Shift Report Essay
Communication is very important tool for the success business. we are Communicate at work to gather the information which is necessary for the business flow and it is important for the decision-making process. Communication in healthcare is very important too but the most critically important is to know how communicate in the right way. After 12 hour working concentration is decreased and the rates of accidents and errors increased by that time you will be giving shift report to the next shift. imagine that you try to remember all the detail for all of your patients. Miscommunications during shift report causes harmful mistake.
Handoff, handover or shift report are referring to the first 15 to 30 minutes in the begin of the shift when the …show more content…
day or night shift give report to the next shift. this report supposed to helps them to understand shift duties. The term handoff and handover used when transfer or replace responsibility even during the shift.
Shift report is the process that provide Respiratory therapist all vital information about their patients spatially in ICU and ER.
It is supposed to give a complete picture about the patient's condition and the care planning, procedure and treatment. Shift report or handover provides Respiratory therapist the timeframe to functions, priorities Patients. Handover is varying from hospital to hospital and vary from department to another according the specialization. It is mandatory for some of the hospital to have face to face handover other hospitals you have to hand a written and verbal per there policy.
Literature Review a systematic review conducted to evaluates the current evidence on the effectiveness of electronic tool used to support shift-to-shift handoff. the researcher searched for all studies published between January 1, 2008, and September 19, 2014 in the National Library of Medicine PubMed, EBSCO CINAHL, OvidSP All Journals, and ProQuest PsycINFO. It was considering just the study evaluation of physician shift-to-shift handoffs has an electronic tool or solution designed to support handoffs. the eligibility Inclusion Exclusion criteria for this systematic review were to including all Articles meeting the following:
1. English
language
2. published between January 1,2000, and September 19, 2014
3. focused on physician shift-to-shift handoffs
4. had either quantitative or qualitative data
5. focused specifically on the evaluation of an electronic tool.
And for the exclusion they excluded all articles that were:
1. if not English language
2. if not published between January 1,2000, and September 19, 2014
3. if not focused on physician shift-to-shift handoffs
4. if no data
5. if not focused on evaluating an electronic tool.
The researcher found a total of 3342 article published between January 1,2000, and September 19, 2014 and they include 37 relevant article:
• 1 randomize control trial
• 4 nonrandomized control trials
• 20 single group, pre- and posttest
• 1 cohort study
• 8 posttest only and cross sectional
• 3 qualitative studies
The systematic review found
• in 22% of the included studies, respondents reported increased or improved handoff content.
• 22% of studies also reported high provider satisfaction with use of an electronic handoff system.
• in 1 of these studies, 22.6% of respondents reported there was information they did not receive at handoff that would have helped them care for patients.
• Other studies noted that respondents reported increased quality of handoffs with an electronic handoff system.
• In 1 study, residents used 3 different handoff protocols (written, electronic, and face to face), with reports of protocol deviations lowest in the face-to-face phase (28%), highest with written handoffs (67%), and electronic handoffs falling in the middle (50%)
• In 9 studies (24%), perception of patient safety and/or quality of care improved better patient management.
• a randomized crossover study found no statistically significant differences in resident-reported unexpected events, medical errors, or adverse drug events when comparing the electronic handoff system to the standard systems used
thus the majority of studies supported using an electronic tool. and it recommend Future studies should evaluate patient outcomes, improve study design, assess the role of faculty oversight, and broaden the focus to recognize the role of human factors.” (1)
all article done by ICU department, ER department, doctor, and, nurses are supporting to have a written form for handover. They are all agree written form of handover is support the verbal handover and provide more patient safety. It is very important tool that some hospital policy Illustrates and concentrate on in Johns Hopkins University School of Medicine Hospital All residency and fellowship doctors in each department have to developed and performed tow standards handover written and verbal to ensure patient safety and the continuation of patient care (2).
For patient safety Handover is very important tool to prevent adverse events in Australia 25 000 to 30 000 preventable adverse events which led to disability, 11% due to communication issues (3). The World Health Organization identified effective handover as one of ‘nine patient safety solutions’ in 2007. In Between 1995 and 2006 Joint Commission in the United States of America reported the leading cause of sentinel events was Breakdown in communication (4).
A multicenter study done in 10 deferent centers published by joint commission center for transforming healthcare in 2009 (5) the project for this study focused on the effective hand-off communications. All center completes this project within four months no extra staff was added and just simple changes were made to the staff duty. The study center reported:
• increase patient’s satisfaction.
• increase family satisfaction.
• increase staff satisfaction
• successful transfers patients.
• One center reduced readmissions by 50%.
• Another center reduced the time to move a patient from the emergency department to an inpatient department by 33 %.
A two-phase study blind and open observational was conducted in Greek. (6) The study examined the quality and content of clinical handover by night shift doctor to the medical team. The study found Handover process is vital for maintaining quality of care in the intensive care unit.
Another article the intensive care unit handover: The most stressful part of the shift published in British journal of hospital medicine 2005. (7) the study focus on intensive care unit handover and the risk of consultant absent during the night due to the shortage. It states the author has never had any formal training in clinical handover while this skill, had a great importance on safe practice and it is something need to be performed daily at work. in fact, there is no guidelines or training for residents and trainees about how to obtain handover and collect the information of each patient’s condition, current problems and understanding of management plans thus, it is the most stressful time them it is in the end of the shift. If mistakes occur during the handover in the absence of the consultant of intensive care unit care the patient is really at risk. It recommends:
1. Handover should be given and received using either written or electronic aides (Harrison, 2005)
2. Handover of individual patients needs a common format for communicating critical information (World Health Organization, 2007).
3. A checklist should be used, to ensures all areas covered.
A multi-site case study done in UK and published in Elsevier Ireland Ltd 2011. This study focus on practices of conduct the shift handovers and the role of technology could be supporting handover. it is a multi-site case study of handover was observed of15 medical shift handovers and 33 nursing shift handovers across three case sites. it explains the way of verbal shift handover report is done focused on the ability of healthcare professionals to know information is required and what further explanation is needed reflect the previous shift. Verbal handover is opportunity for teaching the students, trainees, and new employs. so, as long as we have many benefits provided by verbal or face to face handover they suggest technology should supporting rather than replacing the face to face handover report
Handoff, handover or shift report are referring to the first 15 to 30 minutes in the begin of the shift when the …show more content…
day or night shift give report to the next shift. this report supposed to helps them to understand shift duties. The term handoff and handover used when transfer or replace responsibility even during the shift.
Shift report is the process that provide Respiratory therapist all vital information about their patients spatially in ICU and ER.
It is supposed to give a complete picture about the patient's condition and the care planning, procedure and treatment. Shift report or handover provides Respiratory therapist the timeframe to functions, priorities Patients. Handover is varying from hospital to hospital and vary from department to another according the specialization. It is mandatory for some of the hospital to have face to face handover other hospitals you have to hand a written and verbal per there policy.
Literature Review a systematic review conducted to evaluates the current evidence on the effectiveness of electronic tool used to support shift-to-shift handoff. the researcher searched for all studies published between January 1, 2008, and September 19, 2014 in the National Library of Medicine PubMed, EBSCO CINAHL, OvidSP All Journals, and ProQuest PsycINFO. It was considering just the study evaluation of physician shift-to-shift handoffs has an electronic tool or solution designed to support handoffs. the eligibility Inclusion Exclusion criteria for this systematic review were to including all Articles meeting the following:
1. English
language
2. published between January 1,2000, and September 19, 2014
3. focused on physician shift-to-shift handoffs
4. had either quantitative or qualitative data
5. focused specifically on the evaluation of an electronic tool.
And for the exclusion they excluded all articles that were:
1. if not English language
2. if not published between January 1,2000, and September 19, 2014
3. if not focused on physician shift-to-shift handoffs
4. if no data
5. if not focused on evaluating an electronic tool.
The researcher found a total of 3342 article published between January 1,2000, and September 19, 2014 and they include 37 relevant article:
• 1 randomize control trial
• 4 nonrandomized control trials
• 20 single group, pre- and posttest
• 1 cohort study
• 8 posttest only and cross sectional
• 3 qualitative studies
The systematic review found
• in 22% of the included studies, respondents reported increased or improved handoff content.
• 22% of studies also reported high provider satisfaction with use of an electronic handoff system.
• in 1 of these studies, 22.6% of respondents reported there was information they did not receive at handoff that would have helped them care for patients.
• Other studies noted that respondents reported increased quality of handoffs with an electronic handoff system.
• In 1 study, residents used 3 different handoff protocols (written, electronic, and face to face), with reports of protocol deviations lowest in the face-to-face phase (28%), highest with written handoffs (67%), and electronic handoffs falling in the middle (50%)
• In 9 studies (24%), perception of patient safety and/or quality of care improved better patient management.
• a randomized crossover study found no statistically significant differences in resident-reported unexpected events, medical errors, or adverse drug events when comparing the electronic handoff system to the standard systems used
thus the majority of studies supported using an electronic tool. and it recommend Future studies should evaluate patient outcomes, improve study design, assess the role of faculty oversight, and broaden the focus to recognize the role of human factors.” (1)
all article done by ICU department, ER department, doctor, and, nurses are supporting to have a written form for handover. They are all agree written form of handover is support the verbal handover and provide more patient safety. It is very important tool that some hospital policy Illustrates and concentrate on in Johns Hopkins University School of Medicine Hospital All residency and fellowship doctors in each department have to developed and performed tow standards handover written and verbal to ensure patient safety and the continuation of patient care (2).
For patient safety Handover is very important tool to prevent adverse events in Australia 25 000 to 30 000 preventable adverse events which led to disability, 11% due to communication issues (3). The World Health Organization identified effective handover as one of ‘nine patient safety solutions’ in 2007. In Between 1995 and 2006 Joint Commission in the United States of America reported the leading cause of sentinel events was Breakdown in communication (4).
A multicenter study done in 10 deferent centers published by joint commission center for transforming healthcare in 2009 (5) the project for this study focused on the effective hand-off communications. All center completes this project within four months no extra staff was added and just simple changes were made to the staff duty. The study center reported:
• increase patient’s satisfaction.
• increase family satisfaction.
• increase staff satisfaction
• successful transfers patients.
• One center reduced readmissions by 50%.
• Another center reduced the time to move a patient from the emergency department to an inpatient department by 33 %.
A two-phase study blind and open observational was conducted in Greek. (6) The study examined the quality and content of clinical handover by night shift doctor to the medical team. The study found Handover process is vital for maintaining quality of care in the intensive care unit.
Another article the intensive care unit handover: The most stressful part of the shift published in British journal of hospital medicine 2005. (7) the study focus on intensive care unit handover and the risk of consultant absent during the night due to the shortage. It states the author has never had any formal training in clinical handover while this skill, had a great importance on safe practice and it is something need to be performed daily at work. in fact, there is no guidelines or training for residents and trainees about how to obtain handover and collect the information of each patient’s condition, current problems and understanding of management plans thus, it is the most stressful time them it is in the end of the shift. If mistakes occur during the handover in the absence of the consultant of intensive care unit care the patient is really at risk. It recommends:
1. Handover should be given and received using either written or electronic aides (Harrison, 2005)
2. Handover of individual patients needs a common format for communicating critical information (World Health Organization, 2007).
3. A checklist should be used, to ensures all areas covered.
A multi-site case study done in UK and published in Elsevier Ireland Ltd 2011. This study focus on practices of conduct the shift handovers and the role of technology could be supporting handover. it is a multi-site case study of handover was observed of15 medical shift handovers and 33 nursing shift handovers across three case sites. it explains the way of verbal shift handover report is done focused on the ability of healthcare professionals to know information is required and what further explanation is needed reflect the previous shift. Verbal handover is opportunity for teaching the students, trainees, and new employs. so, as long as we have many benefits provided by verbal or face to face handover they suggest technology should supporting rather than replacing the face to face handover report