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Clinical handover within the emergency care pathway and the potential risks of clinical handover failure (ECHO): primary research |
Sujan M, Spurgeon P, Inada-kim M, Rudd M, Fitton L, Horniblow S, Cross S, Chessum P, Cooke M |
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Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Sujan M, Spurgeon P, Inada-kim M, Rudd M, Fitton L, Horniblow S, Cross S, Chessum P, Cooke M. Clinical handover within the emergency care pathway and the potential risks of clinical handover failure (ECHO): primary research. Health Services and Delivery Research 2014; 2(5) Authors' objectives Handover and communication failures are a recognised threat to patient safety. Handover in emergency care is a particularly vulnerable activity owing to the high-risk context and overcrowded conditions. In addition, handover frequently takes place across the boundaries of organisations that have different goals and motivations, and that exhibit different local cultures and behaviours. This study aimed to explore the risks associated with handover failure in the emergency care pathway, and to identify organisational factors that impact on the quality of handover. Authors' conclusions The research findings suggest that handover should be understood as a sociotechnical activity embedded in clinical and organisational practice. Capacity, patient flow and national targets, and the quality of handover are intricately related, and should be addressed together. Improvement efforts should focus on providing practitioners with flexibility to make trade-offs in order to resolve tensions inherent in handover. Collaborative holistic system analysis and greater cultural awareness and collaboration across organisations should be pursued. Indexing Status Subject indexing assigned by CRD MeSH Continuity of Patient Care; Emergency Service, Hospital; Patient Transfer Language Published English Country of organisation England English summary An English language summary is available. Address for correspondence HS&DR Programme, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, University of Southampton, Alpha House, Enterprise Road, Southampton, SO16 7NS, UK Tel: +44 23 8059 4304
Email: hsdrinfo@southampton.ac.uk AccessionNumber 32014001314 Date abstract record published 31/10/2014 |
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