Transfer of Accountability: Transforming Shift Handover to Enhance Patient Safety

Alvarado, Kim; Lee, Ruth; Christoffersen, Emily; Fram, Nancy; Boblin, Sheryl; Poole, Nancy; Lucas, Janie; Forsyth, Shirley

doi:10.12927/hcq.2006.18464

Cited by 82 publications

(53 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Beginning in 2009, checklists have been adapted and used to improve patients' outcomes in other practice situations such as in interdisciplinary rounds and meetings, during shift handoff, and at discharge. [25][26][27][28][29] Researchers have documented that tools such as checklists can increase adherence to evidence-based practice guidelines, 30 so we considered adding a checklist to our therapeutic hypothermia bundle to support the safe, effective, and efficient implementation of the therapeutic hypothermia protocol.…”

Section: Recommendations For the Use Of Checklistsmentioning

confidence: 99%

Use of a Nursing Checklist to Facilitate Implementation of Therapeutic Hypothermia After Cardiac Arrest

Avery

O’Brien

Pierce

et al. 2015

Critical Care Nurse

View full text Add to dashboard Cite

I n the United States, 359 400 people experience an out-of-hospital cardiac arrest each year, and less than 9.5% of those people survive. 1 Out-of-hospital cardiac arrest continues to be associated with high mortality, and among those patients who do survive the initial cardiac arrest, two-thirds die as a result of neurological injury.2 Postresuscitation care is increasingly recognized as an integral component in improving the quality of survival and neurological outcomes. Although advances have been made in initial resuscitative efforts; anoxic neurological injury remains a major concern after return of spontaneous circulation (ROSC).2,3 Therapeutic hypothermia improves neurological outcomes after ROSC. Feature Therapeutic hypothermia has become a widely accepted intervention that is improving neurological outcomes following return of spontaneous circulation after cardiac arrest. This intervention is highly complex but infrequently used, and prompt implementation of the many steps involved, especially achieving the target body temperature, can be difficult. A checklist was introduced to guide nurses in implementing the therapeutic hypothermia protocol during the different phases of the intervention (initiation, maintenance, rewarming, and normothermia) in an intensive care unit. An interprofessional committee began by developing the protocol, a template for an order set, and a shivering algorithm. At first, implementation of the protocol was inconsistent, and a lack of clarity and urgency in managing patients during the different phases of the protocol was apparent.The nursing checklist has provided all of the intensive care nurses with an easy-to-follow reference to facilitate compliance with the required steps in the protocol for therapeutic hypothermia. Observations of practice and feedback from nursing staff in all units confirm the utility of the checklist. Use of the checklist has helped reduce the time from admission to the unit to reaching the target temperature and the time from admission to continuous electroencephalographic monitoring in the cardiac intensive care unit. Evaluation of patients' outcomes as related to compliance with the protocol interventions is ongoing. (Critical Care Nurse. 2015;35[1]:29-38) www.ccnonline.orgCriticalCareNurse that therapeutic hypothermia be used in comatose survivors following ROSC, challenges to implementation of therapeutic hypothermia in clinical practice remain. Therapeutic hypothermia is a complex but uncommon intervention, and because of this, prompt implementation of the many steps involved and quickly achieving the desired temperature goal can be difficult.

show abstract

Section: Recommendations For the Use Of Checklistsmentioning

confidence: 99%

Use of a Nursing Checklist to Facilitate Implementation of Therapeutic Hypothermia After Cardiac Arrest

Avery

O’Brien

Pierce

et al. 2015

Critical Care Nurse

View full text Add to dashboard Cite

show abstract

“…30,31 The casualization of clinical workforces 32 exacerbates problems such as handover from one shift to another. 33 Clinical supervision of junior staff 22 is less than perfect in many health facilities. External and internal quality monitoring procedures are deficient.…”

Section: Dimension Two: Types Of Harmmentioning

confidence: 99%

Beyond patient safety Flatland

Braithwaite

Coiera

2010

J R Soc Med

View full text Add to dashboard Cite

“…Alvarado et al 5 say the standard effective communication that is integrated with patient safety in Nursing hand over received patient and socialized thoroughly in nurses the executor of a will increase the effectiveness of and coordination. The effectiveness of can be increased by communicating important information raising continuity services for support patient safety.…”

Section: Introductionmentioning

confidence: 99%

Development of handover concept in ICU/ICCU IBNU sina yarsi Islamic hospital bukittinggi

Febrina¹,

Afiyanti²,

Nelwati³

2018

NCOAJ

View full text Add to dashboard Cite

Handover is professional responsibility diversion and accountability for some or all aspect of patients care or group of patients that can help to save patient. ICU/ICCU IbnuSinaYarsi Islamic Hospital Bukittinggi only have SPO draft, sohand over process and the factors that influencestill needed to in depth exploration to found various concepts that underlie hand over process. The purpose of this study is to develop patient handover concept. This research used qualitative method with grounded theory approach. This research has found a concept, which is "incompatibility in practice of patient handover effectively". From this study, hospital through nursing department should increase quality of nursing care especially patient safety related increase effectively communication through patient hand over activities and revise SPO draft based on the standards that should be applied in ICU and to authorized SPO of patient handover and socialized to the nurse.

show abstract

Transfer of Accountability: Transforming Shift Handover to Enhance Patient Safety

Cited by 82 publications

References 7 publications

Use of a Nursing Checklist to Facilitate Implementation of Therapeutic Hypothermia After Cardiac Arrest

Use of a Nursing Checklist to Facilitate Implementation of Therapeutic Hypothermia After Cardiac Arrest

Beyond patient safety Flatland

Development of handover concept in ICU/ICCU IBNU sina yarsi Islamic hospital bukittinggi

Contact Info

Product

Resources

About