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It serves as a “one stop” reference covering the work from initial assessment through sustainment, using a PLAN-DO-STUDY-ACT approach adapted to the handover redesign model. 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The document highlights vulnerability to technical and communication errors, incomplete monitoring, and equipment-related failures.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},246317,1791377729,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":8,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":35,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":140},8796095462418,"https://ap-avatar.wpscdn.com/avatar/80000253c1241d02b47?x-image-process=image/resize,m_fixed,w_180,h_180&k=1778826106357471780","OR TO ICU HANDOVER IMPROVEMENT TOOLKIT  \nNational Center for Patient Safety  \nDecember 2019  \nProduced by the Durham VA Health Care System Patient Safety Center of Inquiry Funded by the Veterans Administration National Center for Patient Safety  \nThe content and methods described in the toolkit were developed by the Durham Patient Safety Center of Inquiry (PSCI) as part of two Veteran’s Affairs (VA) National Center for Patient Safety funded projects to improve Operating Room to Intensive Care Unit handovers. Established in 2007, the Durham PSCI is an inter-professional team of health care providers, human factors engineers, and business experts that works to improve the safety, reliability, and quality of medical care provided to patients in peri-operative environments. The authors would like to acknowledge the contributions of Al Bonifacio, RN BSN MHA CEN.  \nCorresponding Author  \nAtilio Barbeito MD MPH  \n508 Fulton Street Durham, NC 27705  \n(919) 286–6938 ext.176938  \n[AtilioBarbeito@va.gov](AtilioBarbeito@va.gov)  \nO R T O I C U H A N D O V E R I M P R O V E M E N T T O O L K I T  \nPart  \n1  \nHow to Use this Toolkit  \nToolkit Description  \nT  \nhe Operating Room (OR) to Intensive Care Unit (ICU) Handover Improvement Toolkit is designed to help clinical team leaders transform the transfer of care for surgical patients into a safer, faster, and more reliable process. This document is a  \n“one stop” reference that guides users through the handover improvement process, from initial assessment to sustainment. The next chapter provides background information about OR to ICU handovers, while the remaining two chapters provide specific ‘how-to’instructions and tools to improve handovers.  \nUser requirements: This toolkit was designed to be used by clinicians, patient safety officers, quality improvement staff, and others regardless of research or process improvement expertise. Users, however, should be fluent with Microsoft Word, Excel, and PowerPoint. Users should also be familiar with their own current handover process, have sufficient time to perform this work, and ideally hold a leadership role (formal or informal) in the institution.  \nSymbols used in this guide:  \n@ Toolkit item and description  \nG  \nCritical Point  \nToolkit Overview and Contents  \nThis toolkit uses the PLAN-DO-STUDY-ACT framework which has been adapted to theredesign of handovers (see diagram below) . The tools provided in this toolkit are displayed next to the process step with which they should be used.* The Database will help store and analyze the data collected during the redesign process.  \nOR to ICU Handover Process Improvement Cycle  \n\n| @ Database | @ Field Observations Template @ Interview Questions Template\u003Cbr>@ Survey Template\u003Cbr>|\n| --- | --- |\n\n\n| @ Database | @ Field Observations Template\u003Cbr>@ Interview Questions Template | @ Survey Template |\n| --- | --- | --- |\n| |  |  |\n\n* The tools included in this kit were designed for use with this model, however they can also be used with other process improvement models.  \npg. 4  \nO R T O I C U H A N D O V E R I M P R O V E M E N T T O O L K I T  \nPart  \n2  \nMaking the Case  \nG “Handovers are fraught with technical and communication errors.”  \nGHandoverfailures accountfor half of the sentinel events rooted in“communication failures”… and also for 20% ofall malpractice claims in the United States.  \nPatient handovers:† the transfer of information, professional responsibility, and accountability between individuals and teams to ensure that continuity of care is maintained. 1  \nP atient handovers are increasingly being recognized as vulnerable episodes in care  \nthat are fraught with technical and communication errors,1,2 and linked to adverse  \nevents and patient harm.3-5 The Joint Commission reports that handover failures account for half of the sentinel events rooted in “communication failures”1 and according toa recent study, 20% of all malpractice claims in the United States.6  \nThese facts, as well as","cbCaiqp8AguWXjJ1","https://ap.wps.com/l/cbCaiqp8AguWXjJ1","pdf",908337,"English","# How to Use this Toolkit\n## Toolkit Description\n## Symbols Used in This Guide\n## Toolkit Overview and Contents\n# Making the Case\n## Patient Handovers and Safety Risk","[{\"question\":\"Who is this toolkit designed for?\",\"answer\":\"It is designed for clinicians, patient safety officers, quality improvement staff, and others regardless of prior expertise. Users should be comfortable with Microsoft Word, Excel, and PowerPoint and knowledgeable about their current handover process.\"},{\"question\":\"What framework does the toolkit use to guide redesign?\",\"answer\":\"The toolkit uses the PLAN-DO-STUDY-ACT framework adapted for redesigning OR to ICU handovers. Tools are presented alongside the process steps where they should be used.\"},{\"question\":\"What problem does the toolkit focus on in OR to ICU handovers?\",\"answer\":\"OR to ICU handovers involve high-risk interdepartmental transfers of physiologically compromised patients. The document highlights vulnerability to technical and communication errors, incomplete monitoring, and equipment-related failures.\"}]","OR to ICU Handover Improvement Toolkit - Part 1 - How to Use this Toolkit | PDF",1789234759,6]