Patient Safety In Handoff

One of the most serious pieces of patient care is the handoff. This is the point of time when crucial evidence on the patient's care is transferred to the patient's new care provider. Significant outcomes from current and appropriate studies on patient safety and clinical handoffs are concise and studied. After concisely revising process management the purpose of this paper is to discuss how these disciplines can be combined to further improve patient safety in handoff. After Analyzing root cause of specific Incidents related to unstable transferring of patient within the hospital it was identified that proper hands-off process was not followed. For the purpose of effective implementation of international patient safety goal (improve effective communication) SBAR tool was utilized which were: process mapping; brain storming and review of graphical presentation of indicators were done. The project methodology that was followed was JURANS CQI methodology for quality improvement and patient safety.
Organizational Continuous Quality Improvement – Plan-Do-Study-Act method was used.
Analyzed the current practice, identified the learning needs, and developed the Hands-off tool. Determined the readiness to accept the change, implemented and established a plan for making an improvement, educate and enhance awareness among health care workers as per patient safety guidelines. A team of nursing management were involved and aimed at effective and efficient implementation of Hands-off process for patient safety. An action plan was developed in which initial in-service were conducted with end
–user.
Health care workers integrated patient safety knowledge related to risk of fall, performed pre-sedation assessment, ensured medical equipment in working condition