Intraoperative Handover Checklist of Anesthesia Care Improves Outcomes Among Patients Undergoing Major Surgery
- Conditions
- AnesthesiaSurgery--ComplicationsBurnout, Professional
- Interventions
- Device: standardized handover checklist
- Registration Number
- NCT03597932
- Lead Sponsor
- First Affiliated Hospital of Zhejiang University
- Brief Summary
Implementation of a standardized handover checklist for intraoperative anesthesia care transition attenuates burnout among anesthesiologists and improves postoperative outcomes of patients undergoing major surgery , both of which benefit the quality of patient care and the development of anesthesiology.
- Detailed Description
Many retrospective studies have demonstrated that among adults undergoing major surgery, complete handover of intraoperative anesthesia care compared with no handover was associated with a higher risk of adverse postoperative outcomes. Anesthesiologists keeping on working without handovers may experience symptoms of burnout which do not only pose a threat to the mental and physical health of the anesthesiologist, but also result in sub-optimal safety care of patients. Poor-quality handover without standardized processes can lead to diagnostic and therapeutic delays and precipitate adverse events. An improved system of anesthesia standardized handovers using a checklist would improve transfer of information and professional responsibility and therefore lead to the improvement of patient safety as well as burnout among anesthesiologists. Thus it is urgent to develop a standardized handover checklist for intraoperative anesthesia care to improve postoperative outcome of patients.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 3342
- Adult patients aged 18 years and older undergoing major surgeries requiring a hospital stay of at least 1 night are enrolled in this study.
- Adult patients aged less than 18 years undergoing major surgeries and were not requiring a hospital stay of at least 1 night are excluded.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Checklist group standardized handover checklist All participant anesthesiologists do intraoperative handover of anesthesia care by using a standardized handover checklist for another 2-week to 1-month data collection.
- Primary Outcome Measures
Name Time Method Incidence of a composite of all-cause death, hospital readmission, or major postoperative complications 30 days The primary outcome that will be measured is a composite of all-cause death, hospital readmission, or major postoperative complications, all within 30 days post surgery
- Secondary Outcome Measures
Name Time Method Incidence of ICU admission post surgery 30 days Incidence of postoperative intensive care unit (ICU) admission, ,within 30 days post surgery
The time of hospital length of stay (LOS) up to 30 days Hospital length of stay (LOS)
Incidence of major complications 30 days Postoperative major complications, defined by International Classification of Diseases, Tenth Revision (ICD-10) diagnostic codes
Ventilation time within postoperative 30 days Up to 30 days Ventilation time within postoperative 30 days
Incidence of 7 day-, 30 day-, 90 day- and inhospital mortality 7/30/90 day 7/30/90-day mortality, inhospital mortality
Incidence of emergency department (ED) visits 90 days Emergency department (ED) visits within 90 days of the index surgery
Any medical cost during hospital stay up to 90 days Any medical cost during hospital stay
Anaesthetic resuscitation time Up to 24 hours Anaesthetic resuscitation time after the surgery is completed