The Handover Toolbox: a knowledge exchange and training platform for improving patient care

Abstract

Background: Safe and effective patient handovers remain a global organisational and training challenge. Limited evidence supports available handover training programmes. Customisable training is a promising approach to improve the quality and sustainability of handover training and outcomes.Objective: We present a Handover Toolbox designed in the context of the European HANDOVER Project. The Toolbox aims to support physicians, nurses, individuals in health professions training, medical educators and handover experts by providing customised handover training tools for different clinical needs and contexts. Methods: The Handover Toolbox uses the Technology Enhanced Learning Design Process (TEL-DP), which encompasses user requirements analysis; writing personas; group concept mapping; analysis of suitable software; plus, minus, interesting rating; and usability testing. TEL-DP is aligned with participatory design approaches and ensures development occurs in close collaboration with, and engagement of, key stakeholders. Results: Application of TEL-DP confirmed that the ideal formats of handover training differs for practicing professionals versus individuals in health profession education programmes. Training experts from different countries differed in their views on the optimal content and delivery of training. Analysis of suitable software identified ready-to-use systems that provide required functionalities and can be further customised to users' needs. Interest rating and usability testing resulted in improved usability, navigation and uptake of the Handover Toolbox. Conclusions: The design of the Handover Toolbox was based on a carefully led stakeholder participatory design using the TEL-DP approach. The Toolbox supports a customisable learning approach that allows trainers to design training that addresses the specific information needs of the various target groups. We offer recommendations regarding the application of the Handover Toolbox to medical educators.

Perception of Patient Safety, Quality Improvement and Nursing Errors Issues among Undergraduate Nursing Students in Faculty of Nursing, Alexandria University, Egypt

“…Patient safety was defined by the IOM as -the prevention of harm to patients.‖ [ 1 ] Emphasis is placed on the system of care delivery that (1) prevents errors; (2) learns from the errors that do occur; and (3) is built on a culture of safety that involves health care professionals, organizations, and patients. [ [1][2][3][4][5][6][7][8][9][10] Measuring Safety Darker and colleagues (2011) [ 11 ] developed a framework for measuring patient safety in two categories. The first is valid rate-based measures that are readily available to answer the questions -How often do we harm patients?‖ and -How often do we provide the interventions the patient should receive?‖ (Darker, et al, 2011(Darker, et al, , p. 1603.…”

“…Identify the preferred methods to learn about these topics. 4. Add a piece of research to the literature and to help local nursing schools and hospitals in decision-making.…”

“…In addition, adverse events occur unintentional, but serious harm comes to patients during routine clinical practice or because of clinical decision. Approximately 50,000-100,000 patients die from medical, nursing errors annually in the USA [1][2][3][4]. Many countries in the world have already recognized that patient safety and prevention of harms is very important and are establishing approaches to improve the quality of care and ensure safe health services.…”

“…

Abstract: Approximately 50,000-100,000 patients die from medical and nursing errors annually in the USA [1][2][3][4]

…”

Service Learning for Empowering Tribal Peoples with Living Labs for Medical Education Reform in Taiwan

“…Living Labs are an experimentation environment aimed at shaping technology for real-life contexts; researchers have proposed this approach as especially well suited to ICT innovation for rural areas or for the elderly [1][2][3]. However, in most Living Labs, the traditional approach to research remains dominant in different stages of product development or service innovation, rather than actually including users in a co-creator approach [4].…”