...safe handover : safe patients guidance on clinical handover for clinicians and managers diSclaimer This publication has been produced as a service to ama members. although every care has been taken to ensure its accuracy, this publication can in no way be regarded as a substitute for professional legal or financial advice and no responsibility is accepted for any errors or omissions. The ama does not warrant the accuracy or currency of any information in this publication. The australian medical association limited disclaims liability for all loss, damage, or injury, financial or otherwise, suffered by any persons acting upon or relying on this publication or the information contained in it, whether resulting from its negligence or from the negligence of employees, agents or advisers or from any cause whatsoever. cOPyriGhT This publication is the copyright of the australian medical association limited. Other than for bona fide study or research purposes, reproduction of the whole or part of it is not permitted under the copyright act 1968, without the written permission of the australian medical association limited. safe handover : safe patients guidance on clinical handover for clinicians and managers PREPARED BY THE AUSTRALIAN MEDICAL ASSOCIATION LIMITED ABN: 37 008 426 793 2006 Adapted from the British Medical Association’s resource ‘Safe Handover: Safe Patients.’ Dr Mukesh Haikerwal President, Australian Medical Association Dr Geoff Dobb Chair, AMA Coordinating...
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...DESCRIPTION OF THE PROBLEM Handover issues At the start and end of each working Shift operators are expected to hand over the current state of the plant in which they work. They are expected to hand over production issues, health and safety issues and any maintenance work that is being undertaken. They should also be able to hand over the production that is underway and any changes that have been made to the production plan which may effect how they plan there workload. At the moment there are two groups of operators who currently hand over on the plant, they work in the copper and nitrates plants (Nitrates operators do not always hand over on plant). The other operators on site tend to hand over in various places which include the shower room, smoke shelter and weighbridge. Operators also come and interrupt the shift managers during there handover because they are not sure what they are supposed to be doing. To ensure safe handover, organisations should: 1. Identify higher risk handovers; 2. develop staff’s communication skills; 3. emphasise the importance of shift handover; 4. provide procedures for shift handover; 5. plan for maintenance work to be completed within one shift if possible. Scope To introduce a standardised handover for all operators. This will be done on plant and will include all production plans/priorities, health and safety issues and any maintenance work being done or planned. Shift handover should be: 1....
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...DESCRIPTION OF THE PROBLEM Handover issues At the start and end of each working Shift operators are expected to hand over the current state of the plant in which they work. They are expected to hand over production issues, health and safety issues and any maintenance work that is being undertaken. They should also be able to hand over the production that is underway and any changes that have been made to the production plan which may effect how they plan there workload. At the moment there are two groups of operators who currently hand over on the plant, they work in the copper and nitrates plants (Nitrates operators do not always hand over on plant). The other operators on site tend to hand over in various places which include the shower room, smoke shelter and weighbridge. Operators also come and interrupt the shift managers during there handover because they are not sure what they are supposed to be doing. To ensure safe handover, organisations should: 1. Identify higher risk handovers; 2. develop staff’s communication skills; 3. emphasise the importance of shift handover; 4. provide procedures for shift handover; 5. plan for maintenance work to be completed within one shift if possible. Scope To introduce a standardised handover for all operators. This will be done on plant and will include all production plans/priorities, health and safety issues and any maintenance work being done or planned. Shift handover should be: 1....
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...3.3 CHARACTERISTICS OF HANDOVER Laxmisan et al (2007) conducted an ethnographic study involving analysis of emergency department handover in a US hospital. The study found that interruptions within the emergency department were prevalent and diverse in nature and that there were gaps in information flow due to multi-tasking and shift changes. The communication process is complex and cognitively taxing during and after team handover, that can compromise patient safety. The study also discusses the need to tailor generic electronic tools to support adaptive processes like multi-tasking and handoffs in time constrained environments. Arora et al (2005) conducted interviews using the critical incident technique to handover failures between inpatient physicians in a US hospital. The study interviewed 26 interns and found 25 discrete incidents. The 21 worst events are described. Omitted contents and failure prone communication processes were identified as a major category of failure in communication. These may result in inefficient or sub-optimal care, leading to patient harm....
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...Bedside nursing handover: A case study 1. Purpose of the study: The purpose of this study was to identify and describe the structures, processes, and perceptions of the outcomes of bedside handovers in nursing practice. 2. Research design: The authors used a descriptive case study which is a methodological approach that can use a number of different methods to conduct an instrumental investigation that is bounded by place and time. Case study research asks questions of ‘what’, ‘why’, and ‘how’ in a non controlled or non artificial environment to analyse existing, real life situations with all their complexity 3. Sampling technique and characteristics of the sample: The study involved three wards in two hospitals in Australia, thus six wards where ultimately included. Wards that where included where medical, surgical and rehabilitation wards. Team leaders, shift coordinators, nursing managers, and educators where the focus of the study in which all participants gave their consent. A total of 32 female participants where interviewed from both hospitals. No male participants where included. From these participants seven where under the age of 30, ten between the age of 30 and 40, eleven between the age of 40 and 50 and six where aged over 50. with regards to nursing classifications, from the 32 participants, 7 where enrolled nurses, 15 where level 1 registered nurses, 7 where level 2 registered nurses and 5 where level three nurses. Only 16 out of the 32 participants...
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...National Quality and Safety Health Service Standard 6: Clinical handover plays an integral part in the transition of patient care between health departments. During Betty's hospital stay, night shift staff did not contact Jane when Betty had a fall. This showed that lack of communication and responsibility was demonstrated between shift change as Jane clearly requested for staff to contact her if there were any changes to her mother's condition. Clinical handover is an essential during medical and nursing practice that occur during different times- between shift changes, between wards and at discharge (Eggins and Slade, 2012). A common issue identified with clinical handover is that information is incomplete or unstructured which may result...
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...CHAPTER 1 INTRODUCTION 1.0 INTRODUCTION A handover is defined as “the act of moving power or responsibility from one person or group to another (Oxford Advanced Learner’s Dictionary of Current English 2005)”. In healthcare and clinical context, the term “handover” applies to the transferring of a patient’s information between two health care providers, when the patient receives care in a different location, or when another healthcare provider is responsible of the patient (ACSQHC 2005). The American word “handoff” also signifies the same meaning. Nursing handovers are often being described as a ritual, which stemmed from the medical concept preliminarily in the 1880s, whereby the nursing sister would direct the nurses on duty after hearing reports from the night shift nurses and the doctors’ rounds (Walsh and Ford 1989). The repetitive characteristic of the traditional handover does not encourage nurses to think critically or share different views, therefore depicted as a “ritual” (Kerr et al 2011). 1.1 BACKGROUND OFTHE STUDY The aim of a nursing shift handover is to precisely inform the patient’s general condition, care plan, treatment and expectations in a timely manner (Runy 2008). The process, if made without a systematic standardized method, would lead to errors and jeopardizes patient’s safety (ACSQHC 2010). Reported adverse events from handovers include unnecessary procedure and investigations, delayed diagnosis or treatments, prolonged hospitalization...
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...Assessment Task 1: Written Reflection This reflection utilises Driscoll’s “What?” Model of Structured Reflection to consider the application of inter-professional communication in the ‘Pregnant Stroke’ video; “Handover”. Inter-professional communication is defined as clear, quality information that aids in the delivery of excellent health care. (Arnold & Boggs, 2011) Handovers between healthcare workers that use inter-professional practices succeed in providing quality health. In the example video of a handover, the paramedic is telling the nurse the history of the patient that is being transferred to the nurse’s care. The paramedic introduces himself and the patient to the nurse and then delves in to the patient’s history. We find out the patient’s name is sally, a 35 year old pregnant female, who is 28 weeks pregnant. She has a family history on hypertension and stroke, and Sally’s husband, David tells the paramedic that sally is not currently on any medication, and she has no known allergies. David called the ambulance because at breakfast, Sally appeared to faint/ lose consciousness, and David supported her to the ground. Sally did not hit her head on the way down to the ground, and the paramedics found her on the ground when they arrived, and David had made sally comfortable with a cushion. Upon the paramedic’s examination, Sally was found to be hypertensive – her blood pressure was 180/110. Sally showed signs of tachycardia, and had a Glasgow Coma Scale (GCS) reading...
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...Evidence Based Practice Task 1 Western Governors University Evidence Based Practice and Applied Nursing Research The nursing topic of interest is bedside handover, which is the concept of conducting shift handover at the patient’s bed instead of doing it at the front desk. Part A The article being analysed is: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal of Clinical Nursing, 22, 192-200. The analysis of the primary research report is done in the form of a graph (figure 1). Each of the four analysis areas is rated within a scale of 1-10; 1 denotes extremely weak while 10 denotes very strong. Table 1 then gives justifications for the rating by explaining why each area of analysis was rated that way in the analysis chart. [pic] Figure 1 Table 1 |A1 Article: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal | |of Clinical Nursing, 22, 192-200. | |A2 Background or introduction |The researchers provided an in depth introduction of the research topic outlining | | |important issues, previous research on the topic and their findings. The introduction | | ...
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...42890 4G Mobile Technologies Research Topic Assessment Task-3 Research Proposal on “Handovers within 4G-LTE Networks (intra e-UTRAN)” Topic Title: Handovers within the 4G-LTE Networks (intra e-UTRAN) Group Members: Md Mazharul Islam (Student No.: 12126429) Samiha Alam (Student No.: 11840877) Archana Kotadia (Student No.: 11944737) List of Deliverables and Dates: Research proposal submission: March 12, 2015 Research draft presentation submission: April 16, 2015 Research topic presentation: May 14, 2015 Approximate Contents of Presentations: * What is Handover?? * Handover in LTE (Characteristics, types & techniques) * e-UTRAN Architecture * Difference between ‘Intra e-UTRAN Handover’ & ‘Inter e-UTRAN Handover’ * Intra-LTE (Intra-MME/SGW) Handover Using the X2 Interface * Intra-LTE (Intra-MME/SGW) Handover Using the S1 Interface * Handover Measurements * Handover Optimization and Design Principles * Handover Parameters * Handover Evaluation Mechanisms * Handover Failures in LTE * Conclusion. References: 1. Han, J., & Wu, B. (2010, October). Handover in the 3GPP long term evolution (LTE) systems. In Mobile Congress (GMC), 2010 Global (pp. 1-6). IEEE. 2. Iñiguez Chavarría, J. B. (2014). LTE Handover performance evaluation based on power budget handover algorithm. 3. Rao, V. S., & Gajula, R. (2010). Interoperability in LTE. White...
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...W-Handover and Call Drop Problem Optimization Guide For internal use only Product name WCDMA RNP Product version 3.3 Confidentiality level For internal use only Total 201 pages W-Handover and Call Drop Problem Optimization Guide (For internal use only) Prepared by Reviewed by Jiao Anqiang Xie Zhibin, Dong Yan, Hu Wensu, Wan Liang, Yan Lin, Ai Hua, Xu Zili, and Hua Yunlong Wang Chungui Date Date 2006-03-16 Reviewed by Approved by Date Date Huawei Technologies Co., Ltd. All Rights Reserved 2009-10-10 All rights reserved Page 1 of 201 W-Handover and Call Drop Problem Optimization Guide For internal use only Revision Records Date Version Description Completing V2.0 W-Handover and Call Drop Problems. According to V3.0 guide Author Cai Jianyong, 2005-02-01 2.0 Zang Liang, and Jiao Anqiang requirements, Jiao Anqiang reorganizing and updating V2.0 guide, focusing more on operability of on-site engineers. All traffic statistics is from RNC V1.5. The update includes: Updating flow chart for optimization Moving part of call drop due to handover problem to handover optimization part Specifying operation-related part to be more 2006-03-16 3.0 applicable to on-site engineers Updating RNC traffic statistics indexes to V1.5 Integrating traffic statistics analysis to NASTAR of the network performance analysis Optimizing some cases, adding new cases, and removing outdated cases and terms Moving content about handover and call...
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...Réseau d’Accès UMTS Architecture et Interfaces EFORT http://www.efort.com L’UMTS (Universal Mobile Telecommunications System) désigne une technologie retenue dans la famille dite IMT 2000 (International Mobile Telecommunications) comme norme pour les systèmes de télécommunications mobile dits de troisième génération (3G), qui succéderont progressivement au standard actuel : le GSM. L’UMTS permet des améliorations substantielles par rapport au GSM, notamment : • Elle rend possible un accès plus rapide à Internet depuis les téléphones portables, par un accroissement significatif des débits des réseaux de téléphonie mobile. • Elle améliore la qualité des communications en tendant vers une qualité d’audition proche de celle de la téléphonie fixe. • Elle permet de concevoir une norme compatible à l’échelle mondiale, contrairement aux technologies actuelles (les normes utilisées aux Etats-Unis et au Japon ne sont pas toutes compatibles avec le GSM). • Elle répond au problème croissant de saturation des réseaux GSM, notamment en grandes villes. Les technologies développées autour de la norme UMTS conduisent à une amélioration significative des vitesses de transmission pouvant atteindre 2 Mbit/s. De tels débits sont significativement supérieurs à ceux permis par les réseaux GSM actuels (9,6 kbit/s) ou par le GPRS. • Cette amélioration des débits est rendue possible par l’évolution des technologies radio qui autorise une meilleure efficacité spectrale et l’exploitation de bandes de...
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...older adults living in the community?) | 1) Chaboyer W, McMurray A, Wallis M. Bedside nursing handover: A case study, International Journal of Nursing Practice 2010: 16:27-34 | Level I: Evidence from a systematic review or meta-analysis of all relevant randomized controlled trials (RCTs) or evidence-based clinical practice. | This research aimed to better understand the structures, processes and perceived outcomes of bedside nursing handover as a beginning step to facilitate its implementation. | Randomized control trial, clinical trial. | 532 bedside handovers, 34 interviews with nurses. Six wards in two hospitals in Austrailia. 3 medical, 1 surgical, 1 medsurge, 1 rehabilitation ward. Semistructured observation and interviews. | SBAR was used in 45-65% of handovers in 3 situations when: patients were new or condition changed, patients were unfamiliar to staff such as when staff had been off for a few days, or casual/agency staff were part of the team. On average each bedside handover took just over a minute. | Before handover patient handover was completed and handover sheet updated. Just before handover pts were informed that handover would shortly take place and were asked if they required any assistance in order to limit disruptions during handover, visitors were excused. Information was prompted by pts presence. Safety scan and medication review was done. Kept handover short and simple and to the point. Information found might be used as the basis for standard operating...
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...Kwok Lecturer: Mr Milton Baar Introduction Aims and Goals Challenges Horizontal Handover Vertical Handover QoS Techniques Advantages/Disadvantages Conclusions & Future Work References Appendix A Appendix B 2 3 4 4 7 8 10 11 12 13 14 Appendix C 15 Abstract There have been tremendous growths in the use of mobile technologies in recent years. In the early days, only the rich and keen early adopters were able to own mobile phones, which were large in size, required a substantial source of power to operate and were limited in functionality and quite restrictive in terms of mobility. Today, over 5.6 billion subscribed devices are in active use, which represent approximately 80% of the world population and are rising. (Gartner) Improved reception power coupled with increased network coverage and penetration, global roaming capability, sharp quality, fitto-palm size with large screen and lightweight are the significants of today’s user terminals. Given such advances, the growth within the large increases of cellular use has been on mobile data. In 2011, the total mobile data service revenues were close to $315 billion (Gartner). LTE is a serious improvement in network architecture to handle this surge in demand and is embraced by all providers. This paper first describes the background of LTE and then outlines the important challenges. Two of the challenges are related to the handover technologies and techniques on providing the required QoS for services, they are discussed...
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...of transfer of care is inadequately undertaken risks to the patient are increased and may subsequently lead to harm (BMA, 2005; Joint Commission, 2007). The Network organised a series of patient safety road shows which were specifically designed to build consensus and concentrate activities on the key topic of transfer of care, to facilitate networking between members of the Network’s regional groups and a range of colleagues working across all care sectors, and to identify the actions required to improve the patients’ experience of transfer of care across all health and social settings. 1.1 Literature Review “A good…handover process is a crucial part of providing quality…care…The conservation of patient data during the handover process is vital to ensure good continuity of care and safe practice. Any errors or omissions made during the handover process may have dangerous consequences…” (Pothier, et al., 2005) Delays in transferring or discharging patients can result in a range of problems for both patients and organisations (Bryan, et al., 2005). For patients these problems include: increased dependency; depression; loss of choice, control and confidence; and being placed at risk of exposure to hospital acquired infection. For organisations delays in the transfer or discharge of patients may result in bed blocking, leading to the possibility of greater waiting times for patients needing hospital care and treatment. In addition,...
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