Search the hub
Showing results for tags 'Handover'.
-
Content Article
Research shows that poor handover in hospitals puts patients at risk of severe harm
Anonymous posted an article in Handover
Research undertaken by digital health platform, CAREFUL shows that handover in hospitals is the cause of frequent and severe harm to patients.- Posted
-
- Handover
- Patient harmed
- (and 12 more)
-
Content ArticleIn this chapter, from the book 'Resilient Health Care, Volume 2: The Resilience of Everyday Clinical Work', Sujan et al. explore tensions and dynamic trade-offs through an example from our research on the safety of handover across care boundaries in emergency care. The authors describe the case study and then discuss the key theoretical concepts and their relationship to Resilience Engineering. It concludes the chapter with implications for research and for practice.
- Posted
-
- Emergency medicine
- Handover
-
(and 1 more)
Tagged with:
-
Content ArticleAmbulance services in England are under immense pressure. In July 2022, all ambulance services in England declared REAP (Resource Escalation Action Plan) level four, reflecting potential service failure. Volumes of calls to 999 are increasing, patients in distress and pain are waiting longer for help to reach them, and ambulance teams feel unable to do their job well. The new Secretary of State for Health and Social Care has previously named cutting ambulance waits as his number one priority. As he takes up the role for the second time, he will again need to include ambulances in his list of priorities for the health and care system. Steps taken to date to help address the underlying issues have not yet had an impact on the pressures facing ambulance services. This analysis from The Health Foundation looks at ambulance service performance and explores the contributing factors and priorities for improvement.
- Posted
-
- Ambulance
- Emergency medicine
- (and 6 more)
-
Content ArticleThis investigation by the Healthcare Safety Investigation Branch (HSIB) explores issues around patient handover to emergency care. Patients who wait in ambulances at an emergency department are at potential risk of coming to harm due to deterioration or not being able to access timely and appropriate treatment. This is the second interim bulletin published as part of this investigation, and findings so far emphasise that an effective response should consider the interactions of the whole system: an end-to-end approach that does not just focus on one area of healthcare and prioritises patient safety. The reference event in this investigation involves a patient who was found unconscious at home and taken to hospital by ambulance. They were then held in the ambulance at the emergency department for 3 hours and 20 minutes and during this time their condition did not improve. The patient was taken directly to the intensive care unit where they remained for nine days before being transferred to a specialist centre for further treatment.
-
Content ArticleThe Healthcare Safety Investigation Branch's (HSIB's) local investigation pilot aimed to evaluate the organisation's ability to carry out effective locality-based patient safety investigations with actions aimed at specific NHS organisations, while still identifying and sharing relevant national learning. It differs from HSIB's usual national investigations, which make safety recommendations to organisations that can make changes at a national level across the NHS in England. The pilot published three investigations focused on cross boundary and multi-agency safety events: Investigation 1: incorrect patient identification Investigation 2: incorrect patient details on handover Investigation 3: transfer of a patient with a stroke to emergency care The report summarises how the HSIB local investigation pilot was undertaken, and shares findings applicable to local healthcare systems including healthcare organisations and Integrated Care Systems.
- Posted
-
- Investigation
- Innovation
- (and 6 more)
-
Content ArticleThis Nuffield Trust Quality Watch blog from Sophie Flinders and Sarah Scobie takes a closer look at the rising number of patients facing delays in leaving hospital – and explores the reasons for why it’s happening.
- Posted
-
- Discharge
- Long waiting list
- (and 7 more)
-
Content ArticleOn 23 September, Improvement Cymru, the all-Wales Improvement service for NHS Wales, hosted an online session with colleagues from Holland to talk about patient flow in hospital.
- Posted
-
- Patient
- Hospital ward
- (and 6 more)
-
Content ArticleDue to the concerns around ambulance waiting times, the Healthcare Inspectorate Wales undertook a local review of the Welsh Ambulance Service Trust (WAST). The review explored how the risks to patients’ health, safety and wellbeing are managed whilst they are waiting for an ambulance. It assessed how patients are being managed by WAST’s three Clinical Contact Centres across Wales, from when a request for an ambulance is received to the point the ambulance arrives at the scene.
- Posted
-
- Ambulance
- Lack of resources
-
(and 3 more)
Tagged with:
-
Content ArticleAs caseloads soar and new challenges related to the coronavirus keep emerging, efficiently sharing key information is crucial. Use the tips below to learn (or review) five ways to make safety huddles more effective.
- Posted
-
- Handover
- Quality improvement
-
(and 1 more)
Tagged with:
-
Content Article
Ambulance handover to emergency care standard V1.0
Claire Cox posted an article in Handover
Emergency care needs fast, effective sharing of information. When clinicians have access to the information they need, they can better ensure safe and high-quality care for patients. To facilitate this, the Professional Record Standards Body (PRSB) has developed a standard for the information that is shared when care is transferred from ambulances to emergency departments. Once implemented, the standard for handover will improve continuity of care, as emergency care will have the information they need available to them on a timely basis. Whichever ambulance service brings the patient to the hospital, there will be a consistent set of information available to the emergency department. It means that patient safety will be improved, because emergency care professionals will know what medications have been administered, what diagnostic tests have been done, whether the patient has any allergies and other important information. Sharing clinical information with emergency care will also support professionals in arranging patient discharge and preventing unnecessary admissions.- Posted
-
- Accident and Emergency
- Emergency medicine
- (and 4 more)
-
Content ArticleThis paper, published by BMJ Quality & Safety, argues that discharge handovers are often haphazard. Healthcare professionals do not consider current handover practices safe, with patients expected to transfer information without being empowered to understand and act on it. This can lead to misinformation, omission or duplication of tests or interventions and, potentially, patient harm. Vulnerable patients may be at greater risk given their limited language, cognitive and social resources. Patient safety at discharge could benefit from strategies to enhance patient education and promote empowerment.
- Posted
-
- Learning disabilities
- Mental health
- (and 3 more)
-
Content ArticleThis study, published in US journal Chest, looks at the case of a patient who experienced severe hypoglycemia due to an infusion of a higher-than-ordered insulin dose. The event could have been prevented if the insulin syringe pump was checked during the nursing shift handoff. Risk management exploration included direct observations of nursing shift handoffs, which highlighted common deficiencies in the process. This led to the development and implementation of a handoff protocol and the incorporation of handoff training into a simulation-based teamwork and communication workshop.
- Posted
-
- Handover
- Communication
-
(and 2 more)
Tagged with:
-
Content Article
WHO: Communication during patient handovers (May 2007)
PatientSafetyLearning Team posted an article in Processes
This is a patient safety solution document from the World Health Organization, focusing on communication during handover. It includes suggested actions, potential barriers and also ways to engage patients and families.- Posted
-
- Communication
- Handover
-
(and 1 more)
Tagged with:
-
Content ArticleChildren presenting to district general hospitals with critical illness may need transfer to a Paediatric Intensive Care Unit (PICU) by a specialist retrieval team. Learning from these PICU transfers would help local hospitals identify areas for improvement to enhance patient safety and clinical care. Local hospital paediatricians often rely on updates from their retrieval service for information about their patients transferred to PICU.
- Posted
-
- Transfer of care
- Paediatrics
- (and 3 more)
-
Content ArticleTransport of patients from the intensive care unit (ICU) to another area of the hospital can pose serious risks if the patient has not been assessed prior to transport. The Department of Critical Care Medicine, Calgary Health Region, experienced two adverse events during transport. A subgroup of the Department's Patient Safety and Adverse Events team developed an ICU patient transport decision scorecard. This tool was tested through Plan-Do-Study-Act cycles and further revised using human factors principles. Staff, especially novice nurses, found the tool extremely useful in determining patient preparedness for transport.
- Posted
-
- Transfer of care
- Ambulance
- (and 4 more)
-
Content ArticleHomeLink Healthcare (HLHC) has been providing clinical care in the home with Norfolk and Norwich University Hospitals NHS Foundation Trust (NNUHT) since January 2019, to release in-patient bed capacity and improve patient choice. The two organisations have co-created the service, NNUH at Home, creating additional capacity and promoting improvements in patient flow from hospital to home. A key feature of NNUH at Home is that it compliments and integrates with existing services, rather than replicating those already in place.
- Posted
-
- Care home
- Hospital ward
- (and 4 more)
-
Content Article
Royal Pharmaceutical Society: Ward round checklist example
Claire Cox posted an article in Handover
Ward rounds happen each day with your clinical team. In order for them to standardise the way they are conducted East Lancashire Hospital NHS Trust has designed a ward round check list, this is to ensure that everyone gets the same safety checks and important discussions are had for every patient.- Posted
-
- Handover
- Care record
-
(and 3 more)
Tagged with:
-
Content Article
BMJ: Safe handover (October 2017)
PatientSafetyLearning Team posted an article in Research papers
High quality handovers are essential for safe healthcare and are used in many clinical situations. Miscommunication during handovers can lead to unnecessary diagnostic delays, patients not receiving required treatment, and medication errors. Miscommunication is one of the leading causes for adverse events resulting in death or serious injury to patients. The process of handovers can be improved, and the aim of this article is to provide practical guidance for clinicians on how to do this better.- Posted
-
- Handover
- Communication
-
(and 3 more)
Tagged with:
-
Content Article
What it feels like working with unsafe staffing
Anonymous posted an article in Florence in the Machine
This blog has been written by a healthcare worker and demonstrates the reality of what it is like caring for patients and families while being chronically low on staff. They describe the impact this has on staff morale and the impact it has on patients, patients family members and the relationship between staff and patients.- Posted
- 2 comments
-
- Safe staffing
- Nurse
- (and 15 more)
-
Content Article
Leicester Royal Infirmary NHS Trust: SBAR in action!
Claire Cox posted an article in Handover
Pro Mukherjee, Emergency Department Consultant at Leicester Royal Infirmary, briefly defines the SBAR terms and explains how healthcare practitioners can use it to communicate effectively within the emergency department.- Posted
-
- Accident and Emergency
- Handover
-
(and 1 more)
Tagged with:
-
Content ArticleThe Care 24/7 team at Oxford University Hospitals NHS Foundation Trust has been investigating ways of providing integrated, seamless care to patients across all their hospital sites. One of the priorities identified by the team has been the formalisation of the clinical handover process between teams and shifts, but what does this formalisation process involve? How can it make care more consistent and safe? What does it involve for staff? Central to the successful change to clinical handover is the use of a standardised clinical communication tool (SBAR) but how does it work, what benefits can a standardised clinical communication tool bring to staff and the handover process? Formalising the handover process, using clinical communication tools, seems to bring benefit to both staff and patients, but what are the changes like and what impact do they have on staff? Can formalisation empower staff and ensure that their concerns are heard?
- Posted
-
- Handover
- Transfer of care
-
(and 1 more)
Tagged with:
-
Content Article
Matthew's Story
Claire Cox posted an article in Handover
Matthew’s story provides a compelling case for improving ambulance handover times, and for changing the behaviours and cultures that contribute to unnecessary waits for patients. -
Content Article
Development of the ‘Safety Huddle’ in the community setting
Claire Cox posted an article in Nursing
Jane Hulme, District Nurse Team Leader, Jenny Hurst, Deputy Nursing Director, and Debbie Caulfield, Caseload Holder from Liverpool Community Health (LCH), explain how they initiated a safety huddle in a community setting.- Posted
-
- Community care facility
- Handover
-
(and 1 more)
Tagged with:
-
Content ArticleDischarge summaries help to maintain safe care as patients move from the hospital to the community setting and help to make sure the right information is exchanged to make care safe. The information needs to be easy to find and digest. The Professional Record Standards Body (PRSB) has helped to produce a set of standards that makes it easy to complete a discharge summary containing the right information that can then easily be found by the GP to ensure all the right things are then picked up.
-
Content ArticleThis framework from NHS Improvement provides a structure for maternity units to create and develop their own approach to effectively communicating clinical data and transferring key safety information. It is intended as a good practice guide for healthcare professionals involved in the care of pregnant women and their infants, regardless of the nature of the unit they work in or whether it is in the community or a hospital. It recognises that each unit will have its own culture and ways of working.