ArticleQuality & safety in health care2009
"There is a chain of Chinese whispers ...": empirical data support the call to formally teach handover to prequalification doctors.
Article in Quality & safety in health care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Shift-to-shift handoffs in the NICU: lessons learned from a large scale audit.Journal of perinatology : official journal of the California Perinatal Association · 2023Observational
- The early experience of doctors training in pediatrics: patient safety culture and the role and influence of the registrar.Irish journal of medical science · 2022Article
- Article
- Teaching handover in undergraduate education: an evidence-based multi-disciplinary approach.MedEdPublish (2016) · 2019Article
- Handover training for medical students: a controlled educational trial of a pilot curriculum in Germany.BMJ open · 2018Article
- New graduate doctors' preparedness for practice: a multistakeholder, multicentre narrative study.BMJ open · 2018Article
- Practical strategies for increasing efficiency and effectiveness in critical care education.World journal of critical care medicine · 2017Review
- How prepared are UK medical graduates for practice? A rapid review of the literature 2009-2014.BMJ open · 2017Review
- Teaching Patient Handoffs to Medical Students in Obstetrics and Gynecology: Simulation Curriculum and Assessment Tool.MedEdPORTAL : the journal of teaching and learning resources · 2016Article
- Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.Hospital pediatrics · 2015Article
- Supervised near-peer clinical teaching in the ambulatory clinic: an exploratory study of family medicine residents' perspectives.Perspectives on medical education · 2015Article
- Communication failures during clinical handovers lead to a poor patient outcome: Lessons from a case report.SAGE open medical case reports · 2015Article
- Understanding the perceptions and experiences of Certified Registered Nurse Anaesthetists regarding handovers: a focus group study.Nursing open · 2014Article
- Handover practice amongst core surgical trainees at the Oxford School of Surgery.Journal of educational evaluation for health professions · 2014Article
- Clinical handover: An audit from Australia.The Australasian medical journal · 2014Article
- [Patient safety in anesthesiology and intensive care medicine. Measures for improvement].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2013Review
- Training on handover of patient care within UK medical schools.Medical education online · 2013Article
- A systematic review of educational resources for teaching patient handover skills to resident physicians and other healthcare professionals.Canadian medical education journal · 2013Review
- What drives the 'August effect'? A observational study of the effect of junior doctor changeover on out of hours work.JRSM short reports · 2013Article
- An interactive handoff workshop to improve intern readiness in patient care transitions.Journal of graduate medical education · 2012Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChanging patterns of work in the hospital setting mean different teams look after the same group of patients over the course of any given day. Shift handovers, or hand/sign-off, can give rise to miscommunication of critical information, a patient safety issue. How can we best prepare new doctors for handover?
methodsThis was a qualitative, focus-group study, exploring the views of doctors (Foundation Year, Senior House Officers, Registrars and Consultants) and night nurse practitioners, in Aberdeen, UK.
resultsFive focus groups were carried out with 21 participants. Using framework analysis, five main themes relevant to the task of effectively handing over, and how to best teach handover, emerged. These were: definition of handover; experience of handover as a junior doctor; perceptions of junior doctors' handover skills and attitudes; systems factors, and their interaction with individual factors; and the "what" and the "how" of teaching handover.
conclusionsNew doctors feel unprepared for handover and are seen as poor at handing over. Certain skills are required for effective handover, but professional attitudes are also critical. The skills identified reflect those suggested in policy documents based on expert panel views. Poor systems are a barrier to effective learning and practice. Our empirical approach adds to existing knowledge by highlighting that handover is not solely a skills-based task; there are complex interactions between individual and systems factors; and junior doctors should be prepared for handover prequalification. These data can be used to plan optimal handover teaching for medical students.
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Registered trials
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