Class A Credits: .5
Course Launch Date: 11/17/21
Course Expires: 7/18/22
The United States has the greatest maternal mortality ratio (maternal deaths per 100,000 live births) of all high-resource countries. Many of these deaths could have been prevented by addressing systematic errors that contribute to poor maternal outcomes, such as ineffective communication between anesthesia providers. Incomplete or miscommunication has been identified in 72% of sentinel events resulting in perinatal death or permanent disability. The SAFE Handover Tool is a standardized mnemonic: Sick patients, At-risk patients, Follow-ups, and Epidurals. Its use during handover significantly increases the percentage of relevant Parturients that are discussed and improves quality communication. This study implemented the SAFE Handover Tool for Certified Registered Nurse Anesthetists (CRNAs) in a Level III (Subspecialty) Maternal Care unit. Compared to the current handover, the SAFE Handover Tool was more effective in transferring important information, comprehensive, and appropriate. Descriptive analysis and paired-samples t-tests showed large, statistically significant improvements with use of the SAFE Handover Tool. The SAFE Handover Tool was described as useful, identified anesthetically relevant patients, increased communication among CRNAs, improved the handover process, and promoted situational awareness. Enhanced handover quality is associated with improved patient outcomes. The SAFE Handover Tool was subsequently integrated into the hospital obstetrical anesthesia electronic charting system. The SAFE Handover Tool is a novel, low-cost, sustainable method to improve CRNA handovers, communication, and patient safety.
The American Association of Nurse Anesthetists is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.
Post-Test Attempt Notice
A minimum passing score of 80% is required to pass this course. You have TWO opportunities to achieve a passing score. If you fail to achieve a passing score of 80%, you will not receive CE credit for this course.
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Mark Gabot is a full-time CRNA in Kaiser Permanente Southern California. He is currently enrolled in the Doctor of Nursing Practice program at the University of Nevada, Reno. He is a former board member of the California Association of Nurse Anesthetists (2013-2015). He has co-edited the Critical Events in Anesthesia handbook. He has authored or co-authored contributions to the AANA Journal, Case Studies in Nurse Anesthesia, and Nurse Anesthesia textbooks.
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