What is the recommended practice during perioperative handoffs to ensure patient safety?

• A. Verbal handoff without verification.
• B. Clear, concise handoffs with read-backs and documentation.
• C. Details shared after patient arrives in OR.
• D. Rely on prior notes only.

Answer: (B)

Clear, concise handoffs that are verified and documented are essential for patient safety during the perioperative transition. When information is communicated briefly and then confirmed with a read-back, the team ensures everyone has the same exact plan and critical details are not left to memory. Documentation provides a formal record that can be reviewed by all members of the care team and serves as a reference for any questions that arise later in the workflow.

Using a structured handoff protocol, often with a checklist, helps prevent omissions and standardizes what needs to be communicated. The read-back step allows the receiving clinician to repeat back key information—such as patient identity, the planned procedure, surgical site if relevant, allergies, current medications and last doses, anesthesia plan, airway considerations, special equipment, anticipated blood loss, and any intraoperative considerations—so any discrepancies can be resolved immediately. This combination of clear wording, verification, and proper documentation creates a safety net that catches potential errors before they impact the patient.

Sharing details only after the patient arrives in the OR or relying solely on prior notes can miss changes in status, new medications, or updated plans, increasing the risk for miscommunication and adverse events. Verbal handoffs without verification are prone to misinterpretation and errors, which is why the verified, documented, concise approach is the recommended practice.