[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-253630-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-253630-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","improving-transition-of-care-template-card-study","Improving Transition of Care - Template Card Study","","Improving Transition of Care examines how standardized patient handoff communication can reduce omission and miscommunication during perioperative transfer from anesthesia to PACU nursing. The study uses a cost-effective template card built from 20 critical handoff components and evaluates changes in the percentage of appropriately conveyed data points and total transition score after implementation. IRB-approved design compares 100 handoffs before and 100 after, measuring both accuracy and total handoff time.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/presentations/","Presentations",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/improving-transition-of-care-template-card-study/253630/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/improving-transition-of-care-template-card-study/253630.png","ImageObject",442,249,{"name":42,"@type":43},"Mabel","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-21","2026-09-13",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What problem does the study address in patient handoffs?","Question",{"text":63,"@type":64},"The study addresses variability in perioperative handoff reporting, including the risk of errors and omission of clinically significant information from anesthesia to PACU nursing.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What is the purpose of the template card in the study?",{"text":68,"@type":64},"The template card standardizes handoff reporting by ensuring communication of 20 critical transition data points during the transition of care.",{"name":70,"@type":61,"acceptedAnswer":71},"How did the template card affect handoff reporting accuracy and time?",{"text":72,"@type":64},"The total transition score increased significantly (about 50% improvement), while the total time required for the transition also increased (about 26%).","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},253630,1791741264,{"code":4,"msg":82,"data":83},"success",[84,88,93,98,103,108,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":86,"slug":87},11,90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":110,"show_sort_weight":111,"slug":112},17,"Forms",40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":85,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":136,"language":137,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":12,"update_tm":141,"read_time":121},7971474920318,"https://ap-avatar.wpscdn.com/avatar/74000ee537e6b0ca360?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788430171632181674","Improving Transition of Care  \nHanish Singh, MD  \nDepartment of Anesthesiology, WSU/SJMO  \nASPIRE Collaborative Meeting  \nFri. July 21, 2017  \nRationale & Background for the Study  \n• Patient handoff includes communicating clinically significant patient information from one provider to another.  \n• During the perioperative period, this includes communication from anesthesia staff (anesthesia attendings, residents and CRNAs) to nursing staff in the post anesthesia care unit (PACU) .  \n• Without standardization, there is room for error or miscommunication of vital patient information, which could result in avoidable morbidity.  \nRationale & Background for the Study  \n• According to the ASA, “Upon arrival in the PACU, the patientshall be re-evaluated and a verbal report provided to the responsible PACU nurse by a member of the anesthesia care team caring for the patient.”  \n• Patient handoff reports are highly variable, and are not standardized within every institution.  \n• Postoperative handoff reports within our institution were not standardized and the quality and quantity of information reported was highly variable.  \n• During observational study, we found that key information such as the use of a non-depolarizing muscle relaxant was often omitted from handoff reports between anesthesia staff and PACU nursing personnel.  \nPurpose & Hypothesis of this Study  \n• Our goal was to improve the quality of patient handoff reporting in a cost effective and efficient manner.  \n• We proposed creating template card to standardize reporting and ensure the communication of necessary information during the transition of care.  \n• We hypothesized that the usage of this template card would increase the conveyance of vital information during the handoff.  \nThe Design and Methods of the Study  \n• Our study was IRB approved.  \n• A list of 20 critical handover components pertaining to patients’ perioperative course was obtained from current literature, feedback from anesthesiologists, CRNAs, and PACU nursing staff within the institution.  \n• This Study was done in two phases-Before and After introduction of the template card  \n• During the study PACU staff did not interrupt report, nor did they coach providers.  \n• Only scheduled general anesthesia cases that included advanced airway management were included in the study to ensure that all 20 elements would be required during handoff.  \n• Phase I of the study consisted of observation of 100 provider handoffs prior to the deployment of the template cards. (Before Group, n=100).  \n• During phase I, neither the anesthesia provider nor PACU nurses were given instruction or cues to the pertinent data points being analyzed.  \n• Observers stood quietly near the handoff process without interruption, while nursing staff received the handoff from anesthesia personnel.  \n• During this handoff, observers used the newly designed template, consisting of 20 data points as a checklist while timing the duration of the handoff.  \nThe Design and Methods of the Study  \n• Phase II of the study consisted of providing both anesthesia personnel and PACU nurses with the newly designed handoff template cards and instruction on their use. Personnel were given one week to acclimate to card use during transitions of care.  \n• Phase II of the study was completed by observing 100 provider handoffs in the PACU by the same evaluators after this acclimation period. (After Group, n=100).  \n• Each data point was considered successfully communicated between anesthesia personnel and PACU nursing staff if information related to each point was stated in any capacity.  \n• All the 20 data points were treated as critical and equally important in the following data analysis.  \nTable1 . List of 20 transition data points used in the template card for the patient transition of care. All the 20 transition data points are considered essential and are treated as equal.  \nTable2: Statistical Results for the 20 data Points of Transition. The %Befo","cbCaiq27v5YK9zm7","https://ap.wps.com/l/cbCaiq27v5YK9zm7","pdf",1168347,13,"English","# Rationale & Background for the Study\n## Patient handoff variability and risk\n# Purpose & Hypothesis of this Study\n## Template card goal and expected impact\n# The Design and Methods of the Study\n## IRB approval and study phases\n## Selection criteria and checklist implementation\n## Data point measurement and statistical approach\n# Summary & Discussion","[{\"question\":\"What problem does the study address in patient handoffs?\",\"answer\":\"The study addresses variability in perioperative handoff reporting, including the risk of errors and omission of clinically significant information from anesthesia to PACU nursing.\"},{\"question\":\"What is the purpose of the template card in the study?\",\"answer\":\"The template card standardizes handoff reporting by ensuring communication of 20 critical transition data points during the transition of care.\"},{\"question\":\"How did the template card affect handoff reporting accuracy and time?\",\"answer\":\"The total transition score increased significantly (about 50% improvement), while the total time required for the transition also increased (about 26%).\"}]","Improving Transition of Care - Template Card Study | PDF",1789268023]