«HANDOVER» Kvalitet og sikkerhet knyttet til formidling av informasjon i overføringssituasjoner etter kirurgi. En prospektiv observasjonsstudie.
Year: 2015
Type: dissertation
Abstract: Background. Effective clinical handover ensures continuity of patient care. During the last\ndecade interventions to improve handover has increased. Current research has identified \nnumerous safety risks related to patient handovers after surgery. \nPurpose. Examine and analyze the handover challenges in a local setting, and document \ncurrent practice.\nMaterial and methods. Three qualitative semi structured focus group interview was \nconducted with 13 registered nurses to describe the current practice. Using a checklist \nincluding 23 items, the information transfer during 100 post-operative handovers was \ndocumented, and subsequently compared with patient medical records. \nResults. The focus group interviews indicate that sender and receiver often have different \nopinions about what items should be included in the verbal handover. In the observed \nhandover situations, two items were transferred in all cases, patient name and type of surgery. \nItems regarding the post-operative period was transferred in only 72 % of the handovers.\nItems rarely transmitted were plan for lines and drains, postop investigations, antibiotic \ntherapy, feeding plan, regular medication and patient's relatives.\nConclusions. This study demonstrates that current practice in post-operative handover is \nincomplete. A standardized handover appears useful to optimize the handover process.\nRelevance. Postoperative handover involves staff across professional group and skill sets,\neach with their own different yet important priorities of what information must be transferred.\nIncomplete information transfer may have a negative impact on patient safety. Before safety \nsolutions can be considered is it important to analyze the challenges in the local setting and\ncustomized the solutions to fit the specific context in which the handover takes place.
Source: BIBSYS Brage (BIBSYS (Norway))
Author: Barbro Meland
Language: Norwegian
Subfield: Leadership and Management
Field: Nursing
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2466629703