COMMUNICATION CRITICAL CARE

1. M.ABDELMONEIM
Moderator Dr.Altayar
CLINICAL HANDOVER
( PATIENTS HANDS OFF)

2. ?
Do we have a problem with handover in
our unite?

3. Common situation
Sunday 10 am in the ICU, a son of a patient came
to ask about a CT brain that was done in the night
for his father, the doctor in charge is not aware
of the CT and why it was done and he told the son
that he will answer his concerns 1-3 pm
14:00 the son met the Dr. and after explanation
of the CT, the son asked about the patient’s right
black hand, whether it is going to require
intervention, the Dr was not aware of that issue
and he asked the primary nurse but she had no
idea about that

4. You feel like

5. Handover problem is noticed when things go
wrong

6. Clinical handover is defined as
“the transfer of professional responsibility and
accountability for some or all aspects of care for a
patient, or group of patients, to another person or
professional group on a temporary or permanent basis”

7. The Joint Commission has identified communication as
the primary cause for preventable medical errors, with
handoffs accounting for 80% of these instances

9. *Shift hours fragmenting care in teaching hospitals and
increasing the number of times a patient’s care is
transferred during a hospital stay
*Multiple physicians may now share in the care of a
single patient

10. Barriers
The physical setting
(confidentiality,environment)
The social setting
Language barriers
Medium of communication(direct,indirect)

16. In One Ward
We have to develop our own handover tool

17. Considering
Your own unit requirements, style and interest
Simple, Applicable, brief, and comprehensive
Has to be written not only verbal
Better if electronic
Flexible standardization
Education of staff
Monitoring and Modifications

19. To design a model
ID/location (Name, MRN, Bed Number)
Diagnosis
Active issues
If/then
Code status
Transfer status
Hand written comments
Mnemonic