Morbidity and Mortality: Surgery and Standardized Transmission in Operating Room

Morbidity and Mortality in Operating Room: Surgery and Standardized Communication

The primary objective of the study is to evaluate the efficacy of standard handover with AnesList© between physician anesthesists in operating room, for a complete transmission for a patient, on the occurence of event as death, serious complications or rehospitalization in month of postoperative after major surgery.

The secondary objectives are:

• to analysis the impact of the transmission on:

  1. the occurence of different events: re-hospitalization, serious complications, death at one month;
  2. the duration of initial ICU stay and of hospitalization;
  3. the duration of the transmission;
  4. the quality of the transmission by the physician leaving operating room.

• to evaluate the condition of the transmission

• to study the persistence of the use of the AnesList© at 6 months after the end of inclusions in the center

• to evaluate the satisfaction on AnesList© and on the training with the tool and the obstacles of its utilization

• to evaluate the morbility-mortality in the centers of the centers before, during and 6 months after the beginning of the study.

Inclusion Criteria:

• Patient aged > 18 years;
• Patients with score ASA I-IV;
• Requiring urgent or planned surgery;
• Major surgery (duration of surgery > 2 hours, requiring a hospital stay of at least 1 night): orthopedics, cardiac, vascular, thoracic, visceral, ENT, plastic surgery;
• Handover between two anesthesists defined as a definitive relay between one physician anaesthesist and another in operating room;
• Intensive care anesthesists and nurse anaesthetist working in investigator center during the study;
• Affiliated to a social security system;
• No-opposition to participating to the study.

Exclusion Criteria:

• Transmission between physician anaesthesist and nurse anaesthetist;
• Medical transmission occurs out of anesthesia care out of operating room;
• Medical transmission occurs in transitory manner (for example: coffee time, lunch time);
• Patients enrolled in an another ongoing study of surgical intervention.