All posts in 'research'

Simulation-Based Trial of Surgical-Crisis Checklists

Posted on January 17th, 2013 · Posted in research

Operating-room crises (e.g., cardiac arrest and massive hemorrhage) are common events in large hospitals but can be rare for individual clinicians. Successful management is difficult and complex. In a high-fidelity simulation study, checklist use was associated with significant improvement in the management of operating-room crises. These findings suggest that checklists for..
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Ensuring Patient Safety in Care Transitions: An Empirical Evaluation of a Handoff Intervention Tool

Posted on January 15th, 2013 · Posted in research

This paper looks at the design and evaluation of a Handoff Intervention Tool (HAND-IT) based on a checklist-inspired, body system format allowing structured information organization, and a problem-case narrative format allowing temporal description of patient care events. Based on a pre-post prospective study using a multi-method analysis an evaluation of..
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Organizational Culture: An Important Context for Addressing and Improving Hospital to Community Patient Discharge.

Posted on January 4th, 2013 · Posted in research

Community care providers often are insufficiently informed about patient outcomes. Ongoing challenges withpatient discharge often remain unspoken with opportunities for improvement overlooked. Interventions that address organizational culture as a key factor in discharge improvement efforts are needed http://www.ncbi.nlm.nih.gov/pubmed/23132202

Human factors in clinical handover: development and testing of a ‘handover performance tool’ for doctors’ shift handovers.

Posted on December 20th, 2012 · Posted in research

Communication determined the majority of handover quality. Teamwork and situation awareness also provided an independent contribution to the overall quality rating.   ttp://www.ncbi.nlm.nih.gov/pubmed/23220763

Non-technical skills training to enhance patient safety: a systematic review.

Posted on December 19th, 2012 · Posted in research

Gordon and  et al identify after a systematic review of non-technical skills and patient safety that although a recognised model to support the design of patient safety education is lacking, a number of theories have been applied to guide educators in future instructional design. Further published work should clearly describe interventions and their..
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Structured handoff at shift change in a clinical laboratory increases patient safety.

Posted on December 19th, 2012 · Posted in research

After a critical incident a clinical laboratory at the Department of Clinical Chemistry, Leiden University Medical Center, Leiden, The Netherlands implements a handover process to improve patient safety. This process is based on best practices in other high-risk environments, such as air traffic control, nuclear power plants, railway dispatch centers and offshore oil rigs. After several consensus..
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The patient handover as an entrustable professional activity: adding meaning in teaching and practice

Posted on December 18th, 2012 · Posted in research

In this paper the authors discuss the use of’ Entrustable Professional Activities’ (EPAs) which are units of professional practice, defined as tasks or responsibilities to be entrusted to a trainee once sufficient specific competence is reached to allow for unsupervised practice. An EPA description for patient handover provides a tool to plan,..
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Fragmented care in the era of limited work hours: a plea for an explicit handover curriculum

Posted on December 17th, 2012 · Posted in research

Handovers preserve the physician–patient relationship and provide a continuity bridge during a vulnerable time for patients. It is time for physician training programmes and education programmes for other health professions with responsibility for patient care to make training in handovers an explicit part of their curriculum, elevating this essential twenty-first..
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Context, culture and (non-verbal) communication affect handover quality

Posted on December 17th, 2012 · Posted in research

The requirement to include a face-to-face conversation as part of a handover is considered to be a critical element for ensuring reliable handovers. However,  variation in how these face-to-face conversations occur suggests gradations in how they impact handover accuracy and reliability. This paper reports the use of non-verbal behaviours (NVB), including..
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Failures in Transition: Learning from Incidents Relating to Clinical Handover in Acute Care

Posted on December 17th, 2012 · Posted in research

Clinical handover has emerged as an important clinical process, however, this study has demonstrated that there is still work to be done to ensure handover meets the standards required to ensure the quality and safety of patient care. The incident reports analyzed in this study demonstrate that the absence of..
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