Safety, quality & education

Handoff Mnemonics Used in Perioperative Handoff Intervention Studies: A Systematic Review

Anesth AnalgPublished Systematic review

Authors' conclusion

While the evidence supporting one handoff mnemonic over others is weak, SBAR/SBAR variants have been studied more often in the perioperative environment demonstrating some process improvements.

Study context

Population
English-language perioperative handoff intervention studies that included a handoff mnemonic, January 1, 2010 to May 31, 2022
Participants
37 articles
Outcome
Characteristics of perioperative handoff mnemonic intervention studies
Methodological detailsprotocol registered, pairs of trained reviewers, Searches: PubMed, Scopus, ERIC (EBSCO), Education Full Text (EBSCO), EMBASE (Elsevier), Cochrane
  • Protocol registered
  • Pairs of trained reviewers
  • Searches: PubMed, Scopus, ERIC (EBSCO), Education Full Text (EBSCO), EMBASE (Elsevier), Cochrane

Pooled result

As reported in the abstract

Published after 2015
29/37; 78%
Situation, Background, Assessment, Recommendation (SBAR) and SBAR variants used
22/37; 59%
SBAR/SBAR-variant studies reporting ≥1 statistically significant process improvement
45% (10/22)
Mnemonics expanded into lists or checklists
Seventy percent (26/37)
Interdisciplinary/interprofessional team used to develop the intervention
Fifty-seven percent (21/37)
≥1 measurement tool previously published or validated by the authors
49% (18/37)
Process measurement tools with some form of validation
Forty-one percent (11/27)
Training/education used as implementation strategy (descriptions brief; no study used interprofessional education)
36/37; 97%
Measured perception alone
Twenty-seven percent (10/37)
Measured patient outcomes
11% (4/37)

Original publication

Handoff Mnemonics Used in Perioperative Handoff Intervention Studies: A Systematic Review. Anesth Analg. Published 26 November 2024. doi:10.1213/ane.0000000000007261

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