Abstract: Objective　To design the intraoperative nursing handover checklist based on SWICTH checklist and investigate its application in oral and maxillofacial microsurgical flap reconstruction. Methods　The intraoperative nursing handover checklist of oral and maxillofacial microvascular flap reconstruction was established according to SWICTH checklist. A total of 150 cases of microsurgical flap reconstruction performed in the department of oral and maxillofacial surgery from January to December 2021 were randomly divided into experimental and control groups. The handover checklist was used in experimental group， in comparison with oral handover method in control group. The quality and the duration of intraoperative nursing handover as well as the satisfaction scores from surgical team were compared between the two groups. Results　There was no statistical difference in handover duration between the two groups. In stratified analysis， the duration of circular nursing handover for fibular myocutaneous flap cases in experimental group was significantly shorter than that of control group （P=0.014 6）. The score of overall competence from scrub curses in experimental group was 6.95±0.76， significantly higher than 6.25±0.85 in control group （P=0.008 4）. In fields of organization and communication skills， the scores of scrub and circular nurses in experimental group were statistical higher than those in control group （P<0.05）. In the clinical judgment section， the score of scrub nurses in experimental group was significantly higher than that in control group（ P=0.030 5）. The nursing handover errors and omissions of scrub and circular nurses in experimental group were（ 1.25±1.02） times and（ 1.05±1.10） times， respectively， which were significantly lower than（ 3.10±2.29） times and（ 2.65±2.30） times in control group （P=0.002 1， P=0.007 9）. The score of satisfaction of surgeons and handover nurses in experiment group was significantly higher than that in control group （P<0.000 1， P=0.026 1， P=0.031 6）. Conclusion　In terms of complicated oral and maxillofacial microvascular flap reconstruction， the intraoperative nursing handover checklist based on SWITCH standardizes the procedure and content of shifting， enhances handover quality， reduces the incidence of shifting errors and omissions， and improves the satisfaction of medical and nursing staff.

Key words: Nursing checklist, 　Intraoperative handover, 　Microvascular flap reconstruction