Factors that impact on the safety of patient handovers: An interview study

Publication: Research - peer-reviewJournal article – Annual report year: 2012

Standard

Factors that impact on the safety of patient handovers: An interview study. / Siemsen, Inger Margrete; Madsen, Marlene Dyrløv; Pedersen, Lene Funck; Michaelsen, Lisa; Pedersen, Anette Vesterskov; Andersen, Henning Boje; Østergaard, Doris.

In: Scandinavian Journal of Public Health, Vol. 40, No. 5, 2012, p. 439-448.

Publication: Research - peer-reviewJournal article – Annual report year: 2012

Harvard

Siemsen, IM, Madsen, MD, Pedersen, LF, Michaelsen, L, Pedersen, AV, Andersen, HB & Østergaard, D 2012, 'Factors that impact on the safety of patient handovers: An interview study' Scandinavian Journal of Public Health, vol 40, no. 5, pp. 439-448., 10.1177/1403494812453889

APA

Siemsen, I. M., Madsen, M. D., Pedersen, L. F., Michaelsen, L., Pedersen, A. V., Andersen, H. B., & Østergaard, D. (2012). Factors that impact on the safety of patient handovers: An interview study. Scandinavian Journal of Public Health, 40(5), 439-448. 10.1177/1403494812453889

CBE

Siemsen IM, Madsen MD, Pedersen LF, Michaelsen L, Pedersen AV, Andersen HB, Østergaard D. 2012. Factors that impact on the safety of patient handovers: An interview study. Scandinavian Journal of Public Health. 40(5):439-448. Available from: 10.1177/1403494812453889

MLA

Vancouver

Author

Siemsen, Inger Margrete; Madsen, Marlene Dyrløv; Pedersen, Lene Funck; Michaelsen, Lisa; Pedersen, Anette Vesterskov; Andersen, Henning Boje; Østergaard, Doris / Factors that impact on the safety of patient handovers: An interview study.

In: Scandinavian Journal of Public Health, Vol. 40, No. 5, 2012, p. 439-448.

Publication: Research - peer-reviewJournal article – Annual report year: 2012

Bibtex

@article{1c6beadc04dd43288b0e9cacf38abaf7,
title = "Factors that impact on the safety of patient handovers: An interview study",
publisher = "Sage Science Press (UK)",
author = "Siemsen, {Inger Margrete} and Madsen, {Marlene Dyrløv} and Pedersen, {Lene Funck} and Lisa Michaelsen and Pedersen, {Anette Vesterskov} and Andersen, {Henning Boje} and Doris Østergaard",
year = "2012",
doi = "10.1177/1403494812453889",
volume = "40",
number = "5",
pages = "439--448",
journal = "Scandinavian Journal of Public Health",
issn = "1403-4948",

}

RIS

TY - JOUR

T1 - Factors that impact on the safety of patient handovers: An interview study

A1 - Siemsen,Inger Margrete

A1 - Madsen,Marlene Dyrløv

A1 - Pedersen,Lene Funck

A1 - Michaelsen,Lisa

A1 - Pedersen,Anette Vesterskov

A1 - Andersen,Henning Boje

A1 - Østergaard,Doris

AU - Siemsen,Inger Margrete

AU - Madsen,Marlene Dyrløv

AU - Pedersen,Lene Funck

AU - Michaelsen,Lisa

AU - Pedersen,Anette Vesterskov

AU - Andersen,Henning Boje

AU - Østergaard,Doris

PB - Sage Science Press (UK)

PY - 2012

Y1 - 2012

N2 - Aims: Improvement of clinical handover is fundamental to meet the challenges of patient safety. The primary aim of this interview study is to explore healthcare professionals’ attitudes and experiences with critical episodes in patient handover in order to elucidate factors that impact on handover from ambulance to hospitals and within and between hospitals. The secondary aim is to identify possible solutions to optimise handovers, defined as “situations where the professional responsibility for some or all aspects of a patient’s diagnosis, treatment or care is transferred to another person on a temporary or permanent basis”. Methods: We conducted 47 semi-structured single-person interviews in a large university hospital in the Capital Region in Denmark in 2008 and 2009 to obtain a comprehensive picture of clinicians’ perceptions of self-experienced critical episodes in handovers. We included different types of handover processes that take place within several specialties. A total of 23 nurses, three nurse assistants, 13 physicians, five paramedics, two orderlies, and one radiographer from different departments and units were interviewed. Results: We found eight central factors to have an impact on patient safety in handover situations: communication, information, organisation, infrastructure, professionalism, responsibility, team awareness, and culture. Conclusions: The eight factors identified indicate that handovers are complex situations. The organisation did not see patient handover as a critical safety point of hospitalisation, revealing that the safety culture in regard to handover was immature. Work was done in silos and many of the handover barriers were seen to be related to the fact that only few had a full picture of a patient’s complete pathway.

AB - Aims: Improvement of clinical handover is fundamental to meet the challenges of patient safety. The primary aim of this interview study is to explore healthcare professionals’ attitudes and experiences with critical episodes in patient handover in order to elucidate factors that impact on handover from ambulance to hospitals and within and between hospitals. The secondary aim is to identify possible solutions to optimise handovers, defined as “situations where the professional responsibility for some or all aspects of a patient’s diagnosis, treatment or care is transferred to another person on a temporary or permanent basis”. Methods: We conducted 47 semi-structured single-person interviews in a large university hospital in the Capital Region in Denmark in 2008 and 2009 to obtain a comprehensive picture of clinicians’ perceptions of self-experienced critical episodes in handovers. We included different types of handover processes that take place within several specialties. A total of 23 nurses, three nurse assistants, 13 physicians, five paramedics, two orderlies, and one radiographer from different departments and units were interviewed. Results: We found eight central factors to have an impact on patient safety in handover situations: communication, information, organisation, infrastructure, professionalism, responsibility, team awareness, and culture. Conclusions: The eight factors identified indicate that handovers are complex situations. The organisation did not see patient handover as a critical safety point of hospitalisation, revealing that the safety culture in regard to handover was immature. Work was done in silos and many of the handover barriers were seen to be related to the fact that only few had a full picture of a patient’s complete pathway.

U2 - 10.1177/1403494812453889

DO - 10.1177/1403494812453889

JO - Scandinavian Journal of Public Health

JF - Scandinavian Journal of Public Health

SN - 1403-4948

IS - 5

VL - 40

SP - 439

EP - 448

ER -