A Qualitative Study of the Work Systems and Culture Around End-of-Day Intraoperative Anesthesia Handoffs in a Tertiary Care Center
Authors' conclusion
Handoffs involve processes beyond the point of information transfer and are embedded in the systems and culture of the operating rooms.
Study context
- Population
- Anesthesia clinicians, end-of-day intraoperative anesthesia handoffs, tertiary care center
- Outcome
- Processes surrounding the point of information transfer in intraoperative handoffs
Methodological detailssemistructured interviews, SEIPS framework, deductive coding with inductive subthemes
- Semistructured interviews
- SEIPS framework, deductive coding with inductive subthemes
Main finding
As reported in the abstract
- Clinicians do significant work before and after information transfer to ensure smooth handoff and safe care
- Despite no standardization, most clinicians have a typical handoff organization and largely agree on content
- Variability by clinician and patient characteristics, incl. clinician discipline and patient acuity
- Handoffs impacted by OR culture, incl. teamwork and hierarchies among surgical and anesthesia teams
- OR logistics, incl. scheduling of surgical cases and anesthesia teams, impact handoff quality and preparation
Original publication
A Qualitative Study of the Work Systems and Culture Around End-of-Day Intraoperative Anesthesia Handoffs in a Tertiary Care Center. Anesth Analg. Published 27 November 2023. doi:10.
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