Recent data suggests that because housestaff work restricted work hours, shift hand-over errors exceed the number of errors due to fatigue [ 32].
Modified shift hand-over or rounding procedures should elicit potential discrepancies before they become entrenched.
Clinicians interviewed indicated that in many shift hand-overs, important information is not communicated.
Redesigning shift hand-overs or rounds procedures may be a way for ICU teams to enhance common ground [ 34- 36].
Data collection included observations of patients' expressions of PNs and nurses' responses to those expressed PNs, shift hand-overs and multi-disciplinary meetings.
Moreover, the overall picture, and its supportive data, may not be adequately communicated during shift hand-overs or between members of the health care team.
They provided important insights into a number of topics such as shift hand-overs, technology, information flow and physician-nurse communication.
In this exploratory study, some of the barriers to common ground were identified that ICU teams face such as role ambiguity, the shifting nature of the teams and a higher number of shift hand-overs due to hour restrictions.
There was evidence suggesting that shift hand-overs often involve a series of checklists, and it is questionable whether or not the essence of the story is captured in these exchanges.
The Indiana House of Representatives has shifted hands several times over the past decades, Mr. Howey said.
The problem began at 6am when the 23 controllers on a night shift at Swanwick handed over to the 125 controllers on the day shift.
