From handover to takeover: should we consider a new conceptual model of communication?

Objective: This service evaluation aimed to collect data on clinical handover on labour ward and compare them with the local guideline. Design and methods: This service evaluation was structured in four stages, each using a different design and research methods. Setting: The study was undertaken bet...

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Publicado en:British Journal of Midwifery Vol. 28; no. 3; pp. 156 - 166
Autores principales: Spranzi, Francesca, Norton, Christine
Formato: research tables/charts Journal Article
Publicado: Mark Allen Holdings Limited Mar2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2020
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        10.12968/bjom.2020.28.3.156
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        atl: From handover to takeover: should we consider a new conceptual model of communication?
      aug:
        au:
          Spranzi, Francesca
          Norton, Christine
        affil: Risk management support midwife, Imperial College Healthcare, NHS Trust
      sug:
        subj:
          Hand Off (Patient Safety)
          Communication
          Hospital Units
          Practice Guidelines
          Human
          Funding Source
          Conceptual Framework
          United Kingdom
          Outcomes (Health Care)
          Midwifery
          Treatment Errors
          Retrospective Design
          Prospective Studies
          Quantitative Studies
          Convenience Sample
          Childbirth
          Gestational Age
          Questionnaires
          Interviews
      ab: Objective: This service evaluation aimed to collect data on clinical handover on labour ward and compare them with the local guideline. Design and methods: This service evaluation was structured in four stages, each using a different design and research methods. Setting: The study was undertaken between September 2013 and August 2014 in a maternity unit in a large NHS teaching hospital in London, UK. Findings and conclusion: Communication breakdown is widely considered to be a significant factor contributing to poor patient outcomes, with handover being a major risk point. The discrepancy between the local guideline and current clinical practice reinforces the belief that urgent action is needed to improve clinical handover on labour ward. The results of this service evaluation suggest that a drastic overhaul of the communication model during handover should be considered, ie from handover to takeover, and that the mnemonic SBAR may not be fit-for-purpose in maternity care and should be replaced with a different format that reflects the chronological flow of clinical events.
      pubtype: Academic Journal
      doctype:
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      ougenre: Article
    language: English
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