The Effect of Post-Anesthesia Team Handover on Hypoxia in Post-Anaesthesia Care Unit (PACU)

Authors

  • Astilia Astilia Program Studi Keperawatan Anestesiologi Program Sarjana Terapan, University Baiturrahmah, Padang, Indonesia

DOI:

https://doi.org/10.61942/msj.v2i2.207

Keywords:

Anesthesia, Handover, Miscommunication, PACU, SBAR

Abstract

Miscommunication in handover from the operating room to the Post-Anaesthesia Care Unit (PACU) often occurs and can cause diagnostic and therapeutic delays and trigger complications. One of the most frequent complications in the PACU room is Hypoxia.Post-Anaesthesia Team Handover (PATH) using SBAR is expected to reduce the incidence of hypoxia in the PACU, reduce handover interruptions, improve communication and information between health workers. The study aimed to determine the effects of Post Anesthesia Team Handover (PATH) on Hypoxia in Post-Anaesthesia Care Unit (PACU). This study used a pre-posttest quasi-experimental design with a control group. Purposive sampling was applied to recruit 68 respondent to participate in the study. There was a significant difference between the hypoxia before and after the use PATH with SBAR in the intervention group compared to the control group (p = 0,002). Post Anesthesia Handover Register using SBAR can improve communication during handover in the PACU to prevent hypoxia.

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References

Abraham, J., Meng, A., Tripathy, S., Avidan, M. S., & Kannampallil, T. (2021). Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs. BMJ Quality & Safety, 30(6), 513-524.

Agarwala, A. V., Lane-Fall, M. B., Greilich, P. E., Burden, A. R., Ambardekar, A. P., Banerjee, A., ... & Cooper, J. B. (2019). Consensus recommendations for the conduct, training, implementation, and research of perioperative handoffs.

Andualem, A. A., & Yesuf, K. A. (2022). Incidence and associated factors of postoperative hypoxemia among adult elective surgical patients at Dessie Comprehensive Specialized Hospital: An observational study. Annals of Medicine and Surgery, 78, 103747.

Arriaga, A. F. (2021). The PATH to patient safety. British journal of anaesthesia, 127(6), 830-833.

Burns, S., Parikh, R., & Schuller, K. (2018). Utilization of a checklist to standardize the operating room to post-anesthesia care unit patient handoff process. Perioperative Care and Operating Room Management, 13, 1-5.

Erianti, S., Lastari, R. F., & Ennimay, E. (2023). Sosialisasi Evaluasi Penerapan Komunikasi Efektif SBAR dalam Pelaksanaan Handover oleh Perawat. Jurnal Abdimas Kesehatan (JAK), 5(2), 270-275.

Jaulin, F., Lopes, T., & Martin, F. (2021). Standardised handover process with checklist improves quality and safety of care in the postanaesthesia care unit: the Postanaesthesia Team Handover trial. British Journal of Anaesthesia, 127(6), 962-970.

Kemenkes, RI. (2020). Sistem Pelaporan Dan Pembelajaran Keselamatan Pasien Nasional (SP2KPN). Kemenkes RI : Jakarta.

Lee, K. R., & Kim, E. J. (2020). Relationship between Interprofessional Communication and Team Task Performance. Clinical Simulation in Nursing, 43, 44–50. https://doi.org/10.1016/j.ecns.2020.02.002

Melesse, D. Y., Denu, Z. A., Kassahun, H. G., & Agegnehu, A. F. (2020). The incidence of early post-operative hypoxemia and its contributing factors among patients underwent operation under anesthesia at University of Gondar comprehensive and specialized referral hospital, Gondar, North West Ethiopia, 2018. A prospective observational study. International Journal of Surgery Open, 22, 38-46.

Riesenberg, L. A., Davis, R., Heng, A., do Rosario, C. V., O'Hagan, E. C., & Lane-Fall, M. (2023). Anesthesiology patient handoff education interventions: a systematic review. The Joint Commission Journal on Quality and Patient Safety, 49(8), 394-409.

Sharma, P. C., Mahajan, N., Uniyal, N., Ansari, R., & Sethi, Y. (2022). Post-laparotomy Hypoxia: A Case Series. Cureus, 14(8).

Situmeang, W. Y., Handiyani, H., Pujasari, H., Afriani, T., & Nasri, K. (2023). Optimalisasi Komunikasi Metode Situation, Background, Assessment, and Recommendation (SBAR) dalam Serah Terima Perawat. Journal of Telenursing (JOTING), 5(2), 3017-3025.

Suzuki, S. (2020). Oxygen administration for postoperative surgical patients: a narrative review. Journal of Intensive Care, 8(1), 79.

Tang, S., Zhang, L., Han, W., Xue, Y., Tian, Y., Zhang, X., & Huang, Y. (2019). Incidence of hypoxemia in a post-anaesthesia care unit and relevant risk factors: a retrospective study of 14604 patients with general anaesthesia.

Taye, M. G., Molla, A., Teshome, D., Hunie, M., Kibret, S., Fentie, Y., ... & Fenta, E. (2021). Predictors of hypoxemia after general anesthesia in the early postoperative period in a hospital in Ethiopia: an observational study. Multidisciplinary Respiratory Medicine, 16(1).

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Published

27-05-2024

How to Cite

Astilia, A. (2024). The Effect of Post-Anesthesia Team Handover on Hypoxia in Post-Anaesthesia Care Unit (PACU). MSJ : Majority Science Journal, 2(2), 292–292. https://doi.org/10.61942/msj.v2i2.207

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