Patient Handover From Surgery to Intensive Care: Using Formula 1 Pit-Stop and Aviation Models to Improve Safety and Quality

摘要: Summary Background: We aimed to improve the quality and safety of handover patients from surgery intensive care using analogy a Formula 1 pit stop expertise aviation. Methods: A prospective intervention study measured change in performance before after implementation new protocol that was developed through detailed discussions with racing team aviation training captains. Fifty (23 27 after) postsurgery patient handovers were observed. Technical errors information omissions checklists, teamwork scored Likert scale. Duration also measured. Results: The mean number technical reduced 5.42 (95% CI ±1.24) 3.15 ±0.71), 2.09 ±1.14) 1.07 ±0.55), duration 10.8 min ±1.6) 9.4 ±1.29). Nine out twenty-three (39%) precondition had more than one error both prior protocol, compared three twnety-seven (11.5%) handover. Regression analysis showed significantly (t = )3.63, P < 0.001), an interaction suggested 3.04, 0.004) different effect protocol. Conclusions: introduction lead improvements all aspects Expertise other industries can be extrapolated safety, particular, areas medicine involving or information.