Beyond handover: supporting awareness for continuous coverage

Randell, Rebecca; Wilson, Stephanie; Woodward, Peter; Galliers, Julia

doi:10.1007/s10111-010-0138-3

Cited by 37 publications

(35 citation statements)

References 39 publications

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“…Factors associated with increased content of the verbal handover include familiarity with the patient, sense of responsibility for the patient, presence of senior staff, and comprehensive handover documentation [8]. A range of practices exist for gathering information into written form in preparation for the handover [21][22][23][24]. However, important information may be provided verbally in the handover that is not recorded anywhere else [13,15,18,20].…”

Section: Shift Handovermentioning

confidence: 99%

The importance of the verbal shift handover report: A multi-site case study

Randell

Wilson

Woodward

2011

International Journal of Medical Informatics

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ObjectiveShift handover is seen as a key tool in ensuring continuity of care yet a number of studies have highlighted the role of shift handovers in adverse events. This, combined with the increased frequency of shift handovers, has led to interest in providing technological support for handover to enhance safety. The aim of this paper is to describe current practices for the conduct of shift handovers and to use this as a basis for considering the role that technology could play in supporting handover. MethodsA multi-site case study of handover was conducted. Data included observations of 15 medical shift handovers and 33 nursing shift handovers across three case sites. FindingsThe findings highlight the way in which the verbal shift handover report is practically focused, displaying the healthcare professional's ability to know what information is required and where further explanation is needed. As well as supporting teaching and team cohesion, shift handover can provide an opportunity to reflect on the previous shift and for discussion with patients and their families. ConclusionsThe benefits provided by a face to face handover suggest that technology should focus on supporting rather than replacing the verbal shift handover report, providing a flexible solution that allows handover participants to gather more information as it is required.3

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Section: Shift Handovermentioning

confidence: 99%

The importance of the verbal shift handover report: A multi-site case study

Randell

Wilson

Woodward

2011

International Journal of Medical Informatics

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“…3. Ubiquitous representation of patient state across time and space: Sensible cognitive artifacts can aid in a better awareness and thus a deeper understanding and immersion in the CIS (Randell et al 2010). We find several solutions in existing monitors for ensuring the availability of patient information when and where it is needed through inter-bed inspection, notifications, and central monitoring stations.…”

Section: Discussionmentioning

confidence: 99%

“…The nurse teams do not meet formally on a daily basis, but rather carry out ad hoc reporting individually when the shift ends, but this seems to vary a lot from nurse to nurse. Handovers are identified as essential events in ensuring a steady continuity of care and patient safety (Randell et al 2010). Randell et al also highlight the importance of establishing systems which support collaborative work in terms of knowledge transfers during handovers.…”

Section: The Multiplicity and Intensity Of Means Of Communicationmentioning

confidence: 99%

Identifying patients at risk of deterioration in the Joint Emergency Department

Schmidt

Wiil

2015

Cogn Tech Work

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In recent years, Danish hospitals have merged their emergency facilities into Joint Emergency Departments. This poses new collaborative challenges across traditionally separated specialized departments, which now have to collaborate in a shared environment. Despite established protocols and patient monitoring regimes, as many as 31 % of non-critical patients deteriorate with potentially severe consequences. To understand why this may be, we conduct a field study with the aim of investigating what factors external to patients relate to the clinicians' ability to notice adverse events. We look at the case through the lenses of common information spaces. In particular, we apply Bossen's seven-parameter framework to discover new dimensions of how Emergency Departments and individual clinicians identify and respond to unforeseen events, and how they handle the associated cognitive challenges. We complement these findings with a review of a novel taxonomy for patient monitoring. Our contribution is the identification of four improvement areas for patient monitoring platforms in terms of support for the identification of patient deterioration.

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“…Pervasive health applications within hospital settings are usually concerned with increasing the effectiveness and efficiency of health care for in-patients by improving professional practices through novel technologies [31,32]. Examples of pervasive health approaches which follow a patient centric health care system can be found in [33,34].…”

Section: Pervasive Healthmentioning

confidence: 99%

Ubiquitous Computing in the context of developing countries

Eblewongel¹,

Amanuel²,

Mekuria³

et al. 2016

Proccedings of the ICAIIT2016

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Abstract.Ubiquitous computing is an ultra-interdisciplinary field. Because of its capacity to affect every sphere of human life, it is endowed with a wide range of characteristics and features. This paper attempts to describe the more salient and diverse features of Pervasive Computing in an organized manner that appreciates the multi-disciplinary nature of the field. Five categories: Setup, design, architecture, deployment and operations; interface; security; engineering and socio-economic; are used to systematically outline the current characteristics of Ubiquitous computing. Sample applications from the field of Ubicomp are also discussed to illustrate some of the characteristics of pervasive computing. Moreover, we have also tried to highlight the challenges and opportunities for implementing Pervasive Computing in the context of developing countries. .

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Beyond handover: supporting awareness for continuous coverage

Cited by 37 publications

References 39 publications

The importance of the verbal shift handover report: A multi-site case study

The importance of the verbal shift handover report: A multi-site case study

Identifying patients at risk of deterioration in the Joint Emergency Department

Ubiquitous Computing in the context of developing countries

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