Hospital-to-Homecare Videoconference Handoff

Abstract

Transitions of care between settings and clinicians are a time of vulnerability for patients, and can result in fragmented care, medication errors, avoidable readmissions, and patient/nurse dissatisfaction. Through the use of technology and a structured face-to-face handoff, the patient and family can be engaged in the transition across settings. The purpose of this project was to determine the feasibility and effectiveness of videoconference handoffs between inpatient, case management, and home care nurses, and the patients/families during transitions of care from hospital to home care. Videoconferences were conducted for 2 months with patients transitioning from two pediatric inpatient units to the hospital-based home care agency. The nurses and patient/family connected through a secure cloud-based videoconferencing platform. Participants discussed the patient's status, safety concerns, ongoing plan of care, what the patient/family could expect at home, and the coordination of equipment/supply needs and postdischarge visits. Videoconference handoffs (n = 10) were found to be feasible and address gaps in communication, coordination of care, and patient/family engagement during transitions from hospital to home care. Postpilot, nurses agreed the videoconference handoffs should continue with minimal modifications.

Perspectives of nurses’ role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses

“…Our list of responsibilities and tasks is not exhaustive. Medication safety management [ 57 ], care coordination [ 58 ], overseeing patient medication self-management [ 59 , 60 ], assessing patients’ competences [ 61 ], coaching and training patients [ 62 ], discharge planning [ 63 ] and interprofessional referrals [ 64 ] are additional nursing responsibilities and tasks identified in the literature. A scoping review of research about PC by nurses would be useful to confirm the completeness of the role described or supplement with additional responsibilities and tasks.…”

Family engagement in paediatric acute care settings: A realist review

“…The CMO statements (Table 1) summarize a complex picture that demonstrates how the family, direct care provider, and organizational contexts and mechanisms interact to generate engagement outcomes for each of these three stakeholders. We found that many studies provided evidence of components of one of the CMOs (see video messaging and open access to electronic health record data to more fully engage families including those who are not physically present at the bedside (Asan et al, 2019;Kelly et al, 2019;Kirolos et al, 2020;Knight et al, 2019).…”

Patient safety in home health care: a grounded theory study

“…In addition, risk prediction helps to control the occurrence of serious dangerous events and increase the home care safety [ 41 , 42 ]. Furthermore, provision of basic resources and equipment based on the previous predictions can play a key role in strengthening home safe care and services [ 9 ]. The available evidence supports the findings of the present study.…”

“…Providing safe home health care depends on several factors [ 9 ]. One of these factors is the human factor, which relates to home care providers such as nurses [ 10 ].…”