The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis.
AIM: To examine the ideal and actual processes of doctors' handovers in an acute medical assessment unit by means of a hierarchical task analysis (HTA) to identify any discrepancies between the ideal shift handover process as described by doctors, and the actual shift handover process as observed by...
| Publicado en: | BMJ Quality & Safety Vol. 21; no. 3; pp. 211 - 218 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BMJ Publishing Group
Mar2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104539755&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104539755 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20445415 BFNQ jtl: BMJ Quality & Safety issn: 20445415 maglogo: N pubinfo: dt: Mar2012 vid: 21 iid: 3 pid: 8280 pub: BMJ Publishing Group artinfo: ui: 104539755 2011498095 10.1136/bmjqs-2011-000220 NLM22129935 104539755 ppf: 211 ppct: 7 formats: tig: atl: The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis. aug: au: Taduma-Tomàs, Michelle A Flin, Rhona Yule, Steven Close, Steven affil: School of Psychology, University of Aberdeen, Aberdeen, UK sug: subj: Acute Care Scotland Hand Off (Patient Safety) Standards Patient Admission Methods Patient Assessment Methods Task Performance and Analysis Content Validity Critical Path Distraction Focus Groups Funding Source Human Interviews Meetings Evaluation Observational Methods Process Assessment (Health Care) Protocols Standards Scotland Time Factors ab: AIM: To examine the ideal and actual processes of doctors' handovers in an acute medical assessment unit by means of a hierarchical task analysis (HTA) to identify any discrepancies between the ideal shift handover process as described by doctors, and the actual shift handover process as observed by the researcher. METHOD: The HTA was constructed using information gathered from interviews (n=13) describing the activities doctors said they should ideally perform in preparation for the shift handover meeting, during the meeting and after the meeting has finished. Observations (n=32) were made pre handover, during handover and post handover to capture the actual handover process in the acute medical assessment unit. Furthermore, a focus group discussion was included to validate the researcher's observations of the actual handover process and to provide content validity to the constructed HTA of the ideal handover process. RESULTS: Findings as represented by the HTA diagram showed the complexity of the process. The diagram revealed critical tasks that should be completed at each phase of the handover process, but observations revealed that these were sometimes omitted, mainly due to work demands and time pressure. These omissions were most apparent in the pre-handover stage, resulting in interrupted, extended and/or delayed handover meetings. CONCLUSION: The pre-handover phase is critical in providing a foundation for a thorough handover meeting and potentially helping doctors who have started a shift to prioritise patient care. These findings suggest that quality improvements for clinical handovers should include a designated time for preparation of care transfer information. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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