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Showing results for tags 'Handover'.
Found 109 results
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Content ArticleFocusing mainly on good communication, one of the most important factors for safe and timely transfers of care, this guide, and the six step process at the heart of it, offers teams a practical improvement methodology that is proven to have worked well in many care settings.
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Content ArticleNHS Improvement have recommended that healthcare professionals should use SBAR ( Situation, Background, Assessment, Recomendation), a communication tool that was first used by military personel in the US. SBAR helps to provide a structure for an interaction that helps both the giver of the information and the receiver of it. It helps the giver by ensuring they have formulated their thinking before trying to communicate it to someone else. The receiver knows what to expect and it helps to ensure the giver of information is not interrupted by the receiver with questions that will be answered later on in the conversation.
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Content Article
Coroner's case of Maureen Brown
Claire Cox posted an article in Coroner reports
This coroner's case, by coroner Emma Serrano, describes the events that led up to Maureen Brown's death at University Hospital of Derby and Burton NHS Trust. Maureen had an inpatient fall and died from her injuries. Could this death been prevented? How can we ensure the voice of the carer/family is heard, documented and acted upon in clinical practice? -
Content ArticleReferrals to hospital are increasing as more people continue to live longer with a range of complex conditions. The Professional Records Standards Body (PRSB) recognise that good information sharing is integral to ensuring that patients can receive the ongoing care that they need. Currently there are differences between GP systems and GP practices in the clinical content of referrals, with multiple templates in use. The clinical referral information standard is designed to improve the exchange of referral information from GPs to hospital consultants and other health care professionals providing outpatient services.
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Content ArticleMiscommunications are a leading cause of serious medical errors. Communications are particularly vulnerable during handoffs. This study, published by The New England Journal of Medicine, examined the power of standardisation of processes to improve the reliability of the handoff. Testing a method called I-PASS, it engaged residents in a bundled set of activities that resulted in substantial error reductions without negative impact on their workflow.
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Content Article
Standard Operating Procedure for ICU/HDU Handover
Claire Cox posted an article in Transfers of care
This Standard Operating Procedure for ICU/HDU handover has been produced by the anaesthetic team at Brighton and Sussex Universoty Hospitals to aid a safe handover of care to the receiving team on the Intensive Care Unit/High Dependency Unit (ICU/HDU). This double sided document is used to prepare the patient for transfer and collate all necessary information ready for the receiving team. It also includes the process and a handy check list. The form can then be placed in the patient notes as documentation of the handover. Also attached is the South East Coast Critical Care Network Critical Care Intrahospital Transfer form. -
Content Article
Safe handover of a critically unwell patient to intensive care
Claire Cox posted an article in Techniques
Handing over a patient to a team in critical care needs to be clear, concise and safe. Quite often there are distractions from staff moving the patient, attaching monitoring, starting the ventilator, asking questions and general background noise. This can lead to important information being missed, not understood or misinterpreted which could lead to patient harm. -
Content ArticleKenny Ajayi, Imperial College Health Partners - Patient Safety Programme Director, presented at the recent Bevan Brittan Patient Safety Seminar. Attached are his presentation slides.
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Content ArticleThis report by the Healthcare Safety Investigation Branch (HSIB) has been published as part of a local pilot, which has been launched to evaluate HSIB’s ability to carry out effective investigations occurring between specific hospitals and trusts. After an evaluation, it will be decided whether this model can be implemented more widely by HSIB. On her admission to her local emergency department (ED) after a fall at her nursing home, Mrs E, a woman aged 93 with dementia, was booked into the ED with incorrect patient details, resulting in a new patient record being created. She was discharged that day but readmitted the next day after a second fall. She was booked into ED with the new patient record (which contained the incorrect patient details) and had an x-ray which confirmed she had a broken hip, subsequently being admitted to hospital for surgery. Mrs E had surgery the next day, during which the pathology department identified a problem with the accuracy of her patient identification information and following surgery her two sets of patient records were merged.
