Improving Handoff Communications in Critical Care<sup>*</sup>

Berkenstadt, Haim; Haviv, Yael; Tuval, Atalia; Shemesh, Y; Megrill, Alexander; Perry, Amir; Rubin, Orit; Ziv, Amitai

doi:10.1378/chest.08-0914

Cited by 74 publications

(10 citation statements)

References 22 publications

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“…Previous research has typically assessed handover quality by three types of measures: its content, process or outcomes (Cheung et al 2010, Manser & Foster 2011. The first categoryhandover contenthas been mostly descriptive, concentrating on the completeness and accuracy of information (Arora et al 2005, Berkenstadt et al 2008, Horwitz et al 2009a. These studies typically showed verbal handover to be incomplete compared with the information available in the patient's record (Lamond 2000, Arora et al 2007 or compared with a pre-defined handover protocol (Catchpole et al 2007).…”

Section: Assessing Handover Qualitymentioning

confidence: 99%

Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift

Drach‐Zahavy

Hadid

2015

Journal of Advanced Nursing

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Section: Assessing Handover Qualitymentioning

confidence: 99%

Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift

Drach‐Zahavy

Hadid

2015

Journal of Advanced Nursing

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“…The audio-recorded data of nurse handoffs were analyzed using conversational analysis methods -verbal content was broken down into utterances (i.e., psychological analogs of a single unit of experience (Apker et al, 2010;Morrow et al, 1993)) and categorized along multiple dimensions: structure (i.e., conversational moves, modified from (H. H. Clark et al, 1987)), content (adapted from (Berkenstadt et al, 2008), and included a comprehensive list of specific clinical elements relevant to critical care patients), and breakdowns in communication (i.e., doubtful information, missing information, incorrect/conflicting information, repetitive information or misinterpreted information). All the data codes related to both resident and nurse handoffs were then transferred to a Microsoft Excel workbook for further analysis.…”

Section: Discussionmentioning

confidence: 99%

Towards an Ontology for Interdisciplinary Handoff Communication in Intensive Care

Abraham

Kannampallil

Patel

2014

Proceedings of the International Symposium on Human Factors and

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Handoffs are considered a vulnerable point in the clinical workflow. A recent report by The Joint Commission (TJC) found that nearly 80% of communication errors occur during care transitions. While there has been significant research on handoff tools and their use, it can be argued that there is variability among the handoff tools used in current practice. We conducted a multi-year, longitudinal evaluation on the nature of content and structure of handoffs among residents and nurses in a medical intensive care unit (MICU). In this paper, we report on our top-level findings regarding the use of a body-systems based formatted tool that supported standardized, interactive and effective communication for both medical and nursing practice. We discuss the theoretical and practical implications of our results for the design and development of future handoff tools.

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“…The quality of handoffs, however, is adversely affected by several factors: The important ones include 1) Lack of standardized handoff tools [19] 2) Iinformation omissions and inaccuracies [20] 3) Communication breakdowns related to language, social, and skill issues [21,22, 23] 4) Lack of training [24] 5) Contextual constraints [25] 6) These factors are usually exacerbated in academic settings by restrictions on resident workhours that increase the frequency of transitions [26,27].…”

Section: Factors Affecting Hand Offmentioning

confidence: 99%

Clinical Hand Off (Transfer of Care): A Plea for Human Factor Engineering

2017

IJSR

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Abstract:Hand off refers to transfer of heath care form one provider to the other. The transfer could mean transfer of information, responsibility or authority from one clinician to the other.Burton and Eaton et al have defined Hand off as verbal and written communication between health care professionals as they transition between work shifts or transfer of primary responsibility of care from one person to other. In the present era of exploding technologyand super specialization, it is not only inescapable but also necessary to give the patient the best in health care that is available.This involves frequent transfers. These transfers can involve hand off within a health care set up from one clinician to the other, during duty shift changes ortransfers from one institute to the other. Communication is particularly important but vulnerable to error during times of transition or a ''hand-off'' from one healthcare professional to another.Several studies conducted so far have highlighted failure of communication between health care personnel as a major threat to patient safety.These failures also account for over 60% of root causes of sentinel events as reported to the Joint Commission on Accreditation of Healthcare Organizations.The unaware patient is exposed to a complex health care environment which has been undergoing a dynamic change. Adding on to this are variations in clinical practice in various departments within the same health care set up. To provide seamless and uninterrupted health care there should be continuity of information, management and also relations. Previous studies have aimed to define the characteristics of a ''hand-off'' in a variety of settings and contexts such as nursing shift report, ambulance to hospital transfer, and emergency medicine shift changes. Despite all efforts there is a lot that needs to be achieved. To overcome the hand off barrier certain key strategies have been proposed.They include incorporation, standardization and universal implementation of hand off tools,holding frequent education sessions for health care providers as well other stake holders so that hand off becomes smooth and error free. Computer technology can be utilized to incorporate online forms,check lists. It can also provide a structure to guide health care providers when it comes to sharing relevant and critical information.

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Improving Handoff Communications in Critical Care^*

Cited by 74 publications

References 22 publications

Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift

Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift

Towards an Ontology for Interdisciplinary Handoff Communication in Intensive Care

Clinical Hand Off (Transfer of Care): A Plea for Human Factor Engineering

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Improving Handoff Communications in Critical Care*

Cited by 74 publications

References 22 publications

Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift

Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift

Towards an Ontology for Interdisciplinary Handoff Communication in Intensive Care

Clinical Hand Off (Transfer of Care): A Plea for Human Factor Engineering

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Product

Resources

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Improving Handoff Communications in Critical Care^*