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1

Manser, Tanja, Simon Foster, Rhona Flin, and Rona Patey. "Team Communication During Patient Handover From the Operating Room." Human Factors: The Journal of the Human Factors and Ergonomics Society 55, no. 1 (2012): 138–56. http://dx.doi.org/10.1177/0018720812451594.

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Objective: This study was aimed at examining team communication during postoperative handover and its relationship to clinicians’ self-ratings of handover quality. Background: Adverse events can often be traced back to inadequate communication during patient handover. Research and improvement efforts have mostly focused on the information transfer function of patient handover. However, the specific mechanisms between handover communication processes among teams of transferring and receiving clinicians and handover quality are poorly understood. Method: We conducted a prospective, cross-section
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Kwok, Edmund S. H., Glenda Clapham, Shannon White, Michael Austin, and Lisa A. Calder. "Development and implementation of a standardised emergency department intershift handover tool to improve physician communication." BMJ Open Quality 9, no. 1 (2020): e000780. http://dx.doi.org/10.1136/bmjoq-2019-000780.

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BackgroundStructured handover can reduce communication breakdowns and potential medical errors. In our emergency department (ED) we identified a safety risk due to variation in quality and content of overnight handovers between physicians.AimOur goal was to develop and implement a standardised ED-specific handover tool using quality improvement (QI) methodology. We aimed to increase the proportion of patients having adequate handover information conveyed at overnight shift change from a baseline of 50%–75% in 4 months.MethodsWe used published best practices, stakeholder input and local data to
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Campling, Hannah, and Dominic Aubrey-Jones. "On-call handover ‘– if it isn't documented then it didn't happen’." BJPsych Open 7, S1 (2021): S177—S178. http://dx.doi.org/10.1192/bjo.2021.483.

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Aims1. To standardise the doctor handovers for on-call duties2. To ensure there is documented evidence of handover taking place at the end of each shiftBackgroundSince the introduction of the European working time directive the amount of hours that doctors are allowed to work has been reduced, resulting in increased handovers between teams. The National Patient Safety Committee and General Medical Council have recognised that this means we need to ensure handovers are as safe and robust as possible to ensure that patient safety is not compromised. A recent serious investigation report carried
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Ghosh, Sayani, Lakshmi Ramamoorthy, and Biju pottakat. "Impact of Structured Clinical Handover Protocol on Communication and Patient Satisfaction." Journal of Patient Experience 8 (January 1, 2021): 237437352199773. http://dx.doi.org/10.1177/2374373521997733.

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The Handover process is an essential aspect of patient care in daily clinical practice to ensure continuity of patient care. Standardization of clinical handover may reduce sentinel events due to inaccurate and ineffective communication. Single arm experimental trial was conducted to assess the effect of standard Situation, Background, Assessment, Recommendation (SBAR) protocol implementation in overall bedside nursing handover process, patient satisfaction, and nurses’ acceptance. As a sample, all nursing staff of specified unit, all handover process performed by them, and patients admitted d
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Kwok, E. S. H., G. Clapham, S. White, M. Austin, and L. Calder. "LO25: The development and implementation of a standardized emergency department handover tool." CJEM 20, S1 (2018): S15. http://dx.doi.org/10.1017/cem.2018.87.

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Introduction: There is a high risk for communication breakdown, discontinuity of clinical care, and medical errors during ED physician handover. Locally, there is no standardized handover process to ensure adequate communication of critical information. Our aim was to use a locally developed handover tool to increase frequency of adequate physician handover during overnight shift change by 50% in 4 months. Methods: Using published best practices, local observational data, and stakeholder input, we determined critical components of ED handovers. We developed a structured communication tool for
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Carmen, Aileen, Thanurshan Mahenthran, Jemma Hazan, and Ioana Popescu. "A new handover protocol between old age admission and rehab wards." BJPsych Open 7, S1 (2021): S12—S13. http://dx.doi.org/10.1192/bjo.2021.92.

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AimsEfficient handovers are integral to patient care. Challenges to handover for wards include high patient turnover and varied handover approaches between wards, as well as admissions out of hours. Patients on Old Age Wards often have multiple comorbidities and can deteriorate rapidly without coordinated care. Our focus was on improving handover of patients transferred between the Old Age Admissions Ward and Rehabilitation Ward. We aimed to create a ward handover protocol to improve compliance with documenting a pretransfer plan and ensure there was an 80% compliance with completing this plan
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Heller, Rosalie Amanda, and Lisi Hu. "Making the weekend work: a local quality improvement project to establish and improve the quality of weekend handover." BMJ Open Quality 7, no. 3 (2018): e000215. http://dx.doi.org/10.1136/bmjoq-2017-000215.

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Handover is widely identified by the National Confidential Enquiry into Patient Outcome and Death, the Royal College of Physicians (RCP) and Health Foundation as an area that can lead to shortcomings in patient care. We recognised that the current weekend handover process in the Trauma and Orthopaedics department at Frimley Park Hospital was dated, time-consuming and did not promote handover of sufficient patient details.The Royal College of Surgeons, British Medical Association and RCP have guidelines on handover. Our aim was to use these to establish the quality of handovers and introduce me
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Masterson, Mark F., Richdeep S. Gill, Simon R. Turner, Pankaj Shrichand, and Meredith Giuliani. "A systematic review of educational resources for teaching patient handover skills to residents." Canadian Medical Education Journal 4, no. 1 (2013): e96-e110. http://dx.doi.org/10.36834/cmej.36552.

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Background: As physicians reduce their work hours, transfer of patient care becomes more common; this is a time of heightened risk to patients. Training in patient handover skills may reduce this risk. The objective of this study was to systematically review the literature regarding education models available to teach handovers skills to healthcare professionals. Methods: A systematic review was conducted to identify published educational resources on patient handover skills. Two investigators independently reviewed publications for inclusion/exclusion. A third reviewer resolved any disagreeme
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O'Horo, John Charles, Mohamed Omballi, Tony K. Tran, Jeffrey P. Jordan, Dennis J. Baumgardner, and Mark A. Gennis. "Effect of Audit and Feedback on Improving Handovers: A Nonrandomized Comparative Study." Journal of Graduate Medical Education 4, no. 1 (2012): 42–46. http://dx.doi.org/10.4300/jgme-d-11-00181.1.

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Abstract Background High-quality, shift-to-shift handovers by residents are critical to ensuring to patient safety. The 2011 Accreditation Council for Graduate Medical Education duty hour requirements have increased the number of handovers occurring daily, necessitating new approaches to this challenge. Research suggests standardized approaches, electronic systems, and education programs can improve the handover process. Methods We conducted a 2-phase, observational study comparing an electronic handover system (experimental) in one clinical setting to a standard card-based system (control) at
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Eggins, Suzanne, and Diana Slade. "Clinical handover as an interactive event: Informational and interactional communication strategies in effective shift-change handovers." Communication and Medicine 9, no. 3 (2013): 215–27. http://dx.doi.org/10.1558/cam.v9i3.215.

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Clinical handover – the transfer between clinicians of responsibility and accountability for patients and their care (AMA 2006) – is a pivotal and high-risk communicative event in hospital practice. Studies focusing on critical incidents, mortality, risk and patient harm in hospitals have highlighted ineffective communication – including incomplete and unstructured clinical handovers – as a major contributing factor (NSW Health 2005; ACSQHC 2010). In Australia, as internationally, Health Departments and hospital management have responded by introducing standardised handover communication proto
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Delardes, Belinda, Lisa McLeod, Samantha Chakraborty, and Kelly-Ann Bowles. "What is the effect of electronic clinical handovers on patient outcomes? A systematic review." Health Informatics Journal 26, no. 4 (2020): 2422–34. http://dx.doi.org/10.1177/1460458220905162.

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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
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Sujan, Mark, Peter Spurgeon, Matthew Inada-Kim, et al. "Clinical handover within the emergency care pathway and the potential risks of clinical handover failure (ECHO): primary research." Health Services and Delivery Research 2, no. 5 (2014): 1–144. http://dx.doi.org/10.3310/hsdr02050.

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Background and objectivesHandover and communication failures are a recognised threat to patient safety. Handover in emergency care is a particularly vulnerable activity owing to the high-risk context and overcrowded conditions. In addition, handover frequently takes place across the boundaries of organisations that have different goals and motivations, and that exhibit different local cultures and behaviours. This study aimed to explore the risks associated with handover failure in the emergency care pathway, and to identify organisational factors that impact on the quality of handover.Methods
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Fischer, Miriam, Robin R. Hemphill, Eva Rimler, et al. "Patient Communication During Handovers Between Emergency Medicine and Internal Medicine Residents." Journal of Graduate Medical Education 4, no. 4 (2012): 533–37. http://dx.doi.org/10.4300/jgme-d-11-00256.1.

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Abstract Background Communication failures are a key cause of medical errors and are particularly prevalent during handovers of patients between services. Objective To explore current perceptions of effectiveness in communicating critical patient information during admission handovers between emergency medicine (EM) residents and internal medicine (IM) residents. Methods Study design was a survey of IM and EM residents at a large urban hospital. Residents were surveyed about whether critical information was communicated during patient handovers. Measurements included comparisons between IM and
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Malfait, Simon, Ann Van Hecke, Wim Van Biesen, and Kristof Eeckloo. "Is privacy a problem during bedside handovers? A practice-oriented discussion paper." Nursing Ethics 26, no. 7-8 (2018): 2288–97. http://dx.doi.org/10.1177/0969733018791348.

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Bedside handover is the delivery of the nurse-to-nurse handover at the patient’s bedside. Although increasingly used in nursing, nurses report many barriers for delivering the bedside handover. Among these barriers is the possibility of breaching the patient’s privacy. By referring to this concept, nurses add a legal and ethical dimension to the delivery of the bedside handover, making implementation of the method difficult or even impossible. In this discussion article, the concept of privacy during handovers is being discussed by use of observations, interviews with nurses, and interviews wi
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Sulistyawati, Wiwin, and Sri Haryuni. "Supervisi tentang Komunikasi SBAR (Situation, Background, Assesmen and Recommendation) Berpengaruh terhadap Kualitas Handover Pasien di Ruang Rawat Inap Rumah Sakit." Care : Jurnal Ilmiah Ilmu Kesehatan 7, no. 1 (2019): 19. http://dx.doi.org/10.33366/jc.v7i1.1111.

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Ineffective handovers are often at high risk for patient safety. Other problems caused by improper handovers include delays in medical diagnosis, and increased health care costs and patient dissatisfaction. Supervision of SBAR communication (Situation, Background, Assessment, Recommendation) is an effective way to maintain patient safety and reduce the occurrence of errors caused by communication. This study aimed to identify the effect of supervision on SBAR communication on the quality of patient handovers in the inpatient room. Design research was a pre-experimental design of one group pre
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Javidan, A., A. Nathens, H. Tien, and L. da Luz. "P079: Clinical handover from emergency medical services to the trauma team: A gap analysis." CJEM 22, S1 (2020): S92—S93. http://dx.doi.org/10.1017/cem.2020.285.

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Background: Clinical handover between emergency medical services (EMS) and the hospital trauma team can be subject to errors that may negatively affect patient care. Thus far, there has been limited evaluation of the quality of EMS handover. As such, we sought to characterize handover practices from EMS to the trauma team, identify areas for improvement, and determine if there is a need for standardization of current handover practices. Aim Statement: Identify areas for improvement in handover from EMS to the trauma team, specifically examining handover content, structure, and discordances bet
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Shaughnessy, Erin E., Kimberly Ginsbach, Nicole Groeschl, Dawn Bragg, and Michael Weisgerber. "Brief Educational Intervention Improves Content of Intern Handovers." Journal of Graduate Medical Education 5, no. 1 (2013): 150–53. http://dx.doi.org/10.4300/jgme-d-12-00139.1.

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Abstract Background The Accreditation Council for Graduate Medical Education requires residency programs to ensure safe patient handovers and to document resident competency in handover communication, yet there are few evidence-based curricula teaching resident handover skills. Objective We assessed the immediate and sustained impact of a brief educational intervention on pediatrics intern handover skills. Methods Interns at a freestanding children's hospital participated in an intervention that included a 1-hour educational workshop on components of high-quality handovers, as well as implemen
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Piscioneri, Frank, and Guan C. Chong. "Surgical handover in a tertiary hospital: a working model." Australian Health Review 35, no. 1 (2011): 14. http://dx.doi.org/10.1071/ah09859.

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The trend, in the last few years, of shorter working hours for junior doctors has been driven by the need for safer working conditions. This has led to the loss of continuity of care and the introduction of shift work for residents and registrars, resulting in up to three handovers per 24-h period. Many sentinel events occurring in hospitals can be attributed to a breakdown in communication. Clinical handover is important because it not only facilitates continuity in the transfer of patient information between healthcare professionals but also helps identify potential problems that may occur i
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Sudrajat, Diwa, Mia Islamiati, and Linlin Lindayani. "TINJAUAN PELAKSANAAN HANDOVER DI RUMAH SAKIT: TINJAUAN PUSTAKA." Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) 7, no. 1 (2021): 70–76. http://dx.doi.org/10.33023/jikep.v7i1.664.

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Background: Handover is an activity to deliver and receive reports regarding the patient's condition. Handover implementation consists of three stages, namely the preparation stage, implementation stage and post handover. Handover as an important element in providing nursing care and has a role in patient safety. Purpose: This study aims to identify the results of previous studies regarding the stages of implementing nurse handovers in hospitals. Methods: The method used in this study is a literature review with an assessment using the JBI Critical Appraisal Checklist for Analytical Cross Sect
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Hazan, Jemma, and Kirtana Vallabhaneni. "A quality improvement project to improve handover in the integrated assessment liaison team." BJPsych Open 7, S1 (2021): S192—S193. http://dx.doi.org/10.1192/bjo.2021.519.

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BackgroundEfficient handovers are integral to patient care. Challenges to handover for liaison psychiatry included high patient and staff turnover and varied handover approaches across the multidisciplinary team (MDT).MethodMDT focus groups and questionnaires explored change ideas. PDSA cycles were used to design a structured handover.We aimed to:Reduce handover time to 30 minutes.Improve communication using the SBAR tool.Implement a multidisciplinary teaching schedule in the time saved.Daily measures:Handover timingTeam Satisfaction (Individuals ranked handover as ‘good’, ‘average’, or ‘poor’
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Titu, Helen Louise. "Observing and evaluating nursing handover practice and culture in a coronary care unit." British Journal of Cardiac Nursing 14, no. 9 (2019): 1–12. http://dx.doi.org/10.12968/bjca.2017.0012.

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Background/Aims To observe and compare existing nursing handover practice with national recommendations and establish a local model to facilitate the implementation, monitoring and maintenance of best practice. Methods Nursing handover practice was observed using a defined format, collecting qualitative data on structure, safety issues, communication, transfer of information, relevance, and record accuracy and timeliness. Focus groups employed structured interviews regarding effective nursing handover practices based on open-ended questions. These sessions were audio-recorded using transcripti
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Kwok, E. S., and S. White. "P070: Improving handovers in the emergency department: implementation of a standardized team approach." CJEM 18, S1 (2016): S101—S102. http://dx.doi.org/10.1017/cem.2016.246.

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Introduction: Handovers in the ED are a high risk area for breakdown in team communication, discontinuity of patients’ clinical course, and potential medical errors. This is especially true for morning handovers at our center, when one single overnight MD working with limited resources hands over the entire ED to an oncoming day team of MDs and allied health professionals. We describe a quality improvement (QI) project to implement an inter-professional team approach during handovers. Methods: This prospective QI project took place at an academic tertiary care centre with >160,000 ED visits
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Sato, T., and E. Yeung. "Handover practice in acute surgical admissions." Bulletin of the Royal College of Surgeons of England 96, no. 5 (2014): 150–52. http://dx.doi.org/10.1308/rcsbull.2014.96.5.150.

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Handover is defined as ‘the transfer of professional responsibility and accountability for some or all aspects of care for a patient, or group of patients, to another person or professional group on a temporary or permanent basis’. 1 Following the introduction of the European Working Time Regulations (EWTR) in 2003, the number of hours for doctors in training reduced steadily to 48 hours per week from August 2009. 2 This has increased both the number of handovers required each day and the number of doctors involved in those handovers. It is therefore vital that accurate information is passed f
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Beuken, Juliëtte A., Daniëlle M. L. Verstegen, Diana H. J. M. Dolmans, et al. "Going the extra mile — cross-border patient handover in a European border region: qualitative study of healthcare professionals’ perspectives." BMJ Quality & Safety 29, no. 12 (2020): 980–87. http://dx.doi.org/10.1136/bmjqs-2019-010509.

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BackgroundCross-border healthcare is complex, increasingly frequent and causes potential risks for patient safety. In this context, cross-border handovers or the transfer of patients from one country to another deserves particular attention. Although general handover has been the topic of extensive research, little is known about the challenges of handover across national borders, especially as perceived by stakeholders. In this study, we aimed to gain insight into healthcare professionals’ perspectives on cross-border handover and ways to support this.MethodsWe conducted semistructured interv
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McFarlane, Ashley. "The impact of standardised perioperative handover protocols." Journal of Perioperative Practice 28, no. 10 (2018): 258–62. http://dx.doi.org/10.1177/1750458918775555.

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The handover of the care of patients is acknowledged as a vulnerable period in the perioperative patient journey, and handovers given within the perioperative environment present the risk of potentially harmful errors occurring. These errors can result from poor communication and inaccurate information transfer, and may be avoided through the implementation of standardised protocols. This article presents an in depth literature review and discussion allowing for the examination of best practice in the delivery of a handover within the perioperative environment, drawing clear conclusions and pr
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Lindridge, Jaqualine, Kevin Reynard, Rob Kemp, Richard Brownhill, and Jerry Penn-Ashman. "PP31 Ambulance handover: a thematic review of delays in 2018/19." Emergency Medicine Journal 37, no. 10 (2020): e14.2-e14. http://dx.doi.org/10.1136/emermed-2020-999abs.31.

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BackgroundAmbulance handover delays are an important indicator of an emergency care system under pressure. Delayed handovers compromise patient safety in the Emergency Department (ED). As a direct consequence patients wait longer for an emergency ambulance response, and as a result patient safety in the community is also compromised. We explored factors perceived to contribute to ambulance handover delays at EDs in an urban area of England, in order to inform delay reduction strategies.MethodsFifteen EDs were visited as part of a regional improvement programme. Ambulance handover processes wer
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Jithesh, V., Shakti Kumar Gupta, Parmeshwar Kumar, and Aarti Vij. "Who is More Hands on with Hand-offs? A Comparative Study of Clinical Handovers among Doctors and Nurses in a Tertiary Care Center in India." International Journal of Research Foundation of Hospital and Healthcare Administration 3, no. 1 (2015): 33–40. http://dx.doi.org/10.5005/jp-journals-10035-1034.

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ABSTRACT Background Standardized handovers have been known to improve outcome, reduce error and enhance communication. Few, if aany, comparative studies on clinical handovers have been conducted in the India. Objective To study clinical handover practices among nurses and doctors in a neurosciences center in India. Design and setting This descriptive and cross-sectional study was conducted over 4 months in a 200 bedded public sector tertiary care facility in New Delhi, India. Materials and methods The handover practices of nurses and resident doctors in a neurology ward were assessed across sh
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Sadideen, Hazim, Karim Hamaoui, Munir Saadeddin, Lucy Cogswell, Tim Goodacre, and Tony Jefferis. "Handover practice amongst core surgical trainees at the Oxford School of Surgery." Journal of Educational Evaluation for Health Professions 11 (February 28, 2014): 3. http://dx.doi.org/10.3352/jeehp.2014.11.3.

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Purpose: To date there are no United Kingdom (UK) studies specifically evaluating handovers amongst core surgical trainees (CSTs). The Oxford School of Surgery examined regional handover practice, aiming to assess and improve trainee perception of handover, its quality, and ultimately patient care. Methods: Based on two guidance documents ('Safe handover, safe patients' by the British Medical Association and 'Safe Surgical Practice' by the Royal College of Surgeons'), a 5-point Likert style questionnaire was designed, exploring handover practice, educational value, and satisfaction. This was g
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Fahim Yegane, Seyedeh Almas, Ali Shahrami, Hamid Reza Hatamabadi, and Seyed-Mostafa Hosseini-Zijoud. "Clinical Information Transfer between EMS Staff and Emergency Medicine Assistants during Handover of Trauma Patients." Prehospital and Disaster Medicine 32, no. 5 (2017): 541–47. http://dx.doi.org/10.1017/s1049023x17006562.

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AbstractIntroductionClinical handover by Emergency Medical Services (EMS) staff, as the first people who have contact with trauma patients, in the emergency department (ED), is very important. Therefore, effective communication to transfer clinical information about patients in a concise, rational, clear, and time-bound manner is essential. In Iran, the transfer of necessary information in clinical handover in EDs was carried out orally and without following standard instructions. This study aimed to audit the current clinical handover according to the Identify, Situation, Background, Assessme
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Zjadewicz, Karolina, Kirsten S. Deemer, Jennifer Coulthard, Christopher J. Doig, and Paul J. Boiteau. "Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review." American Journal of Medical Quality 33, no. 5 (2018): 540–48. http://dx.doi.org/10.1177/1062860618754701.

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The purpose is to provide a descriptive overview of relevant material exploring improvement of handovers from the operating room (OR) to intensive care unit (ICU). An online search (MEDLINE, Cochrane, EMBASE, CINAHL, and Joanna Briggs), including gray literature and relevant reference lists, was completed. In all, 4574 unique citations were screened and 155 full-text reviews performed; 65 articles were included in the final analysis. The majority of articles discuss an ideal structure for handover (n = 63; 97%); 43 (66%) articles mentioned strategies for implementing such an approach. Only 21
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Kerrigan, Lynne. "How to conduct an effective patient handover." Veterinary Nurse 11, no. 1 (2020): 4–7. http://dx.doi.org/10.12968/vetn.2020.11.1.4.

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Within a busy veterinary practice, it can feel at times as if there is simply no time to stop. There is always a set of test results ready, medication to be administered, clients to call and so on. However, taking the time to properly hand over details of your patients to the next staff member is vital in providing continuity of care. British Medical Association (BMA) et al (2005) suggested that handover of care is one of the most perilous procedures in healthcare; when carried out improperly this can be considered a major contributory factor to subsequent error and harm to patients. There is
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Yisa, Kabir, Roshelle Ramkisson, and Anoop Mohan. "Trust-wide improvement and standardisation of the medical handover." BJPsych Open 7, S1 (2021): S230. http://dx.doi.org/10.1192/bjo.2021.613.

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AimsPrimary: To improve the quality of medical handover by increasing trust-wide completion rate for agreed quality standards from baseline to 80% by July 2019To standardise the medical handover across all 5 boroughs within the trust by July 2019Secondary: To separately assess the completion rate for new patient checks in relation to baselineBackgroundNot only is there a recognised variation in the medical handover across Pennine care foundation trust's (PCFT) 5 boroughs (Tameside, Rochdale, Bury, Oldham and Stockport), but there also appears to be diminished adherence to quality standards to
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Holt, Nicholas, Kirsty Crowe, Daniel Lynagh, and Zoe Hutcheson. "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." BMJ Open 10, no. 2 (2020): e034468. http://dx.doi.org/10.1136/bmjopen-2019-034468.

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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 worksho
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Losfeld, Xavier, Laure Istas, Quentin Schoonvaere, Michel Vergnion, and Jochen Bergs. "Impact of a blended curriculum on nursing handover quality: a quality improvement project." BMJ Open Quality 10, no. 1 (2021): e001024. http://dx.doi.org/10.1136/bmjoq-2020-001024.

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Context and objectiveThe negative consequences of inadequate nursing handovers on patient safety are widely acknowledged, both within the literature as in practice. Evidence regarding strategies to improve nursing handover is, however, lacking. This study investigates the effect of a tailored, blended curriculum on nurses’ perception of handover quality.MethodsWe used a pre-test/post-test design within four units of a Belgian general hospital. Our educational intervention consisted of an e-learning module on professional communication and a face-to-face session on the use of a structured metho
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Manser, Tanja. "Fragmentation of patient safety research: a critical reflection of current human factors approaches to patient handover." Journal of Public Health Research 2, no. 3 (2013): 33. http://dx.doi.org/10.4081/jphr.2013.e33.

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The integration of human factors science in research and interventions aimed at increased patient safety has led to considerable improvements. However, some challenges to patient safety persist and may require human factors experts to critically reflect upon their predominant approaches to research and improvement. This paper is a call to start a discussion of these issues in the area of patient handover. Briefly reviewing recent handover research shows that while these studies have provided valuable insights into the communication practices for a range of handover situations, the predominant
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Breuer, Ryan K., Brad Taicher, David A. Turner, Ira M. Cheifetz, and Kyle J. Rehder. "Standardizing Postoperative PICU Handovers Improves Handover Metrics and Patient Outcomes." Pediatric Critical Care Medicine 16, no. 3 (2015): 256–63. http://dx.doi.org/10.1097/pcc.0000000000000343.

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Bhabra, Gevdeep, Samuel Mackeith, Pedro Monteiro, and David D. Pothier. "An Experimental Comparison of Handover Methods." Annals of The Royal College of Surgeons of England 89, no. 3 (2007): 298–300. http://dx.doi.org/10.1308/003588407x168352.

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INTRODUCTION With the increase in shift pattern work for junior doctors in the NHS, accurate handover of patient clinical information is of great importance. There is no published method that forms the gold standard of handover and there are large variations in practice. This study aims to compare the reliability of three different handover methods. PATIENTS AND METHODS We observed the handover of 12 simulated patients over five consecutive handover cycles between SHOs on a one-to-one basis. Three handover styles were used and a numerical scoring system assessed clinical information lost per h
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Nguyen, Nhut Minh, Xuan Thi Nhu Ha, and Katrina Einhellig. "NURSES’ COMPLIANCE ON PATIENT HANDOVER PROCESS IN THE PRE-OPERATIVE ROOM OF THE HOSPITAL IN VIETNAM." Belitung Nursing Journal 6, no. 5 (2020): 165–71. http://dx.doi.org/10.33546/bnj.1155.

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Background: Ineffective handover is considered a major factor that endangers patient safety in hospitals. Preparing and handing over patients before surgeries directly impact the outcome of the surgery. If errors occur, they could jeopardize the patient’s life.Objectives: To determine the level of nurses’ compliance during the pre-operative patient handover process at the anesthesia department. To examine nurses’ evaluation on using a pre-operative patient handover checklist.Methods: This was a descriptive observational study with a cross-sectional approach to examine 196 cases of handing over
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Shah, Aalap C., Daniel C. Oh, Anna H. Xue, John D. Lang, and Bala G. Nair. "An electronic handoff tool to facilitate transfer of care from anesthesia to nursing in intensive care units." Health Informatics Journal 25, no. 1 (2016): 3–16. http://dx.doi.org/10.1177/1460458216681180.

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Checklists are commonly used to structure the communication process between anesthesia nursing healthcare providers during the transfer of care, or handoff, of a patient after surgery. However, intraoperative information is often recalled from memory leading to omission of critical data or incomplete information exchange during the patient handoff. We describe the implementation of an electronic anesthesia information transfer tool (T2) for use in the handover of intubated patients to the intensive care unit. A pilot observational study auditing handovers against a pre-existing checklist was p
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Ashton, Catherine. "Improving weekend patient handover." BMJ Quality Improvement Reports 2, no. 2 (2013): u201303.w827. http://dx.doi.org/10.1136/bmjquality.u201303.w827.

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Roslan, Shahidah Binte, and Mei Ling Lim. "Nurses’ perceptions of bedside clinical handover in a medical-surgical unit: An interpretive descriptive study." Proceedings of Singapore Healthcare 26, no. 3 (2016): 150–57. http://dx.doi.org/10.1177/2010105816678423.

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Background: Clinical handover is the transfer of relevant and important information and responsibility for patient care from one healthcare provider to another. An effective clinical handover is determined by the transition of critical information and the continuity of quality care for the patient. In the inpatient settings, bedside clinical handover mainly occurs during shift changes (morning to afternoon shift, afternoon to night shift and night to morning shift). Bedside clinical handover can take place in a cohort room of up to six patients or a single-bedded room with only one patient. Va
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Faiz, Tahira, Bushra Saeed, Sadaqat Ali, Qalab Abbas, and Mahim Malik. "OR to ICU handoff: theory of change model for sustainable change in behavior." Asian Cardiovascular and Thoracic Annals 27, no. 6 (2019): 452–58. http://dx.doi.org/10.1177/0218492319850730.

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Background Handoff in cardiac intensive care units has been associated with improved outcomes. We aimed to determine whether a standardized protocol for handover could be implemented using the “theory of change” model by education, introduction of a checklist, and developing feedback mechanisms, measured by better knowledge transfer and bedside care provider satisfaction. Methods A theory of change model was developed and implemented to introduce a teamwork-driven handover process. A standardized checklist was made available at every bedside. A preintervention assessment of patient handovers w
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Rifai, Ahmad, Alfid Tri Afandi, and Asmaul Hasanah. "Bedside Nursing Handover: Patient’s Perspective." NurseLine Journal 4, no. 2 (2020): 123. http://dx.doi.org/10.19184/nlj.v4i2.15422.

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Bedside handover is one of nursing care activities which involve patient during nurse-patient interaction a side of patient’s bed between change shift. Patient may inquire all they want to know about their health condition, complaining and request for nursing care. However, the bedside handover often ineffectively run when a group of nurse hand in the nursing care plan for the following nurses shift. This study aimed to describe bedside handover activities based on patient’s perspective in inpatient ward at one military hospital at Jember. This research used a quantitative approach with a desc
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Alali, Hamza, Mohannad Antar, Ali AlShehri, Ousaima AlHamouieh, Khaled Al-Surimi, and Yasser Kazzaz. "Improving physician handover documentation process for patient transfer from paediatric intensive care unit to general ward." BMJ Open Quality 9, no. 4 (2020): e001020. http://dx.doi.org/10.1136/bmjoq-2020-001020.

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BackgroundInadequate handover communication is responsible for many adverse events during the transfer of care, which can be attributed to many factors, including incomplete documentation or lack of standardised documentation process. The quality improvement project aimed to standardise the handover documentation process during patient transfer from paediatric intensive care unit (PICU) to the general paediatric ward.MethodsData analysis revealed lack of proper handover documentation with the omission of vital information when transferring patients from PICU to general ward. The quality improv
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Ramasubbu, Benjamin, Emma Stewart, and Rosalba Spiritoso. "Introduction of the identification, situation, background, assessment, recommendations tool to improve the quality of information transfer during medical handover in intensive care." Journal of the Intensive Care Society 18, no. 1 (2016): 17–23. http://dx.doi.org/10.1177/1751143716660982.

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Objective To audit the quality and safety of the current doctor-to-doctor handover of patient information in our Cardiothoracic Intensive Care Unit. If deficient, to implement a validated handover tool to improve the quality of the handover process. Methods In Cycle 1 we observed the verbal handover and reviewed the written handover information transferred for 50 consecutive patients in St George’s Hospital Cardiothoracic Intensive Care Unit. For each patient’s handover, we assessed whether each section of the Identification, Situation, Background, Assessment, Recommendations tool was used on
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Režić, Slađana. "Nurse perception of nursing handover at the University Clinical Hospital in Zagreb." Croatian nursing journal 3, no. 1 (2019): 37–47. http://dx.doi.org/10.24141/2/3/1/3.

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Introduction. Nursing handover refers to communication occurring between two shifts of nurses with the specific purpose of handing over information about patients under the nurses’ care. Several styles of nursing handover exist, whereas in Croatia written handover is legally required. Aim. The aim of the study was to examine nurses’ perception of the nursing handover: whether nursing handover improves patient safety, whether the content of the handover influences the quality of nursing care and whether the handover is important for continuity of nursing care. The aim was also to determine how
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Lám, Judit, Heléna Safadi, Eszter Pitás, and Éva Belicza. "Ki mit tud? – A betegátadásról. Egy magyar és lengyel mintán végzett tudásfelmérés tapasztalatai." Orvosi Hetilap 160, no. 44 (2019): 1735–43. http://dx.doi.org/10.1556/650.2019.31534.

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Abstract: Introduction: The most common reason for the adverse events in healthcare is communication. Due to the development of health technologies and the increasing specialization of care, more and more healthcare professionals are involved in the treatment of patients, resulting in an increasingly important role and risk for patient handover. Aim: To present the current state of knowledge of patient handover through the results of an international project. Method: Self-developed, anonymous questionnaires with single and multiple choice questions were used to investigate handover knowledge a
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Reine, Elizabeth, Johan Ræder, Tanja Manser, Milada C. Småstuen, and Tone Rustoen. "Quality in Postoperative Patient Handover." Journal of Nursing Care Quality 34, no. 1 (2019): E1—E7. http://dx.doi.org/10.1097/ncq.0000000000000318.

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Manser, Tanja, and Steven K. Howard. "Healthcare Handover and Patient Safety." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 54, no. 12 (2010): 947–48. http://dx.doi.org/10.1177/154193121005401230.

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Martin, Rhys, Melanie Huddart, Cara Garbett, Wendell Storr, Olivia Watts, and Sanjeev Gupta. "Improving the Written Medical Handover." BMJ Open Quality 7, no. 1 (2018): e000278. http://dx.doi.org/10.1136/bmjoq-2017-000278.

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The handover of large numbers of medical patients, during on call periods when staffing levels are reduced, is a challenge for all acute medical services. At the Royal Cornwall Hospital, a large district general hospital, we identified that foundation doctors were reviewing medical inpatients during weekend on call periods with limited written handover information. We chose to address this problem by developing an intervention, a weekend handover sticker, and piloting it. We used the review of documentation to measure improvement and feedback from users to assess the processes involved. Use of
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