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Multidisciplinary Clinicians’ Perspectives About Barriers and Facilitators to a Team-Based OR-To-ICU Handoff
Book chapter

Multidisciplinary Clinicians’ Perspectives About Barriers and Facilitators to a Team-Based OR-To-ICU Handoff

Bat-Zion Hose, Meghan Lane-Fall and Ellen J. Bass
Convergence: Breaking Down Barriers Between Disciplines
2024
DOI: https://doi.org/10.1007/978-3-031-32198-6_17

Abstract

Handoff Patient safety Team-based care
Research about operating room (OR)-to-intensive care unit (ICU) handoffs reports barriers and facilitators to the team-based process, but less is known about role-specific challenges and strategies. Based on a secondary analysis of eight interviews with frontline clinicians from two health systems, we identify seven dimensions of role-specific barriers and facilitators to a team-based OR-to-ICU handoff, also referred to as the team huddle in the patient’s ICU room. The seven dimensions are related to three factors: (1) preparing for the patient’s arrival to the ICU, (2) providing information at the team huddle, and (3) participating in the co-located, synchronous team huddle. The role-specific barriers and facilitators describe challenges related to the timing of the team huddle in the patient’s room, which is dependent on the end of the patient’s surgery and therefore cannot be scheduled. Another challenge is that busy clinicians with competing priorities are physically separated across the OR and ICU. Thus, the sending roles from the OR are required to travel with the patient to the ICU while receiving roles prepare for the patient’s arrival. Identifying role-specific barriers and facilitators to a team-based process can inform the design, or redesign. When implemented, the handoff process can positively impact care quality by ensuring important information is shared among team members.

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