APSF 2017 Stoelting Conference - Achieving consensus on handoffs

a multidisciplinary, multi-specialty healthcare conference that aimed to reach consensus on key perioperative handoff issues

Anesthesia Patient Safety Foundation

The 2017 Stoelting Conference was sponsored by the Anesthesia Patient Safety Foundation (APSF).


The APSF's Mission is to improve continually the safety of patients during anesthesia care by encouraging and conducting:

  • safety research and education;
  • patient safety programs and campaigns;
  • national and international exchange of information and ideas.

 The APSF’s Vision is that no patient shall be harmed by anesthesia. 

About the Conference

People

Meet the team who organized and led the conference.

Conference goals

Learn more about the goals of the consensus conference.

Delphi process

Achieving consensus starts before the meeting. Learn more about our process.

Agenda (Mountain Standard Time)

Tuesday, September 5th, 6:00 - 7:30 pm: Welcome Reception

An opportunity to meet and network with APSF leadership and conference attendees.

Wednesday, September 6th, 7:00 - 8:45 am: Breakfast, Welcome, and Introductions

  • 7:00 am - 7:45 am: Breakfast
  • 7:45 am - 7:50 am: Welcome  Mark Warner    
  • 7:50 am - 8:00 am: Why are we here? What’s the problem we are trying to solve?  Jeff Cooper  
  • 8:00 am - 8:10 am: The consensus process for this meeting  Jay Vogt 

8:10 - 9:30 am: Panel 1 - Evidence from the Field

  • 8:10 am - 8:22 am: What is a handoff?  Meghan Lane-Fall    
  • 8:22 am - 8:34 am: What are the possible perioperative handoffs and how do they differ?  Amanda Lorinc   
  • 8:34 am – 8:46 am: Human Factors – Tools and Teaming  Joseph Keebler   
  • 8:46 am – 8:58 am: Impact of evidence of association of handoffs with adverse outcomes  Aalok Agarwala   
  • 8:58 am – 9:10 am: Principles of standardization in perioperative handoffs  Amanda Burden   
  • 9:10 am – 9:30 am: Panel discussion  Panelists   

9:30 am – 10:00 am:  Mid-morning break  

10:00 am - 11:45 am: Panel 2 - Education & Implementation

  • 10:00 am – 10:12 am: Principles of implementation science that apply to handoffs  Brian Mittman   
  • 10:12 am – 10:24 am: Educational strategies and tactics  Lee Ann Riesenberg   
  • 10:24 am – 10:36 am: Use of EMR to promote HRT  Patrick Guffey   
  • 10:36 am – 10:48 am: Successful handoff implementation  Raj Srivastava   
  • 10:48 am – 11:00 am: Provocative issues in handoffs  Philip Greilich   
  • 11:00 am – 11:20 am: Panel discussion  Panelists   
  • 11:20 am – 11:45 am: Delphi results summary  Meghan Lane-Fall and Aalok Agarwala   

11:45 am – 12:45 pm:  Lunch  

12:45 - 2:15 pm: Breakout groups

Breakouts (Each group seeks consensus on statements regarding a primary question and then reviews and comments on the primary question of another group)    

  • Question 1: What are critical common process elements for any handoff to be successful? What essential behaviors (and roles) should be present in highly reliable handover teams?  Aalok Agarwala    
  • Question 2: What metrics (process and outcomes) can we use to measure handoff effectiveness?  Meghan Lane-Fall    
  • Question 3: What are the most important unknown questions about handoffs? (What should the research agenda be?)  Atilio Barbeito    
  • Question 4: Is there a single mnemonic that can be used for perioperative handoffs? What are the essential characteristics of durable handover education/training?  Steve Greenberg    
  • Question 5: What are best practices for handoff process implementation?  Philip Greilich    
  • Question 6: How should patients be engaged in/notified of perioperative handoffs? (Not expecting to reach consensus.)  Erin Pukenas   

2:15 pm – 2:30 pm: Refreshment Break

2:30 - 5:00 pm: Achieving Consensus

  • 2:30 pm – 2:40 pm:  Consensus process instructions  Jay Vogt   
  • 2:40 pm – 2:55 pm: Essential Processes, behaviors, attitudes  Aalok Agarwala   
  • 2:55 pm – 3:10 pm: Outcomes/Metrics  Meghan Lane-Fall   
  • 3:10 pm – 3:25 pm:  Future Research  Atilio Barbeito   
  • 3:25 pm – 3:40 pm: Education/Training  Steve Greenberg   
  • 3:40 pm – 3:55 pm: Implementation Best Practices  Philip Greilich   
  • 3:55 pm – 4:10 pm: Patient Engagement  Erin Pukenas   
  • 4:10 pm – 4:35 pm: Return to Contentious Topics  Jay Vogt   
  • 4:35 pm – 5:00 pm: Wrap up. What’s next?  Jeff Cooper   

5:00 pm:  Adjourn   

Contact Us

Questions or concerns? Let us know!

September 6, 2017 | Royal Palms Resort and Spa, Phoenix, AZ, USA

If you have questions about this conference, please contact APSF administrator Stacey Maxwell (maxwell@apsf.org).