Review: Bringing patient safety to the forefront through structured computerisation during clinical handover

Jenelle Matic, Patricia M Davidson, Yenna Salamonson

Research output: Contribution to journalArticle

Abstract

Aims and objectives: This review aims to examine critically, the methods and modes of delivery of handover used in contemporary health care settings and explore the feasibility of a computerised handover system for improving patient safety. Background: Clinicians play a critical role in promoting patient safety, and the handover ritual is recognised as important in exchanging information and planning patient care. Communication failures have been identified as an important cause of adverse incidents in hospitals. Design: Integrative literature review. Methods: Search of multiple electronic databases using terms: nursing handover, handoff, shift-to-shift reporting and change of shift report.Discussion. To date, the focus of research has primarily been on the vehicle of the handover, rather than the content and processes involved in ensuring the reliability and quality of clinical information. Employing a computerised handover system in the clinical arena has the potential to improve the quality and safety of clinical care. Conclusions: Whilst the handover performed from shift-to-shift is a valuable communication strategy, ambiguities and incomplete information can increase the risks of adverse events. Given the importance of effective communication, its key link to patient safety and the frequency of nursing handover, it is imperative that clinical handover undergo increased scrutiny, development and research. Relevance to clinical practice: This review underscores the challenge in clinical handover and recommends the use of technological solutions to improve communication strategies.

Original languageEnglish (US)
Pages (from-to)184-189
Number of pages6
JournalJournal of Clinical Nursing
Volume20
Issue number1-2
DOIs
StatePublished - Jan 2011
Externally publishedYes

Fingerprint

Patient Handoff
Patient Safety
Communication
Patient Care Planning
Ceremonial Behavior
Research
Databases
Delivery of Health Care
Safety

Keywords

  • Communication systems
  • Computerised
  • Nurses
  • Nursing
  • Patient safety
  • Shift handover

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Review : Bringing patient safety to the forefront through structured computerisation during clinical handover. / Matic, Jenelle; Davidson, Patricia M; Salamonson, Yenna.

In: Journal of Clinical Nursing, Vol. 20, No. 1-2, 01.2011, p. 184-189.

Research output: Contribution to journalArticle

@article{335dcb04b875420ea7a9284251bc2525,
title = "Review: Bringing patient safety to the forefront through structured computerisation during clinical handover",
abstract = "Aims and objectives: This review aims to examine critically, the methods and modes of delivery of handover used in contemporary health care settings and explore the feasibility of a computerised handover system for improving patient safety. Background: Clinicians play a critical role in promoting patient safety, and the handover ritual is recognised as important in exchanging information and planning patient care. Communication failures have been identified as an important cause of adverse incidents in hospitals. Design: Integrative literature review. Methods: Search of multiple electronic databases using terms: nursing handover, handoff, shift-to-shift reporting and change of shift report.Discussion. To date, the focus of research has primarily been on the vehicle of the handover, rather than the content and processes involved in ensuring the reliability and quality of clinical information. Employing a computerised handover system in the clinical arena has the potential to improve the quality and safety of clinical care. Conclusions: Whilst the handover performed from shift-to-shift is a valuable communication strategy, ambiguities and incomplete information can increase the risks of adverse events. Given the importance of effective communication, its key link to patient safety and the frequency of nursing handover, it is imperative that clinical handover undergo increased scrutiny, development and research. Relevance to clinical practice: This review underscores the challenge in clinical handover and recommends the use of technological solutions to improve communication strategies.",
keywords = "Communication systems, Computerised, Nurses, Nursing, Patient safety, Shift handover",
author = "Jenelle Matic and Davidson, {Patricia M} and Yenna Salamonson",
year = "2011",
month = "1",
doi = "10.1111/j.1365-2702.2010.03242.x",
language = "English (US)",
volume = "20",
pages = "184--189",
journal = "Journal of Clinical Nursing",
issn = "0962-1067",
publisher = "Wiley-Blackwell",
number = "1-2",

}

TY - JOUR

T1 - Review

T2 - Bringing patient safety to the forefront through structured computerisation during clinical handover

AU - Matic, Jenelle

AU - Davidson, Patricia M

AU - Salamonson, Yenna

PY - 2011/1

Y1 - 2011/1

N2 - Aims and objectives: This review aims to examine critically, the methods and modes of delivery of handover used in contemporary health care settings and explore the feasibility of a computerised handover system for improving patient safety. Background: Clinicians play a critical role in promoting patient safety, and the handover ritual is recognised as important in exchanging information and planning patient care. Communication failures have been identified as an important cause of adverse incidents in hospitals. Design: Integrative literature review. Methods: Search of multiple electronic databases using terms: nursing handover, handoff, shift-to-shift reporting and change of shift report.Discussion. To date, the focus of research has primarily been on the vehicle of the handover, rather than the content and processes involved in ensuring the reliability and quality of clinical information. Employing a computerised handover system in the clinical arena has the potential to improve the quality and safety of clinical care. Conclusions: Whilst the handover performed from shift-to-shift is a valuable communication strategy, ambiguities and incomplete information can increase the risks of adverse events. Given the importance of effective communication, its key link to patient safety and the frequency of nursing handover, it is imperative that clinical handover undergo increased scrutiny, development and research. Relevance to clinical practice: This review underscores the challenge in clinical handover and recommends the use of technological solutions to improve communication strategies.

AB - Aims and objectives: This review aims to examine critically, the methods and modes of delivery of handover used in contemporary health care settings and explore the feasibility of a computerised handover system for improving patient safety. Background: Clinicians play a critical role in promoting patient safety, and the handover ritual is recognised as important in exchanging information and planning patient care. Communication failures have been identified as an important cause of adverse incidents in hospitals. Design: Integrative literature review. Methods: Search of multiple electronic databases using terms: nursing handover, handoff, shift-to-shift reporting and change of shift report.Discussion. To date, the focus of research has primarily been on the vehicle of the handover, rather than the content and processes involved in ensuring the reliability and quality of clinical information. Employing a computerised handover system in the clinical arena has the potential to improve the quality and safety of clinical care. Conclusions: Whilst the handover performed from shift-to-shift is a valuable communication strategy, ambiguities and incomplete information can increase the risks of adverse events. Given the importance of effective communication, its key link to patient safety and the frequency of nursing handover, it is imperative that clinical handover undergo increased scrutiny, development and research. Relevance to clinical practice: This review underscores the challenge in clinical handover and recommends the use of technological solutions to improve communication strategies.

KW - Communication systems

KW - Computerised

KW - Nurses

KW - Nursing

KW - Patient safety

KW - Shift handover

UR - http://www.scopus.com/inward/record.url?scp=78650251839&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78650251839&partnerID=8YFLogxK

U2 - 10.1111/j.1365-2702.2010.03242.x

DO - 10.1111/j.1365-2702.2010.03242.x

M3 - Article

C2 - 20815861

AN - SCOPUS:78650251839

VL - 20

SP - 184

EP - 189

JO - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

IS - 1-2

ER -