Case Study: Change In The Handover Process

Superior Essays
Change in the Handover Process
Communication between medical health professionals is the vital part to ensure safe, high quality and continuing care (Johnson et al, 2015). The process of conveying information from one person to another in the medical facility, whether it is hospital, clinic or nursing facility, has to be clear, detailed, and relevant. A descriptive comparative study in seven ICU’s of three different countries showed that the quality of care related to effective communication between care-providers, including handover communications (DeKeyser et al, 2014). Working in the nursing and rehabilitation center and encountering multiple ways and attitudes toward shift-change handoff report, the definite problem with the effectiveness of the reporting is observed.
Nurses, relaying on their experiences and the fact that most patients are long term, think that they do not need detailed handoff report. However, gaps in the information, which caused by omitting or missing information, leads to increase risk for errors, unnecessary delays in care, and poor documentation (Johnson et al, 2015). Moreover, most of the time,
…show more content…
Omitting and losing information during the handover reports impact effectiveness, quality and safety of patient care (DeKeyser et al, 2015). The coming nurse has to relay on the incomplete reports in hope that all that was in the report is true and his/her patients are in stable conditions. Nevertheless, worsening in the patients’ condition could come suddenly, and any change should be noticed and reported in order to prevent undesired outcomes. In addition, taking time actually look at patient could potentially prevent adverse events as falls because the nurse could assess if patient needs anything at that time and attend to the

Related Documents

  • Improved Essays

    Handoff Report Sample

    • 671 Words
    • 3 Pages

    The purpose of the article is clearly stated and correlates with the title of the article. The article clearly states that patient care communication within the hospital continues to be a major challenge. The problem has become so prevalent that patient handoffs are a Joint Commission national patient safety goal. The goal of the project was to improve the effectiveness of communication among caregivers when patients are transferred between…

    • 671 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Effective communication is necessary to report critical patient changes in a timely fashion in a clear succinct manner. Such communication may be nurse-to-physician, nurse to family, nurse-to-patient or nurse-to-nurse, as well as nurses to other members of the healthcare team. The development…

    • 317 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    This mixed descriptive case study was done to describe the structures, processes, and perception of the outcomes of bedside handover in nursing. This study included observation of 532 handovers and 34 nurse interviews. Two separate hospitals were used in this study. One hospital using team nursing and bedside handover had been used for over a year, the second hospital using a variety of nursing models and bedside handover just being implemented, just stopping verbal report in a separate staff room.…

    • 230 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    Bedside Shift Report

    • 2083 Words
    • 9 Pages

    BEDSIDE SHIFT REPORT: INCREASING PATIENT SAFETY AND SATISFACTION Aubree Sherbourne Kent State University Introduction Throughout this paper we are going to look at Bedside shift report, also known as BSSR. As nurses, it is important to look at patient safety, and satisfaction in depth, and what we can do to help increase these. In the following paragraphs BSSR will be looked at in several different ways.…

    • 2083 Words
    • 9 Pages
    Great Essays
  • Improved Essays

    Bedside Handoff Model

    • 1425 Words
    • 6 Pages

    some performed by the nurse in charge and some by the nurses caring for the patients. Some wards used a combination of a group handoff followed by individual handoffs. It was noted that these individual handoffs occurred in a wide range of areas including hallways, storage rooms, nurses’ stations, offices and other non-patient care areas (Kerr, Lu, McKinlay & Fuller 2011). These handoff practices also do not encompass the Joint…

    • 1425 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    1458). Many hospitals have implemented tools and processes to facilitate effective communication among caregivers, most especially, the nurses. One such tool is the use of SBAR (Situation, Background, Assessment, Recommendation), which serves as a snapshot or patient care summary that nurses use to report to the physician any change in the patient’s condition. The hand-off communication is also used as a “mechanism for transferring information, responsibility, and authority from one set of caregivers to another” (Patient Care Services, 2015, Definition, para. 1). Joint Commission Center for Transforming Health Care defined hand-off communication…

    • 746 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Bedside Report

    • 248 Words
    • 1 Pages

    The goal of this article is to establish the basis of safe handover between the off going nurse and on coming nurse along with the involvement of the patient and family. Bedside reporting has shown to increase patient engagement, education, responsibility and caregiver support. The nursing aspect of bedside reporting is considered an opportunity to improve communication and accountability between nurses, decrease medication errors and patient falls. A quasi-experimental pre- and post testing design was used to test the effectiveness of bedside reporting.…

    • 248 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Both studies focus on improving patient safety and communication. By working in the health care system, these two studies enhance one’s own practice. Zou & Zhang (2015) in study one describes the importance of nursing handoff and the importance of patient safety throughout this process. It is a time where the oncoming nurse is able to acquire necessary information and ask questions.…

    • 886 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Shadowing a variety of hospitalists gave me the opportunity to observe the broad spectrum of patient care. I witnessed firsthand the anguish and pain associated with the loss of a patient. I learned that while many diagnoses may be identical, no two patients are the same. Additionally I was introduced to an aspect of patient care that often remains unmentioned; the task of updating and completing patients’ medical records which may be a tedious, yet extremely vital aspect of patient care. Overall, my shadowing experiences solidified my decision to continue my journey of becoming a physician to treat patients in all aspects required in medical care.…

    • 106 Words
    • 1 Pages
    Improved Essays
  • Superior Essays

    Patient Handoff Case Study

    • 1088 Words
    • 4 Pages

    Background Information A literature review of patient handoff, and communication gaps of patient information during intrahospital patient transfers. The communication of complete and accurate patient information can be challenged, because of increasingly fast-paced and complex health care environments. Patient Handoff refers to, the process of transferring primary authority and responsibility for providing clinical care to a patient from one departing caregiver to one oncoming caregiver. Caregivers include attending physicians, resident physicians, physician assistants, nurse practitioners, registered nurses, and assistant care providers (Patterson, & Wears, 2010).…

    • 1088 Words
    • 4 Pages
    Superior Essays
  • Superior Essays

    Patient Care Handoffs Brooke Grider Indiana University Kokomo School of Nursing Patient Care Handoffs Scope of the Problem When working in health care there are many responsibilities that need to occur to ensure patients’ health, safety, and happiness. Many of these obligations include informing the patients, making them feel important, and taking precautions when regarding their safety. One major area of importance that has lead to a multitude of patient accidents and problems is what is called patient care handoffs. Patient care handoffs are defined as when “providers exchange information and transfer responsibility for and control over a patient at shift change or when moving the patient from one service or institution to another”…

    • 1446 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Fryer (2013) describes human factors as the key to optimal practice management of process and system design as it builds on the limitations and capabilities in the workforce. Human Factors can improve both staff and patient safety and also reduce the risk of harm (Pezzolesi et al, 2013). In the nursing profession the National Health Service (as cited in Fryer, 2013) stress that the design of human factors is particularly vital as the ‘caring’ profession is especially vulnerable to high, unsupervised workloads indirectly and directly related with the nurse’s scope of practice and role. This essay highlight the importance of adopting human factors principles and approach, particularly in clinical handover to continuously improve patient care and the healthcare system (Pezzolesi et al 2013). Healthcare Human Factors techniques are vital safety-critical environments.…

    • 507 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Bedside Shift Report Essay

    • 1268 Words
    • 6 Pages

    Bedside Shift Report The practice of shift report is where nurses hand over patient care and responsibility to the oncoming nurse. During this time proper communication of information is vital. Increased acuity amongst patients suggests the need for change in practices. Considering this increased acuity, providing patient centered care often becomes challenging for nurses.…

    • 1268 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Evaluation After initiating the implementation of the template, an evaluation process must follow. The implementation of a SBAR formatted; standardized template would most likely decrease the amount of time it takes to deliver patient handovers, while improving the quality of handovers delivered. Additionally, the template would assist nurses in highlighting pertinent information within their patient handovers, leading to the comprehensive handovers. Furthermore, the initiation of the standardized template will facilitate improvements in communication and teamwork among nurses, while providing a framework for the sharing of pertinent information. According to Wilson (2007), standardized templates for patient handovers not only serve as a facilitator…

    • 1929 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    After I reflect on my aim, I realised that it is too broad and I should just focus on improving the communication between the patients and the nurses using the bedside handover. I have also given a second thought about the alternative methods such as using whiteboard communication and Isobar handover system suggested by the ACSQHC (Australian Commission on Safety and Quality in Health Care, 2011; Wallis, Chaboyer, McMurray, Wallen, & Chang, 2008). However, these methods mainly improve the communications between the health professionals, not the patients. After exploring other strategies, bedside handover is still considered to be the best approach to rectify the miscommunication problem in SSU as it emphasizes on patient centred communications (W Chaboyer, McMurray, Wallis, & Chang, 2008). It indicates that I use the right solution for the right…

    • 1367 Words
    • 5 Pages
    Improved Essays