{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T05:14:40Z","timestamp":1768972480638,"version":"3.49.0"},"reference-count":47,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T00:00:00Z","timestamp":1722384000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>We evaluated the effectiveness and implementability of a standardized EHR-integrated handoff report to support intraoperative handoffs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>A pre-post intervention study was used to compare the quality of intraoperative handoffs supported by unstructured notes (pre) to structured, standardized EHR-integrated handoff reports (post). Participants included anesthesia clinicians involved in intraoperative handoffs. A mixed-method approach was followed, supported by general observations, shadowing, surveys, and interviews.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>One hundred and fifty-one intraoperative permanent handoffs (78 pre, 73 post) were included. One hundred percent of participants in the post-intervention cohort utilized the report. Compared to unstructured, structured handoffs using the EHR-integrated handoff report led to: (1) significant increase in the transfer of information about airway management (55%-78%, P\u2009&amp;lt;\u2009.001), intraoperative course (63%-86%, P\u2009&amp;lt;\u2009.001), and potential concerns (64%-88%, P\u2009&amp;lt;\u2009.001); (2) significant improvement in clinician satisfaction scores, with regards to information clarity and succinctness (4.5-4.7, P\u2009=\u2009.002), information transfer (3.8-4.2, P\u2009=\u2009.011), and opportunities for fewer errors reported by senders (3.3-2.5, P\u2009&amp;lt;\u2009.001) and receivers (3.2-2.4, P\u2009&amp;lt;\u2009.001); and (3) significant decrease in handoff duration (326.2-262.3 s, P\u2009=\u2009.016). Clinicians found the report implementation highly acceptable, appropriate, and feasible but noted a few areas for improvement to enhance its usability and integration within the intraoperative workflow.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and Conclusion<\/jats:title>\n                  <jats:p>A standardized EHR-integrated handoff report ensures the effectiveness and efficiency of intraoperative handoffs with its structured, consistent format that\u2014promotes up-to-date and pertinent intraoperative information transfer; reduces opportunities for errors; and streamlines verbal communication. Handoff standardization can promote safe and high-quality intraoperative care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocae204","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T01:42:19Z","timestamp":1722476539000},"page":"2356-2368","source":"Crossref","is-referenced-by-count":4,"title":["Effect of standardized EHR-integrated handoff report on intraoperative communication outcomes"],"prefix":"10.1093","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0235-1632","authenticated-orcid":false,"given":"Joanna","family":"Abraham","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Washington University School of Medicine , St Louis, MO 63110, United States"},{"name":"Institute for Informatics, Data Science and Biostatistics, Washington University School of Medicine , St Louis, MO 63110, United States"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4574-8616","authenticated-orcid":false,"given":"Christopher R","family":"King","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Washington University School of Medicine , St Louis, MO 63110, United States"}]},{"given":"Lavanya","family":"Pedamallu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Washington University School of Medicine , St Louis, MO 63110, United States"}]},{"given":"Mallory","family":"Light","sequence":"additional","affiliation":[{"name":"Goldfarb School of Nursing, Barnes-Jewish College , St Louis, MO 63110, United States"}]},{"given":"Bernadette","family":"Henrichs","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Washington University School of Medicine , St Louis, MO 63110, United States"},{"name":"Goldfarb School of Nursing, Barnes-Jewish College , St Louis, MO 63110, United States"}]}],"member":"286","published-online":{"date-parts":[[2024,7,31]]},"reference":[{"issue":"9633","key":"2024092007535847200_ocae204-B1","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/S0140-6736(08)60878-8","article-title":"An estimation of the global volume of surgery: a modelling strategy based on available data","volume":"372","author":"Weiser","year":"2008","journal-title":"Lancet"},{"key":"2024092007535847200_ocae204-B2","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.ijsu.2020.07.017","article-title":"Trauma of major surgery: a global problem that is not going away","volume":"81","author":"Dobson","year":"2020","journal-title":"Int J Surg"},{"key":"2024092007535847200_ocae204-B3","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.ijoa.2015.09.006","article-title":"Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development","volume":"25","author":"Meara","year":"2016","journal-title":"Int J Obstet Anesth"},{"key":"2024092007535847200_ocae204-B4","doi-asserted-by":"crossref","first-page":"105038","DOI":"10.1016\/j.ijmedinf.2023.105038","article-title":"An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions","volume":"174","author":"Abraham","year":"2023","journal-title":"Int J Med Inform"},{"issue":"2","key":"2024092007535847200_ocae204-B5","first-page":"29","article-title":"All handoffs are not the same. 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