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Evidence suggests that high-quality handover within critical care will translate into improved clinical care for patients.
Further research is needed to examine whether alternative approaches to handover communication can be identified and to identify features of high-quality handover communication.
Simple measures instituted by junior doctors, such as team education and use of a structured handover tool, can aid high-quality handover within critical care.
Further research is required to examine whether a typical communication approach can be identified in the recorded handovers; to explore the role of questions and active involvement of incoming physicians; to evaluate the handovers' quality and relevance to meaningful clinical outcomes; and to identify features of high-quality handover communication.
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Better understanding of high quality handovers will inform educational and quality improvement efforts in the area.
Patients need basic information about how clinical handovers work between the different microsystems involved in their care, and what is expected of them to help ensure high quality handovers.
1 Effective and accurate communication in handover is fundamental to facilitate high-quality healthcare. 2 Ineffective handover can lead to wrong treatment, delays in medical diagnosis, life-threatening adverse events, patient complaints, increased healthcare expenditure, increased hospital length of stay and a range of other effects that impact on the health system.
The Dutch Health Care Inspectorate and the Dutch Safety Board reported that the factors of unsafe care consisted of the lack of the following: leadership, standards and protocols to deliver high-quality patient care, well-structured handovers, discussions about the mortality and complications rate, integrated care, and successful evaluation systems for patient safety [ 14, 15].
The need for high quality clinical handover is exaggerated in the Northern Territory (NT) of Australia: It covers a large geographic area and it has a relatively small, transient, widely distributed and remote population (n = 225900): 30% of the NT population is Aboriginal and Torres Strait Islanders (ATSI a.
Nursing handover is a process central to the delivery of high-quality and safe care.
Of those who had received handover training (n = 830), 73% felt that it had improved their ability to provide safe, high-quality care, 20% were unsure, and 7% felt it did not help.
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