Educational interventions to improve handover in health care: A systematic review

Medical Education

Volumn 45, Issue 11, 2011, Pages 1081-1089

  Gordon, Morris ^a,b   Findley, Rebecca ^b  

^a UNIVERSITY OF SALFORD   (United Kingdom)

^b ROYAL MANCHESTER CHILDREN S HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

EDUCATION; HEALTH CARE DELIVERY; HUMAN; INTERPERSONAL COMMUNICATION; MEDICAL ERROR; MEDICAL STAFF; NURSING STAFF; REVIEW; SAFETY; STANDARD;

COMMUNICATION; DELIVERY OF HEALTH CARE; HUMANS; MEDICAL ERRORS; MEDICAL STAFF; NURSING STAFF; SAFETY;

EID: 80054048074     PISSN: 03080110     EISSN: 13652923     Source Type: Journal    
DOI: 10.1111/j.1365-2923.2011.04049.x     Document Type: Review

References (53)

1. Lardner R. Effective Shift Handover. London: Health & Safety Executive 1996.
2. Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qual Saf Health Care 2009;18:261-6.
3. Doctors' training and the European Working Time Directive. Lancet 2010;375 (9732):2121.
4. Joint Commission on Accreditation of Healthcare Organizations. Root causes of sentinel events. [Accessed 17 August 2010.]
5. Borowitz SM, Waggoner-Fountain LA, Bass EJ, Sledd RM. Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey. Qual Saf Health Care 2008;17:6-10.
6. Horwitz LI, Krumholz HM, Green ML, Huot SJ. Transfers of patient care between house staff on internal medicine wards. A national survey. Arch Intern Med 2006;166:1173-7.
7. Beach C, Croskerry P, Shapiro M. Profiles in patient safety: emergency care transitions. Acad Emerg Med 2003;10:364-7.
8. Gandhi TK. Fumbled hand-offs: one dropped ball after another. Ann Intern Med 2005;142:352-8.
9. Arora V, Johnson J, Lovinger D, Humphrey HJ, Meltzer DO. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Qual Saf Health Care 2005;14:401-7.
10. Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: audit of trauma handover practice. Patient Saf Surg 2008;2:24.
11. Bhabra G, Mackieth S, Montiero P, Pothier D. An experimental comparison of handover methods. Ann R Coll Surg Engl 2007;89:298-300.
12. Cheah LP, Amott DH, Pollard J, Watters DAK. Electronic medical handover: towards safer medical care. Med J Aust 2005;183:369-72.
13. Raptis DA, Fernandes C, Chua W, Boulos PB. Electronic software significantly improves quality of handover in a London teaching hospital. Health Informatics J 2009;15 (3):191-8.
14. Riesenberg L, Leitzsch J, Little B. Systematic review of hand-off mnemonics literature. Am J Med Qual 2009;24:196-204.
15. Kennedy R, Kelly S, Grant S, Cranley B. Northern Ireland general surgery handover study: surgical trainees' assessment of current practice. Surgeon 2009;7:10-3.
16. Gordon M. Handover in paediatrics. Junior peceptions of current practice in the northwest region. Arch Dis Child 2010;95 (Suppl1):69.
17. Cleland JA, Ross S, Miller SC, Patey R. 'There is a chain of Chinese whispers...': empirical data support the call to formally teach handover to prequalification doctors. Qual Saf Health Care 2009;18:267-71.
18. Arora VM, Johnson JK, Meltzer DO, Humphrey HJ. A theoretical framework and competency-based approach to improving hand-offs. Qual Saf Health Care 2008;17:11-4.
19. Royal College of Paediatric and Child Health. Assessment standards for Levels 1, 2 and 3. February 2007. [Accessed 1 June 2010.]
20. Accreditation Council for Graduate Medical Education. Advancing Education in Interpersonal and Communication Skills: an educational resource from the ACGME Outcome Project. [Accessed 17 August 2010.]
21. Jeffcott SA, Evans SM, Cameron PA, Chin GSM, Ibrahim JE. Improving measurement in clinical handover. Qual Saf Health Care 2009;18:272-7.
22. Chang VY, Arora VM, Lev-Ari S, D'Arcy M, Keysar B. Interns overestimate the effectiveness of their hand-off communication. Pediatrics 2010;125:491-6.
23. World Health Organization. Communication during patient handovers. Patient Safety Solutions, Vol1, Solution 3. Geneva: WHO 2007.
24. Barr H, Freeth D, Hammick M, Koppel I, Reeves S. Evaluations of Interprofessional Education: A United Kingdom Review of Health and Social Care. London: Centre for the Advancement of Interprofessional Education (CAIPE), British Educational Research Association 2000. [Accessed 17 August 2010.]
25. BEME Collaboration. Best Evidence Medical Education. Dundee: BEME Collaboration 2003. [Accessed 17 August 2010.]
26. Reed D, Price EG, Windish DM, Wright SM, Gozu A, Hsu EB, Beach MC, Kern DE, Bass EB. Challenges in systematic reviews of educational intervention studies. Ann Intern Med 2005;142:1080-9.
27. Alem L, Joseph M, Kethers S, Steele C, Wilkinson R. Information environments for supporting consistent registrar medical handover. HIM J 2008;37 (1):9-25.
28. Pass the baton or NUTS for safer hand-off. J Healthc Risk Manag 2007;29 (10):115-7.
29. Arora V, Johnson J. A model for building a standardised hand-off protocol. Jt Comm J Qual Patient Saf 2006;32 (11):646-55.
30. Broekhuis M, Veldkamp C. The usefulness and feasibility of a reflexivity method to improve clinical handover. J Eval Clin Pract 2007;13 (1):109-15.
31. Catchpole KR, de Leval MR, McEwan A, Pigott N, Elliott MJ, McQuillan A, MacDonald C, Goldman AJ. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr Anaesth 2007;17 (5):470-8.
32. Iedema R, Merrick ET, Kerridge R, Herkes R, Lee B, Anscombe M, Rajbhandari D, Lucey M, White L. Handover - Enabling Learning in Communication for Safety (HELiCS): a report on achievements at two hospital sites. Med J Aust 2009;11 (Suppl):133-6.
33. O'Connell B, Penney W. Challenging the handover ritual. Recommendations for research and practice. Collegian 2001;8 (3):14-8.
34. Pesanka DA, Greenhouse PK, Rack LL, Delucia GA, Perret RW, Scholle CC, Johnson MS, Janov CL. Ticket to ride: reducing hand-off risk during hospital patient transport. J Nurs Care Qual 2009;24 (2):109-15.
35. Shendell-Falik N, Feinson M, Mohr BJ. Enhancing patient safety: improving the patient hand-off process through appreciative inquiry. J Nurs Adm 2007;37 (2):95-104.
36. Berkenstadt H, Haviv Y, Tuval A, Shemesh Y, Megrill A, Perry A, Rubin O, Ziv A. Improving hand-off communications in critical care: utilising simulation-based training toward process improvement in managing patient risk. Chest 2008;134 (1):158-62.
37. Chu ES, Reid M, Schulz T, Burden M, Mancini D, Ambardekar AV, Keniston A, Albert RK. A structured hand-off programme for interns. Acad Med 2009;84 (3):347-52.
38. Clark E, Squire S, Heyme A, Mickle ME, Petrie E. The PACT Project: improving communication at handover. Med J Aust 2009;11 (Suppl):125-7.
39. Farnan JM, Paro JOA, Rodriguez RM, Reddy ST, Horwitz LI, Johnson JK, Arora VM. Hand-off education and evaluation: piloting the observed simulated hand-off experience (OSHE). J Gen Intern Med 2010;25 (2):129-34.
40. Gakhar B, Spencer AL. Using direct observation, formal evaluation, and an interactive curriculum to improve the sign-out practices of internal medicine interns. Acad Med 2010;85 (7):1182-8.
41. Horwitz LI, Moin T, Green ML. Development and implementation of an oral sign-out skills curriculum. J Gen Intern Med 2007;22 (10):1470-4.
42. Klamen D. Students learning in handovers in a simulated in-patient unit. Med Educ 2009;43:1081-117.
43. Lyons MN, Standley TDA, Gupta AK. Quality improvement of doctors' shift-change handover in neuro-critical care. Qual Saf Health Care 2010;19 (6):e62.
44. Malter L, Weinshel E. Improving hand-off communication: a gastroenterology fellowship performance improvement project. Am J Gastroenterol 2010;105:490-2.
45. Nestel D, Kneebone R, Barnet A. Teaching communication skills for handover: perioperative specialist practitioners. Med Educ 2005;39 (11):1157.
46. Reisenberg LA, Jaeger J, Padmore JS. Residents' and attending physicians' hand-offs: a systematic review of the literature. Acad Med 2009;84:1775-87.
47. Cohen MD, Hilligoss PB. The published literature on hand-offs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care 2010;19 (6):493-7.
48. Hunt E, Shilkofski N, Stavroudis T, Nelson L. Simulation: translation to improved team performance. Anesthesiol Clin 2007;25:301-19.
49. Lerner S, Magrane D, Friedman E. Teaching teamwork in medical education. Mt Sinai J Med 2009;76:318-29.
50. Darley JM, Latané B. Bystander intervention in emergencies: diffusion of responsibility. J Pers Soc Psychol 1968;8:377-83.
51. Agency for Healthcare Research and Quality. Medical Teamwork and Patient Safety. Team training in high-risk contexts. [Accessed 18 August 2010.]
52. Sundar E, Sundar S, Pawloski J. Crew resource management and team training. Anesthesiol Clin 2007;25:283-300.
53. Catchpole K, Sellers R, Goldman A, McCulloch P, Hignett S. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Qual Saf Health Care 2009;19 (4):318-22.