Application of Preoperative Handover in Surgical Preparation and its Effectiveness Evaluation
Author(s): LI Ming-xian, ZHOU Yu, LU Ming-xian, QIAN Ming-zhu
Pages: 36-38
Year: 2016 Issue: 7
Journal: Hospital Management Forum
Keyword: Preoperative handover; Surgical preparation;
Abstract: Objective To reduce inadequate preoperative preparation for selective surgery patients and to improve the quality of preoperative preparation.Methods A professional team of non-operation room nurses was established to enter the ward in order to conduct bedside handover for selective surgery patients, advance the management of preoperative handover and record the category and frequency of inadequate preoperative preparation. Data of inadequate preoperative preparation at the beginning period of implementing preoperative handover and one year after the implementation was analyzed. In total of 3339 selective surgery patients at the beginning period of implementing preoperative handover (from December 2013 to February 2014) were included in control group and 4111 selective surgery patients one year after the implementation (from December 2014 to February 2015) were included in observation group. Incidence rates and constituent rates of inadequate preoperative preparation in the two groups were compared. Results The rate of insufficient preoperative preparation decreased from 4.34% to 0.39%. There were statistically significant differences of incidences rates of five categories of insufficient preoperative preparation including surgical site, patient identification, preoperative preparation of medication, patients with preoperative preparation and preoperative examination (P<0.05); at the same time, there were significant changes of constituent rates of insufficient preoperative preparation, which provided the direction for the management and supervision. Conclusions Preoperative bedside handover conducted by professional nurses makes the advancement of preoperative handover management possible and makes the preoperative preparation be completed in a suitable location and at appropriate time in order to reduce the incidence rate of insufficient preoperative preparation of selective surgery patients and improve the quality of preoperative preparation.
Pages: 36-38
Year: 2016 Issue: 7
Journal: Hospital Management Forum
Keyword: Preoperative handover; Surgical preparation;
Abstract: Objective To reduce inadequate preoperative preparation for selective surgery patients and to improve the quality of preoperative preparation.Methods A professional team of non-operation room nurses was established to enter the ward in order to conduct bedside handover for selective surgery patients, advance the management of preoperative handover and record the category and frequency of inadequate preoperative preparation. Data of inadequate preoperative preparation at the beginning period of implementing preoperative handover and one year after the implementation was analyzed. In total of 3339 selective surgery patients at the beginning period of implementing preoperative handover (from December 2013 to February 2014) were included in control group and 4111 selective surgery patients one year after the implementation (from December 2014 to February 2015) were included in observation group. Incidence rates and constituent rates of inadequate preoperative preparation in the two groups were compared. Results The rate of insufficient preoperative preparation decreased from 4.34% to 0.39%. There were statistically significant differences of incidences rates of five categories of insufficient preoperative preparation including surgical site, patient identification, preoperative preparation of medication, patients with preoperative preparation and preoperative examination (P<0.05); at the same time, there were significant changes of constituent rates of insufficient preoperative preparation, which provided the direction for the management and supervision. Conclusions Preoperative bedside handover conducted by professional nurses makes the advancement of preoperative handover management possible and makes the preoperative preparation be completed in a suitable location and at appropriate time in order to reduce the incidence rate of insufficient preoperative preparation of selective surgery patients and improve the quality of preoperative preparation.
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