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World J Gastrointest Surg. Mar 27, 2026; 18(3): 115349
Published online Mar 27, 2026. doi: 10.4240/wjgs.v18.i3.115349
Published online Mar 27, 2026. doi: 10.4240/wjgs.v18.i3.115349
Developing a standardized safety handover system for post-anesthesia patients in gastrointestinal surgery: Construction and validation
Jia Hu, Wei-Wei Yang, Qin Zhu, Department of Anesthesiology and Surgery, Nantong University Affiliated Hospital, Nantong 226001, Jiangsu Province, China
Wen Qin, Eastern Surgical Center, Nantong University Affiliated Hospital, Nantong 226001, Jiangsu Province, China
Tian-Tian Ren, Ming-Xiang Zhang, Anesthesia Awakening Room, Nantong University Affiliated Hospital, Nantong 226001, Jiangsu Province, China
Author contributions: Hu J designed the study, conducted data collection and analysis, and drafted the initial manuscript; Yang WW, Qin W, Ren TT, and Zhang MX participated in data verification and provided critical input on manuscript content refinement; Zhu Q supervised the entire research process, formulated key research directions, revised the manuscript for intellectual content, coordinated peer review responses, and ensured the integrity of the work. All authors have read and approved the final manuscript.
Supported by the Research Project of Nantong Municipal Health Commission, No. MSZ2024011.
Institutional review board statement: This study has been reviewed and approved by the Medical Ethics Committee of Nantong University Affiliated Hospital, No. 2025-K129-01.
Informed consent statement: All the individuals who participated in this study provided their written informed consent prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Corresponding author: Qin Zhu, Associate Chief Nurse, Department of Anesthesiology and Surgery, Nantong University Affiliated Hospital, No. 20 Xisi Road, Nantong 226001, Jiangsu Province, China. zhuqintdfy1@163.com
Received: November 7, 2025
Revised: December 8, 2025
Accepted: January 12, 2026
Published online: March 27, 2026
Processing time: 140 Days and 3.3 Hours
Revised: December 8, 2025
Accepted: January 12, 2026
Published online: March 27, 2026
Processing time: 140 Days and 3.3 Hours
Core Tip
Core Tip: This study developed a structured safety handover system for patients undergoing gastrointestinal surgery using literature review, Delphi consultation, and the analytic hierarchy process. The final system included three first-level, 12 second-level, and 38 third-level indicators. In clinical application, the experimental group showed longer handover time, reduced information omission, lower rates of hypothermia, agitation, and infusion failure, and higher staff satisfaction (all P < 0.05). These findings demonstrate the effectiveness of the system in improving handover quality and patient safety.