Patient Care Hand Off


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A critical safety and quality problem in the United States, patient care hand-off has been described as “The Bermuda Triangle of Healthcare”. Miscommunication is so common that it’s been found that ED staff members remember less than half of the information that EMS relays during verbal reports. Occurring many thousands of times a day and each and every patient hand-off is an opportunity for either failure or success. Using the right techniques, healthcare providers can do more than just avoid an “uh-oh” moment, we can speed the delivery of critical patient care to our patients who need it most.

Objectives: Students will learn:
1) The potential failure points in hand off that directly affect patient care.
2) Common communication errors that occur
3) The SBAR +Q method for verbal reports.
4) The SHARE method for implanting a hand-off improvement initiative.

Published in: Health & Medicine, Technology
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  • Begin every class no mater where thinking…For years at the beginning of every course that I taught I explained to my students that no matter where they were Practicing EMS I was teaching them like any one of them could be responding to care for the people that I cared about.
  • 2006 WSJ health columnist Laura Landro referred to patient handoffs as “The Bermuda Triangle of health care.”
  • Please indicate the correct response in this section – if there is a correct response.
  • This will help address specific issues that you identify.
  • Vertical up to intervention, critical care, etc.Horizontal across trauma, cardiac, medical, etc.
  • Standardize Critical Content Hardwire Within Your System Allow QuestionsReinforce Quality Educate and Coach
  • Patient Care Hand Off

    1. 1. Trauma Cardiac Stroke Sepsis
    2. 2. TEAM TO TEAM
    3. 3.
    4. 4. Context / Priority Hx. Prior Care Current State Immediate Needs
    5. 5. Delay in treatment Inappropriate treatment Adverse events Omissions of care Increased hospital length of stay Avoidable readmissions Increased costs Inefficiency from rework Other minor or major patient harm
    6. 6.
    7. 7.
    8. 8.
    9. 9. Eye Contact Environment Ensure ABC’s Structured Report Supply Documentation
    10. 10. Eye Contact Environment Ensure Understanding Summary Supplement
    11. 11. Mechanism Injuries / Illness Symptoms Treatment What Happened? Priority Concerns! Top to Toe Symptoms Vital Signs Scales / Scores What did YOU do? How did THEY do?
    12. 12. Situation Background Assessment Recommendations Priority Concerns! What Happened? Top to Toe Vital Signs Scales / Scores What did YOU do? How did THEY do? What should WE do?
    13. 13. Standardize Hardwire Ask Questions Reinforce Educate & Coach
    14. 14.
    15. 15. Eye Contact Environment Ensure ABC’s Structured Report: Supply Documentation
    16. 16. Eye Contact Environment Ensure Info Summary Supplement
    17. 17. Increase Situational Awareness Improve Focus / Prioritization Reduce Errors / Adverse Events Improve Forward Movement Increase Staff / Patient Satisfaction
    18. 18. Tense!Terrific!
    19. 19.
    20. 20.