M.ABDELMONEIMModerator Dr.Altayar

CLINICAL HANDOVER( PATIENTS HANDS

OFF)

?Do we have a problem with handover in

our unite?

Common situationSunday 10 am in the ICU, a son of a

patient came to ask about a CT brain that was done in the night for his father, the doctor in charge is not aware of the CT and why it was done and he told the son that he will answer his concerns 1-3 pm

14:00 the son met the Dr. and after explanation of the CT, the son asked about the patient’s right black hand, whether it is going to require intervention, the Dr was not aware of that issue and he asked the primary nurse but she had no idea about that

You feel like

Handover problem is noticed when things go wrong

Clinical handover is defined as

“the transfer of professional responsibility and accountability for some or all aspects of care for a patient, or group of patients, to another person or professional group on a

temporary or permanent basis”

The Joint Commission has identified communication as the primary cause for

preventable medical errors, with handoffs accounting for 80% of these instances

*Shift hours fragmenting care in teaching hospitals and increasing the number of times a patient’s care is transferred during a hospital stay

*Multiple physicians may now share in the care of a single patient

Barriers

The physical setting(confidentiality,environment)

The social settingLanguage barriersMedium of communication(direct,indirect)

In One Ward

We have to develop our own handover tool

Considering

Your own unit requirements, style and interest

Simple, Applicable, brief, and comprehensiveHas to be written not only verbalBetter if electronicFlexible standardizationEducation of staffMonitoring and Modifications

To design a model

ID/location (Name, MRN, Bed Number)DiagnosisActive issuesIf/thenCode statusTransfer statusHand written comments

Mnemonic

THANKS