Lesley A Stewart
Journal:  Syst Rev       Date:  2015-01-01

10.  Handover of anesthesia care is associated with an increased risk of delirium in elderly after major noncardiac surgery: results of a secondary analysis.

Authors:  Guang-Yu Liu; Xian Su; Zhao-Ting Meng; Fan Cui; Hong-Liang Li; Sai-Nan Zhu; Dong-Xin Wang
Journal:  J Anesth       Date:  2019-02-28       Impact factor: 2.078

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  4 in total

1.  Effect of Intraoperative Handovers of Anesthesia Care on Mortality, Readmission, or Postoperative Complications Among Adults: The HandiCAP Randomized Clinical Trial.

Authors:  Melanie Meersch; Raphael Weiss; Mira Küllmar; Lars Bergmann; Astrid Thompson; Leonore Griep; Desiree Kusmierz; Annika Buchholz; Alexander Wolf; Hartmuth Nowak; Tim Rahmel; Michael Adamzik; Jan Gerrit Haaker; Carina Goettker; Matthias Gruendel; Andre Hemping-Bovenkerk; Ulrich Goebel; Julius Braumann; Irawan Wisudanto; Manuel Wenk; Darius Flores-Bergmann; Andreas Böhmer; Sebastian Cleophas; Andreas Hohn; Anne Houben; Richard K Ellerkmann; Jan Larmann; Julia Sander; Markus A Weigand; Nicolas Eick; Sebastian Ziemann; Eike Bormann; Joachim Gerß; Daniel I Sessler; Carola Wempe; Christina Massoth; Alexander Zarbock
Journal:  JAMA       Date:  2022-06-28       Impact factor: 157.335

2.  Association Between Handover of Anesthesiology Care and 1-Year Mortality Among Adults Undergoing Cardiac Surgery.

Authors:  Louise Y Sun; Philip M Jones; Duminda N Wijeysundera; Mamas A Mamas; Anan Bader Eddeen; John O'Connor
Journal:  JAMA Netw Open       Date:  2022-02-01

3.  Communication failures contributing to patient injury in anaesthesia malpractice claims☆.

Authors:  Rachel N Douglas; Linda S Stephens; Karen L Posner; Joanna M Davies; Shawn L Mincer; Amanda R Burden; Karen B Domino
Journal:  Br J Anaesth       Date:  2021-07-06       Impact factor: 11.719

4.  Evaluation of a Paper-Based Checklist versus an Electronic Handover Tool Based on the Situation Background Assessment Recommendation (SBAR) Concept in Patients after Surgery for Congenital Heart Disease.

Authors:  Carolin Rehm; Richard Zoller; Alina Schenk; Nicole Müller; Nadine Strassberger-Nerschbach; Sven Zenker; Ehrenfried Schindler
Journal:  J Clin Med       Date:  2021-12-07       Impact factor: 4.241

  4 in total

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