Interventions to reduce information transfer and communication failures
Memory aids
Checklists/protocols/proformas
Postoperative communication/handover sheet
Technology interventions
Electronic information and communication record
Smart card containing updated patients' information
System changes
Email from pre-assessment to surgical team
Risk assessment unit to be established (joint decision unit for patient, anaesthetist and surgeon)
Cultural changes
Increased interdisciplinary communication
Patient should be part of communication pathway
Juniors feel free to call seniors
A, anaesthetists; N, nurses; S, surgeons.