Interventions employed to improve intrahospital handover: a systematic review

Robertson, Eleanor; Morgan, Lauren; Bird, Sarah; Catchpole, Ken; McCulloch, Peter

doi:10.1136/bmjqs-2013-002309

Cited by 73 publications

(74 citation statements)

References 48 publications

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“…Clinicians hand off to each other through formal processes [23]. However these processes are not formalized or accounted for to support informal caregivers during a hospital stay.…”

Section: Resultsmentioning

confidence: 99%

Partners in Care

Miller

Mishra

Kendall

et al. 2016

Proceedings of the 19th ACM Conference on Computer-Supported Cooperative Work &Amp; Social Computing

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Informal caregivers, such as close friends and family, play an important role in a hospital patient’s care. Although CSCW researchers have shown the potential for social computing technologies to help patients and their caregivers manage chronic conditions and support health behavior change, few studies focus on caregivers’ role during a multi-day hospital stay. To explore this space, we conducted an interview and observation study of patients and caregivers in the inpatient setting. In this paper, we describe how caregivers and patients coordinate and collaborate to manage patients’ care and wellbeing during a hospital stay. We define and describe five roles caregivers adopt: companion, assistant, representative, navigator, and planner, and show how patients and caregivers negotiate these roles and responsibilities throughout a hospital stay. Finally, we identify key design considerations for technology to support patients and caregivers during a hospital stay.

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“…Clinicians hand off to each other through formal processes [23]. However these processes are not formalized or accounted for to support informal caregivers during a hospital stay.…”

Section: Resultsmentioning

confidence: 99%

Partners in Care

Miller

Mishra

Kendall

et al. 2016

Proceedings of the 19th ACM Conference on Computer-Supported Cooperative Work &Amp; Social Computing

View full text Add to dashboard Cite

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“…Further, coordination across services is one of the major challenges to health care [7]. Improving the information transference is the principal means of reducing the risk of adverse events in clinical handovers and ensuring continuity and coordination of care [5, 6, 8–10]. Mental health care is often provided by various primary health and social services, in combination with periods of specialised mental health care [11].…”

Section: Introductionmentioning

confidence: 99%

Quality indicators for the referral process from primary to specialised mental health care: an explorative study in accordance with the RAND appropriateness method

Hartveit

Vanhaecht

Thorsen

et al. 2017

BMC Health Serv Res

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BackgroundCommunication between involved parties is essential to ensure coordinated and safe health care delivery. However, existing literature reveals that the information relayed in the referral process is seen as insufficient by the receivers. It is unknown how this insufficiency affects the quality of care, and valid performance measures to explore it are lacking. The aim of the present study was to develop quality indicators to detect the impact that the quality of referral letters from primary care to specialised mental health care has on the quality of mental health services.MethodsUsing a modified version of the RAND/UCLA appropriateness method, a systematic literature review and focus group interviews were conducted to define quality indicators for mental health care expected to be affected by the quality of referral information. Focus group participants included psychiatrists, psychologists, general practitioners, patient representatives and managers. The existing evidence and suggested indicators were presented to expert panels, who assessed the indicators by their validity, reliability, sensitivity and feasibility.ResultsSixteen preliminary indicators emerged during the focus group interviews and literature review. The expert panels recommended four of the 16 indicators. The recommended indicators measure a) timely access, b) delay in the process of assessing the referral, c) delay in the onset of care and d) the appropriateness of the referral. Adjustment was necessary for five other indicators, and seven indicators were rejected because of expected confounding factors reducing their validity and sensitivity.ConclusionsThe quality of information relayed in the referral process from primary care to specialised mental health care is expected to affect a wide range of dimensions defining high quality care. The expected importance of the referral process for ensuring ‘timely access’-one of the six aims of high-quality health care defined by the Institute of Medicine-is highlighted. Exploring the underlying mechanisms for the potential impact of referral information on patient outcomes is recommended to enhance quality of care.Trial registrationClinicalTrials.gov: NCT01374035 (28 April 2011).

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“…Particular problems for future research include (a) the impact of production pressure 4 on teamwork and team performance in short-lived teams, (b) the effectiveness of leadership practices to prevent or compensate negative effects such as substandard workarounds or violations, 64 (c) how distractions and interruptions resulting from the dynamic perioperative work setting interact with team effectiveness and patient outcomes, (d) how team leaders and members can best address these distractions, 37,65 and (e) which handover techniques are most effective to improve patient outcomes. 66 …”

Section: Routine Anesthesia Induction No Eventsmentioning

confidence: 97%

Leadership and teamwork in anesthesia – Making use of human factors to improve clinical performance

Wacker

Kolbe

2014

Trends in Anaesthesia and Critical Care

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s u m m a r yIntuitively and empirically, leadership and teamwork are essential for team performance, patient safety, and patient outcomes in anesthesia and perioperative care. Team members have different needs and priorities during dynamically changing perioperative conditions. Team leaders may require recommendations on leadership practices to ensure patient safety while maintaining efficient work flow. Current research supports the concept that little explicit leadership is usually required during standardized routine work, but active and even directive leadership is important in unexpected, novel or stressful situations. Inviting and appreciating speaking up behaviour may further improve team performance. Team training and simulation methods can enhance teamwork and leadership behaviour. Future research will hopefully fill persisting knowledge gaps.

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Interventions employed to improve intrahospital handover: a systematic review

Abstract: The current literature does not confirm that any methodology reliably improves the outcomes of clinical handover, although information transfer may be increased. Better study designs and consistency of the terminology used to describe handover and its improvement are urgently required.

Cited by 73 publications

References 48 publications

Partners in Care

Partners in Care

Quality indicators for the referral process from primary to specialised mental health care: an explorative study in accordance with the RAND appropriateness method

Leadership and teamwork in anesthesia – Making use of human factors to improve clinical performance

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