Structured Handover in the Pediatric Postanesthesia Care Unit

Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review

“…Over 50 handoff interactions were observed to assess the completeness and comprehensiveness of verbal communication and usability of the SBAR document ISBARQ (introductions, situation, background, assessment, recommendation, and questions) checklist. The ISBARQ checklist was associated with improvement in content information of handover and increased the provider's satisfaction; however, there was no significant change in duration of handover (Table 1) [56].…”

Factors affecting quality of nurse shift handover in the emergency department

“…Recent literature suggests that handover communication at shift change is a vulnerable activity that may pose challenges to patient safety (Drach‐Zahavy & Hadid, ; Moon et al., ). Poor quality shift handover has been associated with adverse outcomes such as incorrect treatment, delays in diagnosis, increased length of stay and both nurse and patient dissatisfaction (Apker, Mallak, & Gibson, ; Funk et al., ; Kitch et al., ; Meissner et al., ; Moon et al., ).…”

“…A literature review by Foster and Manser () found that seven of twelve studies using standardized handover sheets reported significant improvements in outcomes such as information retention and adverse events. Similarly, use of structured handover tools has shown positive results in improving perceptions of handover effectiveness or quality when included as part of a bundle of handover interventions (Feraco et al., ; Funk et al., ; Moon et al., ).…”

Clinical handover of immediate post-operative patients: A literature review

“…• standardising protocol of clinical handover [33][34][35][36] • mnemonic communication tools in the transfer of content and structure of information such as situation, background, assessment, recommendation (SBAR) [37][38][39][40][41] and SBAR progressions including introduction (I) as ISBAR 42 and Questions (Q) as ISBARQ 43 . An American study used a mnemonic communication tool of illness severity (I), patient summary (P), action list (A), situation awareness (S) and synthesis by receiver (S) as I-PASS36, which was different to another American study that used key content items 44 • an education or training component was included in some but not all studies when standardising content and structure of information transfer 34,37,[39][40][41][42] .…”

“…Despite the noted differences in standardising techniques used in interventional studies, studies reported that standardising the content, structure and/or process improved information transfer, teamwork and satisfaction, whereas a reduction in patient length of stay and task errors was also a significant finding in reviewed studies [33][34][35][36][37]43,44 . The use of communication tools improves structure and/or content of information transfer between professionals [36][37][38][39][40]43 . Compliance with using communication tools is improved with training session/s or an education program 37,[39][40][41][42] .…”