Development of a recovery-room discharge checklist (SAMPE checklist) for safe handover and its comparison with Aldrete and White scoring systems
The postoperative care transition from the postanesthetic recovery room (PACU) to the common ward or even home discharge represents a critical step of the surgical patients’ handover. Although some systems have been proposed to measure the ability to discharge after an anesthetic-surgical procedure...
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Published in | Brazilian journal of anesthesiology (Elsevier) Vol. 72; no. 2; pp. 200 - 206 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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01.03.2022
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Abstract | The postoperative care transition from the postanesthetic recovery room (PACU) to the common ward or even home discharge represents a critical step of the surgical patients’ handover. Although some systems have been proposed to measure the ability to discharge after an anesthetic-surgical procedure effectively, there is no consensus defining which variables should necessarily be evaluated by these instruments. The instruments routinely used do not evaluate important domains for discharge and are laborious to fill, which compromises the professionals’ adhesion. The objectives are to describe the creation of a new recovery room discharge tool (SAMPE checklist) and determine the degree of agreement of the new tool with two classical scales.
In a cross-sectional observational study, 997 patients were selected from the general population undergoing a wide range of surgical procedures in a quaternary care hospital. At 90 minutes after leaving the operating room (OR), patients were evaluated and information was collected to fill out the new SAMPE checklist and two other scores (Aldrete and White) to examine the degree of agreement between them.
SAMPE checklist has presented a satisfactory agreement with the White score and lower agreement with Aldrete modified score.
This new instrument, as demonstrated in this study with nearly 1000 patients from different contexts, is easy to apply, has high adhesion potential, and can be considered a new option to formalize the discharge from the recovery room. |
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AbstractList | The postoperative care transition from the postanesthetic recovery room (PACU) to the common ward or even home discharge represents a critical step of the surgical patients' handover. Although some systems have been proposed to measure the ability to discharge after an anesthetic-surgical procedure effectively, there is no consensus defining which variables should necessarily be evaluated by these instruments. The instruments routinely used do not evaluate important domains for discharge and are laborious to fill, which compromises the professionals' adhesion. The objectives are to describe the creation of a new recovery room discharge tool (SAMPE checklist) and determine the degree of agreement of the new tool with two classical scales.
In a cross-sectional observational study, 997 patients were selected from the general population undergoing a wide range of surgical procedures in a quaternary care hospital. At 90 minutes after leaving the operating room (OR), patients were evaluated and information was collected to fill out the new SAMPE checklist and two other scores (Aldrete and White) to examine the degree of agreement between them.
SAMPE checklist has presented a satisfactory agreement with the White score and lower agreement with Aldrete modified score.
This new instrument, as demonstrated in this study with nearly 1000 patients from different contexts, is easy to apply, has high adhesion potential, and can be considered a new option to formalize the discharge from the recovery room. Background: The postoperative care transition from the postanesthetic recovery room (PACU) to the common ward or even home discharge represents a critical step of the surgical patients’ handover. Although some systems have been proposed to measure the ability to discharge after an anesthetic-surgical procedure effectively, there is no consensus defining which variables should necessarily be evaluated by these instruments. The instruments routinely used do not evaluate important domains for discharge and are laborious to fill, which compromises the professionals’ adhesion. The objectives are to describe the creation of a new recovery room discharge tool (SAMPE checklist) and determine the degree of agreement of the new tool with two classical scales. Methods: In a cross-sectional observational study, 997 patients were selected from the general population undergoing a wide range of surgical procedures in a quaternary care hospital. At 90 minutes after leaving the operating room (OR), patients were evaluated and information was collected to fill out the new SAMPE checklist and two other scores (Aldrete and White) to examine the degree of agreement between them. Results: SAMPE checklist has presented a satisfactory agreement with the White score and lower agreement with Aldrete modified score. Conclusion: This new instrument, as demonstrated in this study with nearly 1000 patients from different contexts, is easy to apply, has high adhesion potential, and can be considered a new option to formalize the discharge from the recovery room. |
Author | Stefani, Luciana Cadore Caumo, Wolnei Colognese, Bruno Prates, Antônio |
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surgery publication-title: Can J Anaesth doi: 10.1007/BF03022828 contributor: fullname: Awad – volume: 126 start-page: 47 year: 2017 ident: 10.1016/j.bjane.2021.07.004_bib0075 article-title: Relationship between intraoperative hypotension, defined by either reduction from baseline or absolute thresholds, and acute kidney and myocardial injury after noncardiac surgery publication-title: Anesthesiology doi: 10.1097/ALN.0000000000001432 contributor: fullname: Salmasi – volume: 93 start-page: 768 year: 2004 ident: 10.1016/j.bjane.2021.07.004_bib0070 article-title: Fast-tracking (bypassing the PACU) does not reduce nursing workload after ambulatory surgery publication-title: Br J Anaesth doi: 10.1093/bja/aeh265 contributor: fullname: Song – volume: 15 start-page: 601 year: 1990 ident: 10.1016/j.bjane.2021.07.004_bib0105 article-title: Discharge criteria in day surgery publication-title: J Adv Nurs doi: 10.1111/j.1365-2648.1990.tb01860.x contributor: fullname: Stephenson – volume: 33 start-page: 159 year: 1977 ident: 10.1016/j.bjane.2021.07.004_bib0055 article-title: The measurement of observer agreement for categorical data publication-title: Biometrics doi: 10.2307/2529310 contributor: fullname: Landis – volume: 122 start-page: 575 year: 2019 ident: 10.1016/j.bjane.2021.07.004_bib0090 article-title: Perioperative quality initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery publication-title: Br J Anaesth doi: 10.1016/j.bja.2019.01.019 contributor: fullname: McEvoy – volume: 3 start-page: 132 year: 1970 ident: 10.1016/j.bjane.2021.07.004_bib0110 article-title: Measurement of recovery from outpatient general anaesthesia with a simple ocular test publication-title: Br Med J doi: 10.1136/bmj.3.5715.132 contributor: fullname: Hannington-Kiff – volume: 25 start-page: 133 year: 1978 ident: 10.1016/j.bjane.2021.07.004_bib0120 article-title: Sequence of return of neurological function and criteria for safe ambulation following subarachnoid block (Spinal anaesthesic) publication-title: Can Anaesth Soc J doi: 10.1007/BF03005071 contributor: fullname: Pflug – volume: 88 start-page: 1069 year: 1999 ident: 10.1016/j.bjane.2021.07.004_bib0035 article-title: New criteria for fast-tracking after outpatient anesthesia publication-title: Anesth Analg contributor: fullname: White – volume: 57 start-page: A4137 year: 2010 ident: 10.1016/j.bjane.2021.07.004_bib0065 article-title: Recovery at the post anaesthetic care unit after breast cancer surgery publication-title: Dan Med Bull contributor: fullname: Gärtner – volume: 63 start-page: 86 year: 2016 ident: 10.1016/j.bjane.2021.07.004_bib0015 article-title: Guidelines to the practice of anesthesia — revised edition 2016 publication-title: Can J Anaesth doi: 10.1007/s12630-015-0470-4 contributor: fullname: Merchant – volume: 88 start-page: 508 year: 1999 ident: 10.1016/j.bjane.2021.07.004_bib0010 article-title: Discharge criteria and complications after ambulatory surgery publication-title: Anesth Analg contributor: fullname: Marshall – volume: 39 start-page: 75 issue: Seção 1 year: 2017 ident: 10.1016/j.bjane.2021.07.004_bib0125 article-title: Resolução CFM no 2174, de 14 de dezembre de 2017 publication-title: Diário Oficial da União contributor: fullname: Conselho Federal de Medicina – year: 2006 ident: 10.1016/j.bjane.2021.07.004_bib0040 contributor: fullname: Massoud – volume: 130 start-page: 756 year: 2019 ident: 10.1016/j.bjane.2021.07.004_bib0100 article-title: Relationship between perioperative hypotension and perioperative cardiovascular events in patients with coronary artery disease undergoing major noncardiac surgery publication-title: Anesthesiology doi: 10.1097/ALN.0000000000002654 contributor: fullname: Roshanov – volume: 263 start-page: 918 year: 2016 ident: 10.1016/j.bjane.2021.07.004_bib0095 article-title: A role for the early warning score in early identification of critical postoperative complications publication-title: Ann Surg doi: 10.1097/SLA.0000000000001514 contributor: fullname: Hollis – volume: 88 start-page: 1069 year: 1999 ident: 10.1016/j.bjane.2021.07.004_bib0045 article-title: New criteria for fast-tracking after outpatient anesthesia: a comparison with the modified Aldrete’s scoring system publication-title: Anesth Analg contributor: fullname: White – volume: 128 start-page: 317 year: 2018 ident: 10.1016/j.bjane.2021.07.004_bib0085 article-title: Period-dependent associations between hypotension during and for four days after noncardiac surgery and a composite of myocardial infarction and death: a substudy of the POISE-2 trial publication-title: Anesthesiology doi: 10.1097/ALN.0000000000001985 contributor: fullname: Sessler – volume: 20 start-page: 21 year: 2015 ident: 10.1016/j.bjane.2021.07.004_bib0005 article-title: “Safe handover saves lives”: results from clinical audit publication-title: Clin Gov doi: 10.1108/CGIJ-12-2014-0037 contributor: fullname: Advani – volume: 43 start-page: 433 year: 2017 ident: 10.1016/j.bjane.2021.07.004_bib0020 article-title: Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits publication-title: Jt Comm J Qual Patient Saf contributor: fullname: Scott |
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Snippet | The postoperative care transition from the postanesthetic recovery room (PACU) to the common ward or even home discharge represents a critical step of the... Background: The postoperative care transition from the postanesthetic recovery room (PACU) to the common ward or even home discharge represents a critical step... |
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StartPage | 200 |
SubjectTerms | Anesthesia Recovery Period Checklist Cross-Sectional Studies Humans Original Investigation Patient Discharge Patient Handoff Recovery Room Statistical |
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Title | Development of a recovery-room discharge checklist (SAMPE checklist) for safe handover and its comparison with Aldrete and White scoring systems |
URI | https://dx.doi.org/10.1016/j.bjane.2021.07.004 https://www.ncbi.nlm.nih.gov/pubmed/34324931 https://pubmed.ncbi.nlm.nih.gov/PMC9373692 https://doaj.org/article/d8a43a942e854f7bbdaf7a3c0d0d99f6 |
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