Evaluation of Intershift Handover in Emergency Department
AbstractObjective: Intershift handover (IH) in emergency departments can lead to serious distress in terms of both patient and doctor safety. In the study; it was aimed to determine how patients handed over between the shifts in the emergency services and the deficiencies, defects and errors occurred during this process. Methods: This study was conducted with 462 emergency doctors at 62 private, state, training research and university hospitals in Istanbul, Edirne, Kırklareli and Tekirdag cities where almost one fourth of Turkish population live, by interwiewing face-to-face between April 2016 and June 2016. Results: There were statistically significant difference between the groups who said that the transfer quality depends on the transferer doctor and lecturer and the other groups (respectively p<0.05). 98.1% (n = 453) of the physicians stated that they completely or partially agree with that; the deficiencies during handover the effect negatively the treatment of the patient (p<0.05). Conclusion: In conclusion, it is obvious that; the intershift handover in emergency department is vital. By reducing the number of mistakes made during this period, the quality of treatment of patients can be increased. In order to achieve this, we also think that it would be beneficial to give education to emergency service doctors about patient handover and to use a standardized intershift patient handover form.
Safe Handover: Safe Patients: Guidance on Clinical Handover for Clinicians and Managers. National Patient Safety Agency, British Medical Association; 2004.
Miller C. Ensuring continuing care: styles and efficiency of the handover process. Aust J Adv Nurs 1998;16:23-7.
Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ 2000;320:791-4.
Solet DJ, Norvell JM, Rutan GH, Frankel RM. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Acad Med 2005;80:1094-9.
Burnett MG, Grover SA. Use of the emergency department for nonurgent care during regular business hours. CMAJ 1996;154:1345-51.
Apker J, Mallak LA, Applegate EB. et al. Exploring emergency physician-hospitalist handoff interactions: development of the handoff communication assessment. Ann Emerg Med 2010;55:161–70.
Borowitz SM, Waggoner-Fountain LA, Bass EJ et al. Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey. Qual Saf Health Care 2008;17:6–10.
Pezzolesi C, Schifano F, Pickles J et al. Clinical handover incident reporting in one UK general hospital. Int J Qual Health Care 2010;22:396–401.
Roughton VJ, Severs MP. The junior doctor handover: current practices and future expectations. J R Coll Physicians Lond 1996; 30: 213–4.
Singh H, Thomas EJ, Petersen LA, et al. Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. Arch Intern Med 2007;167:2030–6.
Sinha M, Shriki J, Salness R, et al. Need for standardized sign-out in the emergency department: a survey of emergency medicine residency and pediatric emergency medicine fellowship program directors. Acad Emerg Med 2007;14:192–6.
All opinions and reports within the articles that are published in the Gazi Medical Journal are the personal opinions of author(s). Gazi University, Editors and the publisher do not accept any responsibility for these articles. The journal is printed on acid-free paper.