The ConStratO model of handover: a tool to support technology design and evaluation

Abstract

Handovers are a specific kind of multidisciplinary team meeting. Shift handovers and transfers are both regular features of hospital work but there is currently great variation in how such handovers are conducted, presenting a challenging for those seeking to develop technology to support handover. This paper presents the ConStratO model of handover, which captures aspects of the context that influence how the handover is conducted, a range of different handover strategies relating to different aspects of the handover, and possible outcomes of handover. The model is based on detailed data collection in a range of clinical settings. We present the model as a tool for developing and evaluating technology support for handover.

Clinical handover within the emergency care pathway and the potential risks of clinical handover failure (ECHO): primary research

“…20 The conflicting information expectations of physicians from the different specialties represented a particular barrier to efficient handover communication. Randell and colleagues 62 developed a descriptive model of handover that links the strategies that the participants of the handover adopt to the different contexts within which handover may take place and to the different functions that handover can serve. They provide examples, taken from observations in eight different settings, including an EAU and Medical Admissions Unit, of how practitioners adapt their behaviour and provide flexibility to the handover in response to, for example, different workload and staffing levels or particular patient conditions.…”

Privacy practices in collaborative environments

“…The privacy practices of the staff must also protect privacy. There are studies that explore how employees' behaviors, or privacy practices, assure the confidentiality of information [35,49]. Yet, these studies are limited and do not consider the impact that the privacy mechanisms and policies have on the work practices of the employees.…”

How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review

“…Randell and colleagues propose a model that centers on the transfer and acceptance of responsibilities and information sharing and looks at the desirable outcomes, i.e. continuity, safety, education and training, organization of work and relationships [88]. Abraham et al put forward a collective information-push model that integrates standardized and structured information and a well prepared and coordinated pre-handover phase [89].…”