Doctors’ Cardiothoracic Abstract Wins Research Award

Congratulations to Duke Anesthesiology Assistant Professor, J. Mauricio Del Rio, MD, and Duke Surgery Resident, Jeffrey Javidfar, MD, whose abstract won the John W. Kirklin CT Resident & Fellow Research Award!

They submitted the abstract, “Standardized Handover Process in Adult Cardiothoracic Critical Care: Staff Satisfaction, Efficiency and Workflow.” The doctors explored how the development of a standardized handover process impacts CTICU staff satisfaction, involvement, and perception of workflow and patient safety (learn more below in the Abstract Overview).

Dr. Del Rio and Dr. Javidfar will present their award-winning research at FACTS-Care’s 12th Annual Cardiovascular-Thoracic (CVT) Critical Care Conference 2015 on October 1st in Washington, D.C. Their abstract was also accepted as a poster presentation and will be included in the conference syllabus.

This multi-disciplinary CME conference, known as a “team building” event, is dedicated to further advancing knowledge and expertise in the complex field of CVT critical care. It’s designed to bring together health care professionals who provide care for patients undergoing CVT operations and interventional procedures. The meeting provides medical teams from across the nation to come together and discuss new ideas, protocols and share unique perspectives on the importance of a multi-disciplinary coordinated team.

Since the inception of the multi-disciplinary CVT critical care team, the conference organizer, FACTS-Care, has embodied Dr. John Kirklin’s vision in its mission to provide the latest concepts and protocols to multi-disciplinary professionals. FACTS-Care hopes that this award named in his honor will encourage young investigators and CT residents and fellows to pursue future research projects.

For more information on the FACTS-Care 12th Annual Conference, “CVT Critical Care 2015,” view the conference brochure.

Abstract Overview:

Effective patient handover is critical to patient safety, particularly when admitting patients from a cardiothoracic operating room (CTOR) to a cardiothoracic critical care unit (CTICU). Dr. Del Rio and Dr. Javidfar explored how the development of a standardized handover process impacts CTICU staff satisfaction, involvement, and perception of workflow and patient safety. They conducted anonymous cross-sectional surveys before the implementation of a standardized handover protocol in October 2013 and after fifteen months in April 2015. Specific questions addressing staff satisfaction, preparedness, handover frequency, efficiency, workflow, care planning ability, problem anticipation, perceived harmful events occurrence and handover usefulness were selected for comparison. The survey response rate increased from 9.2 percent to 40.7 percent.

The distribution of survey respondents’ perceptions changed positively with a statistically significant increase in satisfaction, preparation, efficiency and usefulness. Most of the staff found handover useful. The majority of respondents felt the process either prevented extra work or did not affect their workload whereas previously the majority felt they had to do extra work. Standardized handover frequency median went from 81-99 percent to 100 percent, and perception of handover efficiency improved significantly. Meaningful improvements were also seen in staff preparedness patient care and workflow. Respondents felt they had better sense of a care plan and the ability to anticipate problems. Most importantly, staff perception of patient harm avoidance increased significantly. Change in personnel attitude as consequence of a structured handover can have further positive impact in patient safety beyond the process itself. Further research is necessary to evaluate further handover effects.