Intraoperative Handover Checklist of Anesthesia Care Improves Postoperative Outcomes Among Patients Undergoing Major Surgery: a Multicenter, Before-after Cohort Study
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 3,342
- 主要终点
- Incidence of a composite of all-cause death, hospital readmission, or major postoperative complications
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients aged 18 years and older undergoing major surgeries requiring a hospital stay of at least 1 night are enrolled in this study.
排除标准
- •Adult patients aged less than 18 years undergoing major surgeries and were not requiring a hospital stay of at least 1 night are excluded.
结局指标
主要结局
Incidence of a composite of all-cause death, hospital readmission, or major postoperative complications
时间窗: 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
次要结局
- Incidence of ICU admission post surgery(30 days)
- The time of hospital length of stay (LOS)(up to 30 days)
- Incidence of major complications(30 days)
- Ventilation time within postoperative 30 days(Up to 30 days)
- Incidence of 7 day-, 30 day-, 90 day- and inhospital mortality(7/30/90 day)
- Incidence of emergency department (ED) visits(90 days)
- Any medical cost during hospital stay(up to 90 days)
- Anaesthetic resuscitation time(Up to 24 hours)
研究者
xiangming fang
Director, Head of Anesthesiology and Critical Care, Principal Investigator, Professor
First Affiliated Hospital of Zhejiang University