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From intensive care unit to operating room: what about the transition of care of liver transplanted patients?

  • Marta Ines Berrio ValenciaEmail author
  • Oscar D. Aljure
Correspondence

To the Editor,

Handover refers to the process where a patient, clinical relevant information, equipment, and professional responsibility and accountability are transferred from one person or care team to another.1 It is recognized by The Royal College of Physicians and Surgeons of Ontario, the Institute for Healthcare Improvement, Accreditation Canada, The Joint Commission International, the Anesthesia Patient Safety Foundation, and the Agency for Healthcare Research and Quality as an integral process of high performing teams.

Safe handover is a complex process that focuses on providing patient information that will increase efficiency and safety of the medical care of a patient whose management is being transferred from one clinical team to another. It entails several structured processes, including continuous feedback, check back, close-loop communication, and cross monitoring.2These processes are not regularly taught during medical education, but should be included in the learning...

Notes

Conflicts of interest

None declared.

Editorial responsibility

This submission was handled by Dr. Gregory L. Bryson, Deputy Editor-in-Chief, Canadian Journal of Anesthesia.

References

  1. 1.
    Barbeito A, Agarwala AV, Lorinc A. Handovers in perioperative care. Anesthesiol Clin 2018; 36: 87-98.CrossRefGoogle Scholar
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    Agency for Healthcare Research and Quality. TeamSTEPPS™ Pocket Guide-2.0. Available from URL: https://www.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html (acceded January 2019).
  3. 3.
    Segall N, Bonifacio AS, Barbeito A, et al. Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. JT Comm J Qual Patient Saf 2016; 42: 400-14.CrossRefGoogle Scholar
  4. 4.
    Pronovost PJ, Berenholtz SM, Needham DM. Translating evidence into practice: a model for large scale knowledge translation. BMJ 2008; 337: a1714.CrossRefGoogle Scholar

Copyright information

© Canadian Anesthesiologists' Society 2019

Authors and Affiliations

  1. 1.London Health Sciences CentreWestern UniversityLondonCanada
  2. 2.Miller School of MedicineUniversity of MiamiMiamiUSA

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