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Clinical Handover

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https://www.readbyqxmd.com/read/27908638/using-the-acmge-milestones-as-a-handover-tool-from-medical-school-to-surgery-residency
#1
Lauren M Wancata, Helen Morgan, Gurjit Sandhu, Sally Santen, David T Hughes
OBJECTIVE: To map current medical school assessments for graduating students to the Accreditation Council for Graduate Medical Education (ACGME) milestones in general surgery, and to pass forward individual performance metrics on level 1 milestones to receiving residency programs. DESIGN: The study included 20 senior medical students who were accepted into surgery internship positions. Data from medical school performance assessments from the third-year surgery clerkship, fourth-year surgery rotations, fourth-year surgery boot camp, Clinical Competency Assessment Examination, and United States Medical Licensing Examination (USMLE) Step 1 and 2 examinations were used to map each student's competency assessments to the General Surgery Milestones based on a scoring system created and validated by independent assessors...
November 28, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27874980/nurses-shift-reports-a-systematic-literature-search-and-critical-review-of-qualitative-field-studies
#2
REVIEW
Niels Buus, Bente Hoeck, Bridget Elizabeth Hamilton
AIMS AND OBJECTIVES: The aim was to identify reporting practices that feature in studies of nurses' shift reports across diverse nursing specialities. The objectives were to perform an exhaustive systematic literature search and to critically review the quality and findings of qualitative field studies of nurses' shift reports. BACKGROUND: Nurses' shift reports are routine occurrences in healthcare organisations that are viewed as crucial for patient outcomes, patient safety and continuity of care...
November 22, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27846127/nursing-clinical-handover-improvement-practices-among-acute-inpatients-in-a-tertiary-hospital-in-sydney-a-best-practice-implementation-project
#3
Craig Wainwright, Kylie M Wright
BACKGROUND: The nursing handover normally occurs at the beginning of a nurse's shift and is considered essential for continuity of care. Nursing handovers have the potential to communicate accurate information about a patient's condition, treatment and anticipated needs but also to be ineffective or even harmful if information is incomplete or omitted. The Australian Commission on Safety and Quality in Health Care has recognized clinical handover as a National Standard, thus reinforcing its importance...
October 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27832465/ethnographic-analysis-on-the-use-of-the-electronic-medical-record-for-clinical-handoff
#4
Philippa Nelson, Anthony J Bell, Larry Nathanson, Leon D Sanchez, Jonathan Fisher, Philip D Anderson
The objective of this study was to understand the social elements of clinical and organizational interactions of the key stakeholders in the specific context of an electronic dashboard used by the emergency department (ED) and inpatient medicine teams at the time of clinical referral and handover. An electronic handover function is utilised at the ED-inpatient interface at this institution and has given clinicians the ability to better communicate, monitor the department and strive to improve patient safety in streamline the delivery of care in the acute phase...
November 10, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27829453/measuring-the-operational-impact-of-digitized-hospital-records-a-mixed-methods-study
#5
Philip J Scott, Paul J Curley, Paul B Williams, Ian P Linehan, Steven H Shaha
BACKGROUND: Digitized (scanned) medical records have been seen as a means for hospitals to reduce costs and improve access to records. However, clinical usability of digitized records can potentially have negative effects on productivity. METHODS: Data were collected during follow-up outpatient consultations in two NHS hospitals by non-clinical observers using a work sampling approach in which pre-defined categories of clinician time usage were specified. Quantitative data was analysed using two-way ANOVA models and the Mann-Whitney U test...
November 10, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27821676/meta-analyses-of-the-effects-of-standardized-handoff-protocols-on-patient-provider-and-organizational-outcomes
#6
Joseph R Keebler, Elizabeth H Lazzara, Brady S Patzer, Evan M Palmer, John P Plummer, Dustin C Smith, Victoria Lew, Sarah Fouquet, Y Raymond Chan, Robert Riss
OBJECTIVE: The overall purpose was to understand the effects of handoff protocols using meta-analytic approaches. BACKGROUND: Standardized protocols have been required by the Joint Commission, but meta-analytic integration of handoff protocol research has not been conducted. METHOD: The primary outcomes investigated were handoff information passed during transitions of care, patient outcomes, provider outcomes, and organizational outcomes...
December 2016: Human Factors
https://www.readbyqxmd.com/read/27821016/the-functions-and-roles-of-questioning-during-nursing-handovers-in-specialty-settings-an-ethnographic-study
#7
Sascha Rixon, Sandra Braaf, Allison Williams, Danny Liew, Elizabeth Manias
BACKGROUND: Nursing handovers are an important component of patient safety and quality in communicating across transitions of care. OBJECTIVES: To determine the functions and roles of questions in nursing handovers, and of how questions contribute to handover quality improvement in specialty settings of an Australian tertiary hospital. DESIGN: An ethnographic research design was employed. METHODS: Participant observations were conducted, which were audiorecorded and transcribed...
November 7, 2016: Contemporary Nurse
https://www.readbyqxmd.com/read/27793165/surviving-critical-illness-what-is-next-an-expert-consensus-statement-on-physical-rehabilitation-after-hospital-discharge
#8
M E Major, R Kwakman, M E Kho, B Connolly, D McWilliams, L Denehy, S Hanekom, S Patman, R Gosselink, C Jones, F Nollet, D M Needham, R H H Engelbert, M van der Schaaf
BACKGROUND: The study objective was to obtain consensus on physical therapy (PT) in the rehabilitation of critical illness survivors after hospital discharge. Research questions were: what are PT goals, what are recommended measurement tools, and what constitutes an optimal PT intervention for survivors of critical illness? METHODS: A Delphi consensus study was conducted. Panelists were included based on relevant fields of expertise, years of clinical experience, and publication record...
October 29, 2016: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/27726973/frequency-of-vital-sign-assessment-and-clinical-deterioration-in-an-australian-emergency-department
#9
Katherine Lambe, Judy Currey, Julie Considine
BACKGROUND: Understanding of clinical deterioration of emergency department patients is rapidly evolving. The aim of this study was to investigate the frequency and nature of vital sign collection and clinical deterioration in emergency care. METHODS: A descriptive exploratory approach was used. Data were collected from the records of 200 randomly selected adults with presenting complaints of abdominal pain, shortness of breath, chest pain and febrile illness from 1 January to 31 December 2014 at a 22 bed emergency department in Melbourne, Australia...
October 7, 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27651898/improving-communication-between-phlebotomists-and-doctors-a-quality-improvement-project
#10
Emma Saunsbury, Gabrielle Howarth
Blood tests are a seemingly basic investigation, but are often a vital part of directing patient management. Despite the importance of this everyday process, we indentified the potential for improvement of the current phlebotomy service in our hospital, as both junior doctors and phlebotomists reported a lack of communication and standardised practice across the wards. Resulting delays in obtaining blood test results can impact detrimentally on patient safety and management. We designed a survey which highlighted inefficient handovers and discrepancies between wards as driving factors behind this...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/27614081/how-well-are-the-diagnosis-and-symptoms-of-dementia-recorded-in-older-patients-admitted-to-hospital
#11
George J E Crowther, Michael I Bennett, John D Holmes
INTRODUCTION: in the United Kingdom dementia is generally diagnosed by mental health services. General hospitals are managed by separate healthcare trusts and the handover of clinical information between organisations is potentially unreliable. Around 40% of older people admitted to hospital have dementia. This group have a high prevalence of psychological symptoms and delirium. If the dementia diagnosis or symptoms are not recognised, patients may suffer unnecessarily with resulting negative outcomes...
September 10, 2016: Age and Ageing
https://www.readbyqxmd.com/read/27577458/the-benefits-of-a-formative-evaluation-for-developing-a-highly-innovative-software-the-case-of-the-handoverehr
#12
Mareike Przysucha, Daniel Flemming, Ursula Hübner
Innovations are typically characterised by their relative newness for the user. In order for new eHealth applications to be accepted as innovations more criteria were proposed including "use" and "usability". The handoverEHR is a new approach that allows the user to translate the essentials of a clinical case into a graphical representation, the so-called cognitive map of the patient. This study aimed at testing the software usability. A convenience sample of 23 experienced nurses from different healthcare organisations across the country rated the usability of the handoverEHR after performing typical handover tasks...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27535457/operating-room-to-icu-patient-handovers-a-multidisciplinary-human-centered-design-approach
#13
Noa Segall, Alberto S Bonifacio, Atilio Barbeito, Rebecca A Schroeder, Sharon R Perfect, Melanie C Wright, James D Emery, B Zane Atkins, Jeffrey M Taekman, Jonathan B Mark
BACKGROUND: Patient handovers (handoffs) following surgery have often been characterized by poor teamwork, unclear procedures, unstructured processes, and distractions. A study was conducted to apply a human-centered approach to the redesign of operating room (OR)-to-ICU patient handovers in a broad surgical ICU (SICU) population. This approach entailed (1) the study of existing practices, (2) the redesign of the handover on the basis of the input of hand over participants and evidence in the medical literature, and (3) the study of the effects of this change on processes and communication...
September 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27522239/midwives-and-health-visitors-collaborative-relationships-a-systematic-review-of-qualitative-and-quantitative-studies
#14
REVIEW
Maria Raisa Jessica Ryc V Aquino, Ellinor K Olander, Justin J Needle, Rosamund M Bryar
OBJECTIVES: Interprofessional collaboration between midwives and health visitors working in maternal and child health services is widely encouraged. This systematic review aimed to identify existing and potential areas for collaboration between midwives and health visitors; explore the methods through which collaboration is and can be achieved; assess the effectiveness of this relationship between these groups, and ascertain whether the identified examples of collaboration are in line with clinical guidelines and policy...
October 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27512129/implementing-electronic-handover-interventions-to-improve-efficiency-safety-and-sustainability
#15
Sharifah Munirah Alhamid, Desmond Xue-Yuan Lee, Hei Man Wong, Matthew Bingfeng Chuah, Yu Jun Wong, Kaavya Narasimhalu, Thuan Tong Tan, Su Ying Low
PROBLEM: Effective handovers are critical for patient care and safety. Electronic handover tools are increasingly used today to provide an effective and standardized platform for information exchange. The implementation of an electronic handover system in tertiary hospitals can be a major challenge. Previous efforts in implementing an electronic handover tool failed due to poor compliance and buy-in from end-users. A new electronic handover tool was developed and incorporated into the existing electronic medical records (EMRs) for medical patients in Singapore General Hospital (SGH)...
August 10, 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27495148/improving-childhood-nutrition-and-wellness-in-south-africa-involving-mothers-caregivers-of-malnourished-or-hiv-positive-children-and-health-care-workers-as-co-designers-to-enhance-a-local-quality-improvement-intervention
#16
Claire van Deventer, Glenn Robert, Anne Wright
BACKGROUND: A significant proportion of children admitted to a hospital in a South African sub-district in 2010 were severely malnourished and - when concurrently HIV positive - were not correctly initiated on antiretroviral therapy. Audit data over a subsequent four year period revealed that 60 % of malnourished children admitted to the hospital were HIV positive. To supplement an ongoing local quality improvement (QI) intervention addressing poor nutritional outcomes in children in this setting, Experience-based Co-design (EBCD) was used to enhance previously low levels of mother, carer and staff engagement...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27494771/-staff-satisfaction-within-duty-hour-models-longitudinal-survey-on-suitability-and-legal-conformity-at-a-surgical-maximum-care-department
#17
C Langelotz, G Koplin, A Pascher, R Lohmann, A Köhler, J Pratschke, O Haase
Background: Between the conflicting requirements of clinic organisation, the European Working Time Directive, patient safety, an increasing lack of junior staff, and competitiveness, the development of ideal duty hour models is vital to ensure maximum quality of care within the legal requirements. To achieve this, it is useful to evaluate the actual effects of duty hour models on staff satisfaction. Materials and Methods: After the traditional 24-hour duty shift was given up in a surgical maximum care centre in 2007, an 18-hour duty shift was implemented, followed by a 12-hour shift in 2008, to improve handovers and reduce loss of information...
August 5, 2016: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/27465228/a-reduced-duty-hours-model-for-senior-internal-medicine-residents-a-qualitative-analysis-of-residents-experiences-and-perceptions
#18
Rebecca Mathew, Serena Gundy, Diana Ulic, Shariq Haider, Parveen Wasi
PURPOSE: To assess senior internal medicine residents' experience of the implementation of a reduced duty hours model with night float, the transition from the prior 26-hour call system, and the new model's effects on resident quality of life and perceived patient safety in the emergency department and clinical teaching unit at McMaster University. METHOD: Qualitative data were collected during May 2013-July 2014, through resident focus groups held prior to implementation of a reduced duty hours model and 10 to 12 months postimplementation...
September 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27460752/information-gaps-in-medication-communication-during-clinical-handover-calls-for-a-different-approach
#19
Bernice Redley
No abstract text is available yet for this article.
October 2016: Evidence-based Nursing
https://www.readbyqxmd.com/read/27453432/staff-perceptions-of-best-practice-for-information-transfer-about-multitrauma-patients-on-discharge-from-the-emergency-department-a-focus-group-study
#20
Pauline Calleja, Leanne Aitken, Marie Cooke
AIMS AND OBJECTIVES: To understand: (1) staff perceptions of best practice for information transfer for multitrauma patients on discharge from the emergency department; (2) what information should be conveyed at transfer and (3) how information is transferred. BACKGROUND: Information transfer for multitrauma patients is an integral factor for continuity of care, safety, quality assurance and patient outcomes; however, this has not been the focus of previous studies...
October 2016: Journal of Clinical Nursing
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