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

Inger Margrete Siemsen, Marlene Dyrløv Madsen, Lene Funck Pedersen, Lisa Michaelsen, Anette Vesterskov Pedersen, Henning Boje Andersen, Doris Østergaard

    Research output: Contribution to journalJournal articleResearchpeer-review

    Abstract

    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.
    Original languageEnglish
    JournalScandinavian Journal of Public Health
    Volume40
    Issue number5
    Pages (from-to)439-448
    ISSN1403-4948
    DOIs
    Publication statusPublished - 2012

    Cite this

    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. https://doi.org/10.1177/1403494812453889
    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. 2012 ; Vol. 40, No. 5. pp. 439-448.
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    abstract = "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.",
    author = "Siemsen, {Inger Margrete} and Madsen, {Marlene Dyrl{\o}v} and Pedersen, {Lene Funck} and Lisa Michaelsen and Pedersen, {Anette Vesterskov} and Andersen, {Henning Boje} and Doris {\O}stergaard",
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    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. https://doi.org/10.1177/1403494812453889

    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.

    Research output: Contribution to journalJournal articleResearchpeer-review

    TY - JOUR

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

    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

    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

    M3 - Journal article

    VL - 40

    SP - 439

    EP - 448

    JO - Scandinavian Journal of Public Health

    JF - Scandinavian Journal of Public Health

    SN - 1403-4948

    IS - 5

    ER -