Implementation of a PEWS-integrated electronic SBAR handover model for pediatric inpatients: A nonconcurrent controlled study.
Handover error rates were lower after adopting an electronic pediatric early warning score-integrated Situation-Background-Assessment-Recommendation model
Implementation of a PEWS-integrated electronic SBAR handover model for pediatric inpatients: A nonconcurrent controlled study.
This study aimed to evaluate observed changes in pediatric inpatient handover quality, efficiency, satisfaction, and safety-related indicators after implementation of a pediatric early warning score-integrated electronic Situation-Background-Assessment-Recommendation (Situation-Background-Assessment-Recommendation) handover model.
This single-center nonconcurrent controlled study was conducted in 3 general pediatric wards of a tertiary hospital in Jingzhou, China.
handover errors were far less common after the switch
During the intervention period, bedside handover quality, nurse handover evaluation, and family bedside handover perception scores were higher than during the control period (93.66 ± 9.52 vs 83.93 ± 8.86; 58.21 ± 7.24 vs 52.51 ± 5.21; 63.23 ± 3.51 vs 55.59 ± 3.71; all P < .001).
Report-writing time and bedside handover time were shorter (2.11 ± 0.41 vs 4.51 ± 0.32 minutes and 3.94 ± 0.63 vs 5.97 ± 0.31 minutes; both P < .001).
The unplanned pediatric intensive care unit transfer rate was numerically lower (0.94% vs 3.88%), but this finding was borderline and not statistically significant by Fisher's exact test (P = .059).
Multicenter prospective studies are needed to confirm these findings.