Implementation of a Postoperative Handoff Checklist for Cardiac Surgery Patients

Background: Surgical handoffs from anesthesia providers to ICU RNs mark a critical point in determining how the patient will fare overall. Communication breakdown between healthcare providers can lead to dire consequences for the patient and is a cause of increased morbidity and mortality. Purpose: The purpose of this quality improvement (QI) project was to measure provider satisfaction and perception of thoroughness of a standardized handoff checklist. Methods: An education session highlighting the importance of the handoff process was presented for both CRNAs and CVICU-RNs. Following the education session, a survey assessing the handoff tool and provider communication was distributed. Results: A total of 21 surveys were collected. The qualitative portion of the survey showed that overall, providers were satisfied with the new handoff tool and provider communication included a high frequency of handoff tool use. Providers reported increased clarity, conciseness, and efficiency, contrasted with a decrease in information omissions. Additionally, the qualitative data yielded a small number of suggested changes to the tool and communication process. Conclusion: While there is provider satisfaction with the handoff tool and communication, the small sample size limits the generalizability of the results. The inclusion of standardized handoff training could lead to increased tool use and satisfaction. Applying suggested changes to the process, such as limiting distractions and increasing surgeon presence may also increase satisfaction with handoff communication