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| http://dx.doi.org/10.5935/0103-507X.20170020 | DOI Listing |
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[The handover in clinical practice of anesthesiologists and intensivists.].
Recenti Prog Med
April 2021
ASST Spedali Civili di Brescia.
The handover among healthcare professionals has been a topic of increasing interest over recent years. Many studies have shown that ineffective communication during handover can be critical, particularly for anaesthesiologists and intensivists because of the highly complex needs of patients under their care. Numerous studies have identified the information transfer process as the greatest risk of errors and adverse events (AEs), which results in harm to patients, increases legal issues and damages relations between health professionals.
View Article and Find Full Text PDFChallenges for conducting and teaching handovers as collaborative conversations: an interview study at teaching ICUs.
Perspect Med Educ
October 2018
Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Introduction: Whereas medical shift handovers are increasingly recognized to fulfil important functions beyond information transfer, studies suggest that shift handovers continue to be variably used for reflection, learning or discussion. Little is known of the dynamics of incorporating such functions into ICU shift handovers, resulting in a challenge for the design of educational programs whose underlying philosophies align with the specific requirements of the ICU.
Methods: Intensivists, residents and fellows (n = 21) from three ICUs were interviewed to determine perceptions of handover functionality and the boundaries to what must or can be achieved in handover conversations.
Improving Communication Between Surgery and Critical Care Teams: Beyond the Handover.
Am J Crit Care
September 2018
Christian James Turner is an intensivist and clinical instructor, University Hospital of Northern British Columbia and University of British Columbia, Canada. Barbara Haas is an assistant professor, Interdepartmental Division of Critical Care Medicine and Division of General Surgery, Sunnybrook Health Sciences Center, University of Toronto, Toronto, Canada. Christie Lee, Michael Eric Detsky, and Laveena Munshi are assistant professors, Interdepartmental Division of Critical Care Medicine, Sinai Health System, University of Toronto. Savtaj Brar is an assistant professor, Department of Surgery, Sinai Health System, University of Toronto.
Background: Structured communication tools for postoperative surgical handover to the intensive care unit (ICU) have shown promise, yet little work has addressed ongoing daily communication between the surgery and ICU teams thereafter.
Objectives: Evaluation of a novel, 2-part communication intervention between surgery and ICU teams focused on postoperative handover and ongoing daily communication.
Methods: A mixed-methods, pre- and postintervention survey study was conducted in a closed quaternary medical-surgical ICU.
Handovers Among Staff Intensivists: A Study of Information Loss and Clinical Accuracy to Anticipate Events.
Crit Care Med
November 2018
Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Objectives: Handovers are associated with medical errors, and our primary objective is to identify missed diagnosis and goals immediately after a shift handover. Our secondary objective is to assess clinicians' diagnostic accuracy in anticipating clinical events during the night shift.
Design: Single-center prospective observational cohort study.
What every intensivist should know about handovers in the intensive care unit.
Rev Bras Ter Intensiva
October 2018
Critical Care Medicine, Sunnybrook Health Sciences Centre - Toronto, Ontário, Canadá.
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