Improving patients' handover

Toeima, Eman; Morris, Edward

doi:10.1016/j.ogrm.2013.04.003

Cited by 4 publications

(2 citation statements)

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“…Structured verbal and written handovers are endorsed by international bodies such as WHO, as they allow for greater clarity in the transfer of information and higher information retention 15–17. A structured handover has been associated with further benefits to clinicians, such as enhanced multidisciplinary team working, reduced work related stress and improved job satisfaction 18 19…”

Section: Introductionmentioning

confidence: 99%

Is there a need for formal undergraduate patient handover training and could an educational workshop effectively provide this? A proof-of-concept study in a Scottish Medical School

et al. 2020

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BackgroundPoor communication between healthcare professionals is recognised as accounting for a significant proportion of adverse patient outcomes. In the UK, the General Medical Council emphasises effective handover (handoff) as an essential outcome for medical graduates. Despite this, a significant proportion of medical schools do not teach the skill.ObjectivesThis study had two aims: (1) demonstrate a need for formal handover training through assessing the pre-existing knowledge, skills and attitudes of medical students and (2) study the effectiveness of a pilot educational handover workshop on improving confidence and competence in structured handover skills.DesignStudents underwent an Objective Structured Clinical Examination style handover competency assessment before and after attending a handover workshop underpinned by educational theory. Participants also completed questionnaires before and after the workshop. The tool used to measure competency was developed through a modified Delphi process.SettingMedical education departments within National Health Service (NHS) Lanarkshire hospitals.ParticipantsForty-two undergraduate medical students rotating through their medical and surgical placements within NHS Lanarkshire enrolled in the study. Forty-one students completed all aspects.Main outcome measuresPaired questionnaires, preworkshop and postworkshop, ascertained prior teaching and confidence in handover skills. The questionnaires also elicited the student’s views on the importance of handover and the potential effects on patient safety. The assessment tool measured competency over 12 domains.ResultsEighty-three per cent of participants reported no previous handover teaching. There was a significant improvement, p<0.0001, in confidence in delivering handovers after attending the workshop. Student performance in the handover competency assessment showed a significant improvement (p<0.05) in 10 out of the 12 measured handover competency domains.ConclusionsA simple, robust and reproducible intervention, underpinned by medical education theory, can significantly improve competence and confidence in medical handover. Further research is required to assess long-term outcomes as student’s transition from undergraduate to postgraduate training.

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Section: Introductionmentioning

confidence: 99%

Is there a need for formal undergraduate patient handover training and could an educational workshop effectively provide this? A proof-of-concept study in a Scottish Medical School

et al. 2020

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“… 16 Handover is a within-discipline process that can be defined as ‘the real-time process of passing patient-specific information from one HCP to another at the end of a working shift’. 17 …”

Section: Introductionmentioning

confidence: 99%

Convergent parallel mixed-methods study to understand information exchange in paediatric critical care and inform the development of safety-enhancing interventions: a protocol study

Tomasi

Warren²,

Kolodzey

et al. 2018

BMJ Open

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IntroductionThe effective exchange of clinical information is essential to high-quality patient care, especially in the critical care unit (CCU) where communication failures can have profoundly negative impacts on critically ill patients with limited physiological capacity to tolerate errors. A comprehensive systematic characterisation of information exchange within a CCU is needed to inform the development and implementation of effective, contextually appropriate interventions. The objective of this study is to characterise when, where and how healthcare providers exchange clinical information in the Department of Critical Care Medicine at The Hospital for Sick Children and explore the factors that currently facilitate or counter established best rounding practices therein.Methods and analysisA convergent parallel mixed-methods study design will be used to collect, analyse and interpret quantitative and qualitative data. Naturalistic observations of rounds and relevant peripheral information exchange activities will be conducted to collect time-stamped event data on workflow and communication patterns (time–motion data) and field notes. To complement observational data, the subjective perspectives of healthcare providers and patient families will be gathered through surveys and interviews. Departmental metrics will be collected to further contextualise the environment. Time–motion data will be analysed quantitatively; patterns in field note, survey and interview results will be examined based on themes identified deductively from literature and/or inductively based on the data collected (thematic analysis). The proactive triangulation of these systemic, procedural and contextual data will inform the design and implementation of efficacious interventions in future work.Ethics and disseminationInstitutional research ethics approval has been acquired (REB #1000059173). Results will be published in peer-reviewed journals and presented at relevant conferences. Findings will be presented to stakeholders including interdisciplinary staff, departmental management and leadership and families to highlight the strengths and weaknesses of the exchange of clinical information in its current state and develop user-centred recommendations for improvement.

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An Evaluation on the Factors Affecting the Level of Fatigue and Handover Effectiveness of Emergency Department Nurses

Kaplan

2024

Sağlık Bilimleri Dergisi

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It is predicted that due to the increasing work load of nurses, fatigue levels and knowledge transfer will be adversely affected. The present study aimed to determine the Fatigue Level, Handover Effectiveness, and Related Factors in Emergency Nurses. The study is a descriptive cross-sectional study. Research data were collected from nurses working in the emergency departments of 8 hospitals in a city in Turkiye. The data were collected through Google Form using the Personal Information Form, the Handover Evaluation Scale, and the Fatigue Scale. There is a negative and significant relationship between the nurses' fatigue levels and the handover effectiveness (r=-0.476 p

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Improving patients' handover

Cited by 4 publications

References 1 publication

Is there a need for formal undergraduate patient handover training and could an educational workshop effectively provide this? A proof-of-concept study in a Scottish Medical School

Is there a need for formal undergraduate patient handover training and could an educational workshop effectively provide this? A proof-of-concept study in a Scottish Medical School

Convergent parallel mixed-methods study to understand information exchange in paediatric critical care and inform the development of safety-enhancing interventions: a protocol study

An Evaluation on the Factors Affecting the Level of Fatigue and Handover Effectiveness of Emergency Department Nurses

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