Implementing an electronic clinical handover system in a university teaching hospital

Coughlan, J J; Mross, Thomas; Gul, Filza; Abbott, Amy A.; Say, Richard; Nawaz, A.; O'Brien, Colleen M; Liston, Richard

doi:10.1007/s11845-017-1699-4

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…It has also been proven that Electronic Nursing Handover Systems (ENHSs) are more efficient compared to paper-based handover methods and are shown to cause better continuity of care in medical centers. Based on the results of several studies conducted about the development of ENHSs, it has been indicated that these systems provide accurate information for having a structured handover, increase the quality of clinical information, reduce handover time, and ultimately improve communication and users satisfaction as well [ 9 , 10 ]. Ryan et al (2011) also showed that the introduction of a new handover system was associated with a significant reduction in patient length of stay in emergency departments and also improved the continuity of patient care [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study

Tataei,

Rahimi,

Afshar

et al. 2023

BMC Health Serv Res

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Background The unprecedented increase in the nurses’ workload is one of the issues affecting the quality and safety of patient care in the Intensive Care Units (ICUs). The electronic nursing handover can share sufficient, relevant, and necessary data about patients with greater efficiency and accuracy and prevent their information from being deleted. Therefore, this study aimed to determine and compare the effect of the Electronic Nursing Handover System (ENHS) on patient safety in General ICU and COVID-19 ICU. Method This is a quasi-experimental study conducted during an 8-month period from 22 to 2021 to 26 June 2022 using a test-retest design. A total of 29 nurses working in the General and COVID-19 ICUs participated in this study. Data were collected using a five-part questionnaire consisting of demographic information, handover quality, handover efficiency, error reduction, and handover time. Data analysis was conducted in IBM SPSS Statistics for Windows, version 26 (IBM Corp., Armonk, N.Y., USA) using the chi-squared test, paired t-test, and Analysis of Covariance (ANCOVA). Results The results showed that the mean scores of handover quality and efficiency, reduction of clinical error, and handover time in the electronic handover were significantly higher than those obtained in the paper-based method. The results showed that the mean score of patient safety in the COVID-19 ICU was 177.40 ± 30.416 for the paper-based handover and 251.40 ± 29.049 for the electronic handover (p = .0001). Moreover, the mean score of patient safety in the general ICU was 209.21 ± 23.072 for the paper-based handover and 251.93 ± 23.381 for the electronic one (p = .0001). Conclusion The use of ENHS significantly improved the quality and efficiency of shift handover, reduced the possibility of clinical error, saved handover time, and finally increased patient safety compared to the paper-based method. The results also showed the positive perspectives of ICU nurses toward the positive effect of ENHS on the patient safety improvement.

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Section: Introductionmentioning

confidence: 99%

The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study

Tataei,

Rahimi,

Afshar

et al. 2023

BMC Health Serv Res

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“…Several studies have shown that the electronic handover of patients is achievable, feasible, and potentially improves patient care [ 9 , 10 ]. It improved the transfer of care for many disciplines [ 11 ] and was associated with reduced rates of medication prescribing errors, hospital length of stay, and hospital mortality [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluating Psychometric Properties of the Sultan Bin Abdulaziz Humanitarian City (SBAHC) Nurses’ Electronic Handover Tool

Al Baker,

Ibrahim,

Obaid

et al. 2023

Cureus

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Introduction: Handover is crucial during the transfer of patient care between healthcare professionals.Successful handover maintains patients' safety and high-quality care. The electronic handover of patients’ information is achievable, feasible, and potentially improves the quality of patient care. However, the introduction of the electronic handover is relatively recent and challenging for healthcare providers, especially nurses. Objectives: Since Sultan Bin Abdulaziz Humanitarian City (SBAHC) has recently implemented an electronic handover system among nurses, the main aim of the current study was to develop a tool to assess the perception and barriers to electronic handover systems among nurses working at SBAHC and evaluate its psychometric properties. Methods: The tool content and face validity were assessed by the content validity ratio (CVR). Exploratory and confirmatory factor analysis were used as validity methods, while the test-retest and inter-item consistency were used as reliability measures. The sample size was planned as five times the number of questions and a total of 200 nurses participated in the study. Results: The criteria required for factor analysis were met as indicated by the results of the Kaiser-Mayer-Olkin test and Bartlett’s test of sphericity. The reliability results showed a Cronbach's alpha coefficient ranging from 0.858 to 0.910 for the perception subscale and from 0.564 to 0.789 for the barrier subscale, and an overall interclass correlation of 0.986, p<0.001. Conclusions: The developed SBAHC electronic handover tool was valid and reliable, and it is advisable to consider it at the initial stages of implanting an electronic handover system to identify obstacles that are faced by the staff to be considered and addressed by the higher management.

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“…3 Health information technologies such as electronic handover (e-handover) platforms are being increasingly utilised to overcome the logistical challenges of healthcare. 6,7…”

Section: Introductionmentioning

confidence: 99%

“…3 Health information technologies such as electronic handover (e-handover) platforms are being increasingly utilised to overcome the logistical challenges of healthcare. 6,7 E-handovers allow greater flexibility for HCPs to handover their patient using a structured platform that can be customised to meet the needs of user groups, without the need for HCPs to be simultaneously present during the exchange. E-handover software can be integrated with a patient's full electronic health record to pre-populate fields and ensure all HCPs involved with the patient's care have access to the information provided at each transition of care point, improving efficiency for users.…”

Section: Introductionmentioning

confidence: 99%

What is the effect of electronic clinical handovers on patient outcomes? A systematic review

Delardes

McLeod

Chakraborty

et al. 2020

Health Informatics J

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Handover between physicians is a high-risk event for communication errors. Using electronic handover platforms has potential to improve the quality of informational transfer and therefore minimise this risk. This systematic review sought to compare the effectiveness of electronic handover methods on patient outcomes. Articles were identified by searching MEDLINE, EMbase, Scopus and CINAHL databases. Studies involving electronic handover between two healthcare personnel or teams, and which described patientspecific outcomes, were included. This search yielded 390 articles, with a total of nine publications included in the analysis. Outcomes reported in studies included length of stay, adverse event rates, time to procedure and handover completeness. This review suggests that e-handover may improve the handover completeness; however, it is unclear at this time if that translates to an improvement in patient care. The lack of reliable evidence highlights the need for further research exploring the effect of e-handovers on patient care.

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Implementing an electronic clinical handover system in a university teaching hospital

Abstract: Electronic clinical handover is feasible and practical within the Irish healthcare system. In addition, it was found in our study to be attractive and effective to physicians without increasing their workload.

Cited by 4 publications

References 8 publications

The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study

The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study

Evaluating Psychometric Properties of the Sultan Bin Abdulaziz Humanitarian City (SBAHC) Nurses’ Electronic Handover Tool

What is the effect of electronic clinical handovers on patient outcomes? A systematic review

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