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dc.contributor.author
Jorro Baron, Facundo Ariel
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Suarez Anzorena, Inés
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Burgos Pratx, Rodrigo
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De Maio, Noelia
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Penazzi, Matiás
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Rodriguez, Ana Paula
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Rodriguez, Gisela
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Velardez, Daniel
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Gibbons, Luz
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Ábalos, Silvina
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Lardone, Silvina
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Gallagher, Rosario
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Olivieri, Joaquín
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Rodriguez, Rocío
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Vassallo, Juan Carlos
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Landry, Luis Martín
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Garcia Elorrio, Ezequiel
dc.date.available
2022-08-12T19:45:22Z
dc.date.issued
2021-10
dc.identifier.citation
Jorro Baron, Facundo Ariel; Suarez Anzorena, Inés; Burgos Pratx, Rodrigo; De Maio, Noelia; Penazzi, Matiás; et al.; Handoff improvement and adverse event reduction programme implementation in paediatric intensive care units in Argentina: A stepped-wedge trial; BMJ Publishing Group; BMJ Quality and Safety; 30; 10; 10-2021; 782-791
dc.identifier.issn
2044-5415
dc.identifier.uri
http://hdl.handle.net/11336/165447
dc.description.abstract
Background There are only a few studies on handoff quality and adverse events (AEs) rigorously evaluating handoff improvement programmes' effectiveness. None of them have been conducted in low and middle-income countries. We aimed to evaluate the effect of a handoff programme implementation in reducing AE frequency in paediatric intensive care units (PICUs). Methods Facility-based, cluster-randomised, stepped-wedge trial in six Argentine PICUs in five hospitals, with >20 admissions per month. The study was conducted from July 2018 to May 2019, and all units at least were involved for 3 months in the control period and 4 months in the intervention period. The intervention comprised a Spanish version of the I-PASS handoff bundle consisting of a written and verbal handoff using mnemonics, an introductory workshop with teamwork training, an advertising campaign, simulation exercises, observation and standardised feedback of handoffs. Medical records (MR) were reviewed using trigger tool methodology to identify AEs (primary outcome). Handoff compliance and duration were evaluated by direct observation. Results We reviewed 1465 MRs: 767 in the control period and 698 in the intervention period. We did not observe differences in the rates of preventable AE per 1000 days of hospitalisation (control 60.4 (37.5-97.4) vs intervention 60.4 (33.2-109.9), p=0.99, risk ratio: 1.0 (0.74-1.34)), and no changes in the categories or AE types. We evaluated 841 handoffs: 396 in the control period and 445 in the intervention period. Compliance with all items in the verbal and written handoffs was significantly higher in the intervention group. We observed no difference in the handoff time in both periods (control 35.7 min (29.6-41.8) vs intervention 34.7 min (26.5-42.1); difference 1.43 min (95% CI -2.63 to 5.49, p=0.49)). The providers' perception of improved communication did not change. Conclusions After the implementation of the I-PASS bundle, compliance with handoff items improved. Nevertheless, no differences were observed in the AEs' frequency or the perception of enhanced communication.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
BMJ Publishing Group
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
ADVERSE EVENTS
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CRITICAL CARE
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EPIDEMIOLOGY AND DETECTION
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HAND-OFF
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PAEDIATRICS
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QUALITY IMPROVEMENT
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Otras Ciencias de la Salud
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Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Handoff improvement and adverse event reduction programme implementation in paediatric intensive care units in Argentina: A stepped-wedge trial
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2022-08-11T13:08:18Z
dc.journal.volume
30
dc.journal.number
10
dc.journal.pagination
782-791
dc.journal.pais
Reino Unido
dc.description.fil
Fil: Jorro Baron, Facundo Ariel. Gobierno de la Ciudad de Buenos Aires. Hospital General de Niños Pedro Elizalde (ex Casa Cuna); Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Suarez Anzorena, Inés. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Burgos Pratx, Rodrigo. Gobierno de la Provincia de Jujuy. Hospital Materno Infantil Doctor Hector Quintana; Argentina
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Fil: De Maio, Noelia. Gobierno de la Ciudad de Buenos Aires. Hospital de Pediatría "Juan P. Garrahan"; Argentina
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Fil: Penazzi, Matiás. Municipalidad de la Matanza (Buenos Aires). Hospital Municipal del Niño de San Justo; Argentina
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Fil: Rodriguez, Ana Paula. Gobierno de la Ciudad de Buenos Aires. Hospital General de Niños Pedro Elizalde (ex Casa Cuna); Argentina
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Fil: Rodriguez, Gisela. Gobierno de la Ciudad de Buenos Aires. Hospital General de Niños "Ricardo Gutiérrez"; Argentina
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Fil: Velardez, Daniel. Gobierno de la Ciudad de Buenos Aires. Hospital de Pediatría "Juan P. Garrahan"; Argentina
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Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Ábalos, Silvina. Gobierno de la Provincia de Jujuy. Hospital Materno Infantil Doctor Hector Quintana; Argentina
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Fil: Lardone, Silvina. Municipalidad de la Matanza (Buenos Aires). Hospital Municipal del Niño de San Justo; Argentina
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Fil: Gallagher, Rosario. Gobierno de la Ciudad de Buenos Aires. Hospital de Pediatría "Juan P. Garrahan"; Argentina
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Fil: Olivieri, Joaquín. Gobierno de la Ciudad de Buenos Aires. Hospital General de Niños "Ricardo Gutiérrez"; Argentina
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Fil: Rodriguez, Rocío. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Vassallo, Juan Carlos. Gobierno de la Ciudad de Buenos Aires. Hospital de Pediatría "Juan P. Garrahan"; Argentina
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Fil: Landry, Luis Martín. Gobierno de la Ciudad de Buenos Aires. Hospital de Pediatría "Juan P. Garrahan"; Argentina
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Fil: Garcia Elorrio, Ezequiel. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.journal.title
BMJ Quality and Safety
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1136/bmjqs-2020-012370
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info:eu-repo/semantics/altIdentifier/url/https://qualitysafety.bmj.com/content/30/10/782
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