Handover in Intensive Care

Rodríguez, G. Sirgo; Fernández, M. Chico; Vidal, F. Gordo; Arias, M. García; Peña, María Sierra; Ayerdi, B. Azcarate; Andrés, E. Bisbal; Sellés, A. Ferrándiz; García, Pulido; García, María García; Cos, P. Merino de; Gallego, Julio; Mateos, A. García de Lorenzo y; Álvarez, J Trenado; Gómez, P. Rebollo; Delgado, M.C. Martín

doi:10.1016/j.medine.2017.12.008

Cited by 7 publications

(10 citation statements)

References 55 publications

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“…11 The studies analyzed observed that communication failures among the professionals responsible for care is a weak point. [12][13][14][15] The communication process in ICUs is complex, since this environment has its particularities, where the care of the critical patient, who is at imminent risk of death, requires close attention and continuous observation by the team, demanding immediate responses for both decision-making and adequate intervention. In this context, communication within teams needs to be effective and clear, in order to eliminate possible AEs caused by ineffective communication.…”

Section: Instruments For Shift Changesmentioning

confidence: 99%

“…16 Communication noise, side conversations, lack of focus on the part of the team and forgetfulness when passing on some information/intervention that was or should be provided to the patient generates vulnerability and negligent care, which can cause direct or indirect harm to the patient. [12][13][14][15] The fast pace at which the teams conduct their tasks is considered the main reason for the difficulties in communication among professionals, leading to failures of communication within the ICU environment becoming predictable. 16 An important element is the organization of the team during the process of change of shift.…”

Section: Instruments For Shift Changesmentioning

confidence: 99%

“…The implementation and standardization of an easy and objective instrument that presents the main items of information about the patient is essential to guide this process and remedy the flaws described above. [12][13][14][15] To achieve this objective, professionals should be trained and guided to not abandon the narrative approach and to go through each case in detail, by presenting their assessment and the interventions that were necessary during the shift, thus carrying out a complete, clear and effective transfer of care. [12][13][14][15] Noise in communication is directly related to incomplete or absent information about the patient, with communication focusing on intercurrences and clinical evolution during the previous 24 hours and with little appreciation of data on assessment, care plan and the patient's clinical status.…”

Section: Instruments For Shift Changesmentioning

confidence: 99%

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Communication tools among professionals in intensive care: An integrative review

Siqueira

Silva

Cypriano

et al. 2022

BJHBS

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Introduction: Communication is important to ensure safety in demands regarding patients, processes and staff in intensive care units (ICUs), a complex area that requires good communication and dynamism in order to achieve positive results for patients. Hence, the identification of tools that may provide improvements in communication among professionals working in the ICU in the scientific literature is essential. Objective: To map in the literature the types of tools for improving communication among professionals in intensive care. Method: Rand integrative vision performed between April and May 2021, with searches in the medline, LILACS and BDENF databases. We used the descriptors: “Patient Safety”; “Intensive Care Units”; “Applications of Medical Informatics”, with Boolean operator “AND”. The search covered articles published between 2016 and 2021, full texts, in the Portuguese, English and Spanish languages. Duplicates, case reports, annals, editorials, letters to the editor, dissertations and theses were excluded. Results: We identified two categories: tools for changes of shift and tools for transfers of care. Conclusions: Communication tools are effective because they reduce the incidence risk of errors in direct patient care.Keywords: Patient safety; Health communication; Intensive Care Units; Applications of medical informatics.

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Section: Instruments For Shift Changesmentioning

confidence: 99%

Section: Instruments For Shift Changesmentioning

confidence: 99%

Section: Instruments For Shift Changesmentioning

confidence: 99%

See 1 more Smart Citation

Communication tools among professionals in intensive care: An integrative review

Siqueira

Silva

Cypriano

et al. 2022

BJHBS

View full text Add to dashboard Cite

show abstract

“…Effective information sharing is essential for an efficient ICU team (Ervin, Kahn, Cohen, & Weingart, 2018). ICU handovers regularly take place several times a day due to changes in medical or nursing shifts, and during transfer of patients in and out of ICU (Rodríguez et al, 2018). Handovers are both intra-disciplinary between nurses or physicians in the shift change and inter-disciplinary between physicians and nurses, for example during rounds.…”

Section: Introductionmentioning

confidence: 99%

“…However, use of these tools is criticised for making the handover too rigid and standardised, risking losing a holistic and individual perspective on care (Hilligoss & Moffatt-Bruce, 2014;Rodríguez et al, 2018;Spooner, Aitken, & Chaboyer, 2018).…”

Section: Introductionmentioning

confidence: 99%

Information concerning ICU patients’ families in the handover—The clinicians’ «game of whispers»: A qualitative study

Nygaard

Haugdahl

Brinchmann

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To explore how information concerning ICU patients´ families is included in the ICU clinicians’ daily handover. Background Handover refers to the transfer of information and care responsibility between clinicians. An effective and precise handover are of great importance to ensure quality of care. Although improvements in handovers have received increasing attention in recent decades, little is known about how information about ICU patients’ family members is included in handovers. Design A qualitative study using Charmaz’ constructivist grounded theory approach. Methods Data were gathered through participant observation, focus groups, dyadic and individual interviews of physicians and nurses from four ICUs in different Norwegian hospitals. The data consist of 270 observation hours, seven focus groups, three dyadic interviews and two individual interviews. Field notes and transcribed interview data were analysed using constructivist grounded theory approach. COREQ checklist was applied as reporting guideline for this study. Findings “A game of whispers” emerged as the core category, representing missing information about the patient's family during the handover. Together with three subcategories: “documentation dilemmas,” “being updated” and “talking together,” the core category explains how transfer of family‐related information between clinicians is continually processed and resolved. Conclusions This study indicates challenges related to appropriate and high‐quality handover concerning ICU patients´ families. Oral handovers are essential in terms of clinicians’ need to elaborate on written information and update each other. However, oral transmission involves a high risk of information loss during the handover. Written documentation about the family seems to be inadequate and poorly structured. Relevance to clinical practice The study findings suggest a need for increased awareness in practice and research of the importance of transferring appropriate and reliable information about patients’ families between ICU clinicians. User‐friendly handover tools and patient records that include information on patients’ family members should be developed.

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Plan de contingencia para los servicios de medicina intensiva frente a la pandemia COVID-19

Sedes

Ballesteros

Saera

et al. 2020

Enfermería Intensiva

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Handover in Intensive Care

Cited by 7 publications

References 55 publications

Communication tools among professionals in intensive care: An integrative review

Communication tools among professionals in intensive care: An integrative review

Information concerning ICU patients’ families in the handover—The clinicians’ «game of whispers»: A qualitative study

Plan de contingencia para los servicios de medicina intensiva frente a la pandemia COVID-19

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