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0046 Handover in recovery; a high fidelity in-situ simulation training package to improve the quality of theatre recovery handover and patient safety
  1. Lisa Penney1,
  2. David Fogg1,
  3. Scott Russell1,
  4. Laurence Boss2,
  5. Peter Isherwood1,3
  1. 1University Hospitals Birmingham NHS FT, Birmingham, UK
  2. 2Guys and St Thomas’ NHS FT, London, UK
  3. 3University of Birmingham, Birmingham, UK


Background/context Handover has been identified as a crucial element of communication in healthcare and other industries.1 High fidelity simulation training has been demonstrated to change team behaviour.2

We have developed and are implementing a high fidelity in-situ training package to improve recovery handover, communication and hence patient safety.

Methodology A survey of theatre recovery staff and critical incident reviews has highlighted sub-optimal handover as being a barrier to patient safety in recovery in our institution. Using the data from these sources we identified four learning objectives:

  1. Receiving a handover

  2. Giving a handover

  3. Initial patient assessment to incorporate into handover

  4. Escalation to available sources of support.

Working with these and in collaboration with colleagues running a project at GSTT3 we have created this course centred on scenarios with learning objectives to match the above.

Our learners are the recovery nursing staff with a plan to roll out to ODPs and anaesthetists in the future. The sessions are carried out in a formative manner, the learners have an introduction to the simulated environment and the wireless manikin, they encounter three scenarios per session with a subsequent debrief to identify learning outcomes.

Results/outcomes Pre and post course TeamSTEPPS Teamwork Perceptions Questionnaire completed by all recovery staff.

Learner feedback from all sessions run prior to ASPiH in November (20 sessions).

Potential impact To improve handover and communication in recovery, precipitating a cultural change in the expectations of handover and communication in theatres recovery.

Improving patient safety and quality of care in recovery.


  1. Jeffcott SA, Evans SM, Cameron PA, Chin GSM, Ibrahim JE. Improving measurement in clinical handover. Qual Saf Health Care 2009;18:272–277

  2. Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic literature review. Br J Anaesth 2013;110(4):529–44

  3. In-Situ Recovery Simulation Training at GSTT, Ongoing

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