Clinical handover within the emergency care pathway and the potential risks of clinical handover failure (ECHO): primary research

Abstract

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The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emergency care

“…The analysis identified a number of themes [42,48]. In this paper we focus on one of the themes that suggests that practitioners experience tensions inherent in the activity of handover.…”

“…The pathway for resuscitation patients is slightly different, and pathways may vary for different organisations. Full pathway descriptions are provided elsewhere [42]. **** Insert figure 1 **** **** Insert figure 2 ****…”

Managing competing organizational priorities in clinical handover across organizational boundaries

“…25 In this paper, the focus is on one of the themes that suggests that practitioners involved in handover need to manage competing organizational priorities through additional coordination effort and dynamic trade-offs. Exploring this theme, we set out below perceptions of staff on how (a) the management of patient flow and (b) the fulfilment of time-related performance targets, as examples of key organizational priorities, impact on handover, and the strategies staff adopt to manage such impact.…”

Learning from incidents in health care: Critique from a Safety-II perspective

“…One specific example is the study of handover in emergency care, where clinicians need to make many different trade-offs (Sujan et al, 2015c, Sujan et al, 2014. For example, when ambulances are queuing at the emergency department, ambulance crews might hand over their patient to another crew waiting in line in order to save time.…”