Table 3.
Handoff quality measure | Weekdaysa | Nights and weekendsa | P value |
---|---|---|---|
Teamwork skills, no. (%)b | |||
Task prioritization | 3/16 (19) | 3/16 (19) | — |
Clear role identification | 13/16 (81) | 13/16 (81) | — |
Attention to reports | 7/16 (44) | 9/16 (56) | .18 |
Coordination of reports | 10/14 (71) | 14/16 (88) | .16 |
Transmitter collaboration | 0/14 (0) | 3/16 (19) | .23 |
Sum, mean (SD) | 2.1 (1.0) (n = 14) |
2.8 (1.3) (n = 16) |
.13 |
Engagement, no. (%)c | |||
Anesthesia | 14/16 (88) | 14/16 (88) | — |
Surgery | 7/15 (47) | 13/16 (81) | .04 |
ICU provider | 8/10 (80) | 10/10 (100) | .47 |
Nurse | 7/16 (44) | 9/16 (56) | .58 |
All | 36/57 (63) | 46/58 (79) | .07 |
Report delivery skills, no. (%)c | |||
Anesthesia | 9/14 (64) | 8/15 (53) | .61 |
Surgery | 4/14 (29) | 12/14 (86) | .002 |
All | 13/28 (46) | 20/29 (69) | .03 |
Listening skills, no. (%)b | |||
Eye contact | 28/29 (97) | 28/33 (85) | .42 |
Affirmatory statements | 25/29 (86) | 28/32 (88) | .37 |
Head nodding | 18/24 (75) | 25/29 (86) | .09 |
Note taking | 23/31 (74) | 23/33 (70) | > .99 |
Question asking and/or interactive comments | 25/31 (81) | 24/31 (77) | .24 |
Number of interruptions, mean (SD) | 0.8 (0.8) | 0.6 (0.6) | .45 |
Number of unprofessional comments or actions, mean (SD) | 0.3 (0.5) | 0.3 (0.5) | .84 |
Abbreviations: ICU indicates intensive care unit; SD, standard deviation; ICU provider, ICU physician (intensivist, fellow, or resident) or advanced practice provider.
Denominators are listed in each cell. Numbers less than the total number of handoffs are due to missing transmitters or receivers or inability to evaluate a skill accurately.
Numbers and percentages reflect presence of skill. Listening skills are scored separately for reports from the surgeon and the operating room anesthesiologist.
Numbers and percentages reflect ratings of satisfactory or superior.