Evidence map›Paper›PMID 29141622›Full record

ArticleBMC medical education2017

Am I getting an accurate picture: a tool to assess clinical handover in remote settings?

Malcolm Moore, Chris Roberts, Jonathan Newbury, Jim Crossley

Abstract readValidation Study
In one paragraph

Article in BMC medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Teaching clinical handover with ISBAR.BMC medical education · 2020
    Review
  7. Article
  8. The impact on internship of a tailored intern preparation package.Advances in medical education and practice · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Malcolm MooreRural Clinical School, Australian National University Medical School, 54 Mills Rd, Acton, ACT, 2601, Australia. malcolm.moore@anu.edu.au.ORCID http://orcid.org/0000-0002-1847-6571
Chris RobertsNorthern Clinical School, Sydney Medical School, University of Sydney, Sydney, Australia.
Jonathan NewburyRural Clinical School, University of Adelaide, Adelaide, Australia.
Jim CrossleyMedical School, University of Sheffield, Sheffield, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGood clinical handover is critical to safe medical care. Little research has investigated handover in rural settings. In a remote setting where nurses and medical students give telephone handover to an aeromedical retrieval service, we developed a tool by which the receiving clinician might assess the handover; and investigated factors impacting on the reliability and validity of that assessment.

methodsResearchers consulted with clinicians to develop an assessment tool, based on the ISBAR handover framework, combining validity evidence and the existing literature. The tool was applied 'live' by receiving clinicians and from recorded handovers by academic assessors. The tool's performance was analysed using generalisability theory. Receiving clinicians and assessors provided feedback.

resultsReliability for assessing a call was good (G = 0.73 with 4 assessments). The scale had a single factor structure with good internal consistency (Cronbach's alpha = 0.8). The group mean for the global score for nurses and students was 2.30 (SD 0.85) out of a maximum 3.0, with no difference between these sub-groups.

conclusionsWe have developed and evaluated a tool to assess high-stakes handover in a remote setting. It showed good reliability and was easy for working clinicians to use. Further investigation and use is warranted beyond this setting.

Indexed as

Patient HandoffChecklistClinical CompetenceCross-Sectional StudiesHotlinesHumansMedically Underserved AreaMedical Staff, HospitalNew South WalesProfessional PracticeQuality of Health CareReproducibility of ResultsStudents, MedicalClinical handoverCommunication skillsMedical educationWork-based assessment

Identifiers

PMID29141622
PMCPMC5688655

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.