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Clinical Handover

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https://www.readbyqxmd.com/read/29149634/patient-participation-in-nursing-bedside-handover-a-systematic-mixed-methods-review
#1
REVIEW
Georgia Tobiano, Tracey Bucknall, Ishtar Sladdin, Jennifer A Whitty, Wendy Chaboyer
BACKGROUND: Numerous reviews of nursing handover have been undertaken, but none have focused on the patients' role. OBJECTIVES: To explore how patient participation in nursing shift-to-shift bedside handover can be enacted. DESIGN: Systematic mixed- methods review. DATA SOURCES: Three search strategies were undertaken in July-August 2016: database searching, backwards citation searching and forward citation searching...
October 24, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29141622/am-i-getting-an-accurate-picture-a-tool-to-assess-clinical-handover-in-remote-settings
#2
Malcolm Moore, Chris Roberts, Jonathan Newbury, Jim Crossley
BACKGROUND: Good clinical handover is critical to safe medical care. Little research has investigated handover in rural settings. In a remote setting where nurses and medical students give telephone handover to an aeromedical retrieval service, we developed a tool by which the receiving clinician might assess the handover; and investigated factors impacting on the reliability and validity of that assessment. METHODS: Researchers consulted with clinicians to develop an assessment tool, based on the ISBAR handover framework, combining validity evidence and the existing literature...
November 15, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29132638/impact-of-an-integrated-electronic-handover-tool-on-pediatric-junior-medical-staff-jms-handover
#3
Daryl R Cheng, James Liddle, Emily Mailes, Mike South
BACKGROUND: Clinical medical handover between doctors forms a critical part of the patient care process. However, with the evolution of junior medical staff (JMS) working conditions, time pressure and increasing clinical and administrative loads mean that quality clinical handover is increasingly important yet more challenging to achieve. This study evaluated the impact of a newly integrated electronic handover tool on JMS adoption and usage of the tool, as well as impacts on the quality (accuracy and redundancy) of handover data, JMS perceived workflow (time management and communication) and JMS satisfaction...
December 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29126406/perceptions-of-the-2011-acgme-duty-hour-requirements-among-residents-in-all-core-programs-at-a-large-academic-medical-center
#4
Benjamin J Sandefur, Diana M Shewmaker, Christine M Lohse, Steven H Rose, James E Colletti
BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) implemented revisions to resident duty hour requirements (DHRs) in 2011 to improve patient safety and resident well-being. Perceptions of DHRs have been reported to vary by training stage and specialty among internal medicine and general surgery residents. The authors explored perceptions of DHRs among all residents at a large academic medical center. METHODS: The authors administered an anonymous cross-sectional survey about DHRs to residents enrolled in all ACGME-accredited core residency programs at their institution...
November 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29077598/the-key-to-improving-clinical-handover-practices
#5
Sandra Moss, Marion Mitchell, Angela Thomson, Monica Piskor, Cathy Biles, Veronica Casey
No abstract text is available yet for this article.
November 2017: Nursing Management
https://www.readbyqxmd.com/read/29075377/program-director-perceptions-of-proficiency-in-the-core-entrustable-professional-activities
#6
R Ellen Pearlman, Melissa Pawelczak, Andrew C Yacht, Salaahuddin Akbar, Gino A Farina
BACKGROUND : The Association of American Medical Colleges describes 13 core entrustable professional activities (EPAs) that every graduating medical student should be expected to perform proficiently on day 1 of residency, regardless of chosen specialty. Studies have shown wide variability in program director (PD) confidence in interns' abilities to perform these core EPAs. Little is known regarding comparison of United States Medical Licensing Examination (USMLE) scores with proficiency in EPAs...
October 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29063357/implementing-an-electronic-clinical-handover-system-in-a-university-teaching-hospital
#7
J J Coughlan, T Mross, F Gul, A Abbott, R Say, A Nawaz, C O'Brien, R Liston
INTRODUCTION: Clinical handover is defined as inter-clinician communication occurring at care interfaces. In this study, we analyse the clinical outcomes and physician attitudes associated with the implementation of a electronic clinical handover system in our medical department. AIM: The aim of this project was to introduce a reliable, standardised, reproducible method of communicating information regarding inpatients within our medical department. We also sought to assess the attitudes of physicians within our department to medical handover...
October 23, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29037889/optimising-the-emergency-to-ward-handover-process-a-mixed-methods-study
#8
Shannon Bakon, Tracey Millichamp
BACKGROUND: The effective handover of patient health data from the emergency department to other hospital units is integral for the continuity of patient care. Yet no handover process has been identified as superior to others within this context. METHODS: This study within a regional Australian hospital employed mixed methods approach including focus groups and key stakeholder consultation to develop a handover form appropriate for patient transfer from the emergency department to a variety of clinical areas...
October 13, 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/29036208/transitioning-couple-s-voluntary-hiv-counseling-and-testing-cvct-from-stand-alone-weekend-services-into-routine-antenatal-and-vct-services-in-government-clinics-in-zambia-s-two-largest-cities
#9
Mubiana Inambao, William Kilembe, Lauren A Canary, Nancy L Czaicki, Matilda Kakungu-Simpungwe, Roy Chavuma, Kristin M Wall, Amanda Tichacek, Julie Pulerwitz, Ibou Thior, Elwyn Chomba, Susan A Allen
INTRODUCTION: Most HIV infections in Africa are acquired by married/cohabiting adults and WHO recommends couple's voluntary HIV counseling and testing (CVCT) for prevention. The handover from NGO-sponsored weekend CVCT to government-sponsored services in routine weekday antenatal care (ANC) and individual voluntary testing and counseling (VCT) services in Zambia's two largest cities from 2009-2015 is described. METHODS: Government clinic counselors were trained to provide CVCT, and along with community health workers they promoted CVCT services in their clinic and surrounding areas...
2017: PloS One
https://www.readbyqxmd.com/read/29035967/pediatric-clinical-handover-a-best-practice-implementation-project
#10
Zhuowen Yu, Yuxia Zhang, Ying Gu, Xiaofeng Xu, Alexa McArthur
BACKGROUND: Communication of information between and among healthcare providers is an essential element of patient care. Poor clinical handover has been associated with inaccurate clinical assessment and diagnosis, delays in diagnosis, medication errors and decreased patient satisfaction. Effective and efficient transition of patient care information requires an evidence-based handover approach. OBJECTIVES: The aim of this evidence implementation project was to make a contribution to promote evidence-based practice in clinical handover in a pediatric setting and thereby enhance patient safety and service delivery...
October 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29025141/how-is-it-best-to-deliver-care-in-acute-medical-units-a-systematic-review
#11
L E M Reid, A J F Crookshanks, M C Jones, Z J Morrison, N I Lone, C J Weir
The majority of medical patients presenting to hospital in the UK are cared for in acute medical units (AMUs). Such units are also increasingly present internationally. Care delivery varies across units: this review aims to examine the evidence for how best to deliver AMU care.Six electronic databases and grey literature were searched. Inclusion criteria comprised interventions applied to undifferentiated patients in AMU settings. All studies were quality assessed. A narrative approach was undertaken.Nine studies, all conducted in the UK or Ireland, evaluated 1...
August 4, 2017: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/28953822/audit-on-the-quality-of-handovers-of-a-psychiatric-liaison-team-in-the-uk-a-short-report
#12
Trupti Koli, Maria Filippidou
BACKGROUND: The importance of handovers has been recognised and proven in clinical practice. In liaison psychiatry, this is particularly important due to the high turnover of patients seen, the shift work pattern and the number of member staff engaging in this process. An Audit on the Quality of Handovers was carried out within a Psychiatric Liaison team of a General hospital in UK with an intention to review and improve this. METHOD: Handovers were evaluated against the gold standard of the SBAR tool (Situation/Background/Assessment/Recommendations) over a period of 4 weeks...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28902681/early-warning-scores-to-predict-noncritical-events-overnight-in-hospitalized-medical-patients-a-prospective-case-cohort-study
#13
Jesse Bittman, Aman P Nijjar, Penny Tam, Nadia Khan
BACKGROUND: Physicians are often called to evaluate patients overnight with varying levels of clinical deterioration. Early warning scores predict critical clinical deterioration in patients; however, it is unknown whether they are able to reliably predict which patients will need to be seen overnight and whether these patients will require further resource use. METHODS: A prospective case cohort study of 522 patient nights in a single tertiary care hospital in Vancouver, British Columbia, Canada, was conducted to assess the ability of Modified Early Warning Score (MEWS) and National Early Warning Score (NEWS) to predict patients who will need to be seen overnight by physicians and will require other healthcare resources...
September 12, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28883183/cognitive-performance-of-users-is-affected-by-electronic-handovers-depending-on-role-task-and-human-factors
#14
Mareike Przysucha, Daniel Flemming, Georg Schulte, Ursula Hübner
Patient handovers are cognitively demanding, crucial for information continuity and patient safety, but error prone. This study investigated the effect of an electronic handover tool, i.e. the handoverEHR, on the memory and care planning performance of nurse students (n=32) in a randomised, controlled cross-over design with the factors handover task and handover role. On a descriptive level, handover recipients could improve their memory performance with electronic support, handover givers their performance of writing care plans...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28866790/weekend-surgical-handover-enhances-early-management-of-acute-clinical-changes-using-a-red-flag-system
#15
A White-Gibson, C Manole, D Kearney, D Kavanagh
INTRODUCTION: Recent implementation of the European Working Time Directive in Ireland has resulted in a change from thetraditional model of patient care to a system characterised by shift work among clinicians. Effective handover ofpatient information is essential for transfer of responsibility between clinicians and maintaining continuity of care. The weekend has been identified as a particularly vulnerable transition of patient care. AIMS AND METHODS: Our study aims to determine if implementing a formal face-to-face handover accompanied by an electronictemplate in our surgical department can improve the number of adverse events reported back to the primary teamafter a weekend on call...
September 2, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/28852789/a-multi-center-prospective-cohort-study-of-patient-transfers-from-the-intensive-care-unit-to-the-hospital-ward
#16
Henry T Stelfox, Jeanna Parsons Leigh, Peter M Dodek, Alexis F Turgeon, Alan J Forster, Francois Lamontagne, Rob A Fowler, Andrea Soo, Sean M Bagshaw
PURPOSE: To provide a 360-degree description of ICU-to-ward transfers. METHODS: Prospective cohort study of 451 adults transferred from a medical-surgical ICU to a hospital ward in 10 Canadian hospitals July 2014-January 2016. Transfer processes documented in the medical record. Patient (or delegate) and provider (ICU/ward physician/nurse) perspectives solicited by survey 24-72 h after transfer. RESULTS: Medical records (100%) and survey responses (ICU physicians-80%, ICU nurses-80%, ward physicians-46%, ward nurses-64%, patients-74%) were available for most transfers...
October 2017: Intensive Care Medicine
https://www.readbyqxmd.com/read/28806231/exploring-the-role-of-key-workers-in-cancer-care-patient-and-staff-perspectives
#17
Jonathan Ling, Karen McCabe, Sue Brent, Ann Crosland, Lyn Brierley-Jones
PURPOSE/AIMS: The key worker role in cancer services was established in England to improve the continuity of care for patients. We examined how the role has been implemented by clinical nurse specialists and how both cancer patients and nursing staff viewed its effectiveness to inform debate about the transfer of patients between clinical nurse specialists during cancer care. DESIGN: This study was questionnaire based, with separate surveys developed for patients and staff...
September 2017: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/28780540/the-postoperative-handover-a-focus-group-interview-study-with-nurse-anaesthetists-anaesthesiologists-and-pacu-nurses
#18
Maria Randmaa, Maria Engström, Christine Leo Swenne, Gunilla Mårtensson
OBJECTIVES: To investigate different professionals' (nurse anaesthetists', anaesthesiologists', and postanaesthesia care unit nurses') descriptions of and reflections on the postoperative handover. DESIGN: A focus group interview study with a descriptive design using qualitative content analysis of transcripts. SETTING: One anaesthetic clinic at two hospitals in Sweden. PARTICIPANTS: Six focus groups with 23 healthcare professionals involved in postoperative handovers...
August 4, 2017: BMJ Open
https://www.readbyqxmd.com/read/28763359/more-than-a-tick-box-medical-checklist-development-design-and-use
#19
Barbara K Burian, Anna Clebone, Key Dismukes, Keith J Ruskin
Despite improving patient safety in some perioperative settings, some checklists are not living up to their potential and complaints of "checklist fatigue" and outright rejection of checklists are growing. Problems reported often concern human factors: poor design, inadequate introduction and training, duplication with other safety checks, poor integration with existing workflow, and cultural barriers. Each medical setting-such as an operating room or a critical care unit-and different clinical needs-such as a shift handover or critical event response-require a different checklist design...
July 28, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28759162/nurses-perceived-barriers-to-bedside-handover-and-their-implication-for-clinical-practice
#20
Georgia Tobiano, Jennifer A Whitty, Tracey Bucknall, Wendy Chaboyer
BACKGROUND AND RATIONALE: Bedside handover during the change of shift allows nurses to visualize patients and facilitate patient participation, both purported to improve patient safety. But, bedside handover does not always occur and when it does, it may not involve the patient. AIM: To explore and understand barriers nurses perceive in undertaking bedside handover. METHODS: A cross-sectional survey was administered to 200 nurses working on medical wards, recruited from two Australian hospitals, one private and one public...
July 31, 2017: Worldviews on Evidence-based Nursing
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