A description of handover processes in an Australian public hospital.

Handover of patient care has been an ongoing problem within the health care sector. The process remains highly variable and there is a threat to patient safety. Despite the general belief that handover transitions in patient care have become routine, not enough attention or research has been directed at improving this period of care. For this reason there is a need to provide an analysis of the communication processes during handover. A study was conducted of the handover process among doctors during shift changes within a hospital setting. The results suggested a need for process change. Results revealed a handover process which was unstructured, informal and error prone, with the majority of doctors noting that there was no standard or formal procedure for handover. The research found that the majority of hospital doctors recognised the potential benefits of formalising and computerising this process.

[1]  J COENEGRACHTS,et al.  [Diagnostic errors]. , 1952, Revue medicale de Liege.

[2]  Enid Mumford,et al.  Defining System Requirements to Meet Business Needs: A Case Study Example , 1985, Comput. J..

[3]  C Zinn,et al.  14000 preventable deaths in Australian hospitals , 1995, BMJ.

[4]  Roughton Vj,et al.  The junior doctor handover: current practices and future expectations. , 1996 .

[5]  L McKenna,et al.  Changing handover practices: one private hospital's experiences. , 1997, International journal of nursing practice.

[6]  James G. Anderson,et al.  Clearing the way for physicians' use of clinical information systems , 1997, CACM.

[7]  Dick Rs,et al.  The Computer-Based Patient Record: Revised Edition: An Essential Technology for Health Care , 1997 .

[8]  L G McKenna Improving the nursing handover report. , 1997, Professional nurse.

[9]  C. Miller Ensuring continuing care: styles and efficiency of the handover process. , 1998, The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation.

[10]  T. Brennan,et al.  Using a computerized sign-out program to improve continuity of inpatient care and prevent adverse events. , 1998, The Joint Commission journal on quality improvement.

[11]  Enrico W. Coiera,et al.  Communication behaviours in a hospital setting: an observational study , 1998, BMJ.

[12]  R. Kelly Goings-on in a CCU: an ethnomethodological account of things that go on in a routine hand-over. , 1999, Nursing in critical care.

[13]  D. Woods,et al.  Gaps in the continuity of care and progress on patient safety , 2000, BMJ : British Medical Journal.

[14]  Jennifer Hardy,et al.  Communication loads on clinical staff in the emergency department , 2002, The Medical journal of Australia.

[15]  M. Kerr A qualitative study of shift handover practice and function from a socio-technical perspective. , 2002, Journal of advanced nursing.

[16]  Emily S. Patterson,et al.  Repeating Human Performance Themes in Five Health Care Adverse Events , 2002 .

[17]  Christopher Beach,et al.  Profiles in patient safety: emergency care transitions. , 2003, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.