Simulation Training for Rapid Assessment and Improved Teamwork-Lessons Learned from a Project Evaluating Clinical Handoffs

Abstract

Effective communication between clinicians is a crucial component of safe care. High-quality communication may be especially critical during care transitions between clinicians (handoffs). In a two-year quasi-experimental Quality Improvement project, we are using simulation learning to evaluate and improve communication between anesthesia providers and nurses as care is transitioned from the operating room to the post-anesthesia care unit (PACU). Using a multiple baseline, staggered entry, prospective cohort design with repeated measures, we are introducing a training intervention and evaluating its effects on dyadic communication. The primary hypothesis is that simulation-based communication skills training of PACU personnel will significantly improve the quality of handoffs. Clinicians' performance is being compared before and after their training on four dimensions of handoff effectiveness: information transfer; use of best evidence handoff strategies; interpersonal skills; and team behaviors. Clinicians also rate their own handoffs. Lessons learned and results to date will be presented.