Abstract
Communication between health facilities is one of the fundamental elements for a proper management of women during pregnancy and delivery. Failures of the process, mainly due to an absence of a structured handover, are closely associated with adverse events and near misses. This research has two main aims: to assess the presence and characteristics of the handover process between a community pregnancy service and a hospital maternal area in high-risk pregnancy and to design and test a tool for a structured transfer of clinical information between these two settings. An ethnographic study was conducted through participated observations. From the observations, researchers have been able to define a minimum set of information critical for any referral and that need to be included in any handover between the sending and the receiving setting.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Wong, M.C., Yee, K.C., Turner, P.: Clinical Handover Literature Review. eHealth Services Research Group University of Tasmania, Australia (2008). http://www.thoracic.org.au/. Last accessed June 2018
Toccafondi, G., Albolino, S., Tartaglia, R., et al.: The collaborative communication mode for patient handover at the interface between high-acuity and low-acuity care. BMJ Qual. Saf. 21(Suppl. 1), i58–66 (2012)
Joint Commission Homepage (2011). http://www.jointcommission.org/Sentinel_Event_Statistcs. Last accessed July 2018
Bhabra, G., Mackeith, S., Monteiro, P., et al.: An experimental comparison of handover methods. Ann. R. Coll. Surg. Engl. 89, 298–300 (2007)
Toccafondi, G., Albolino, S., Bellandi, T., Venneri, F.: Handover process: how to improve quality and safety through an ergonomic solution. Work 41(Suppl. 1), 2941–2945 (2012)
WHO (World Health Organisation) Homepage. http://www.who.int/patientsafety/implementation/solutions/high5s/cim_guide. Last accessed 13 Jan 2019
Pezzolesi, C., Schifano, F., Pickles, J., Randell, W., Hussain, Z., Muir, H., Dhillon, S.: Clinical handover incident reporting in one UK general hospital. Int. J. Qual. Health Care 22(5), 396–401 (2010)
Till, A., Sall, H., Wilkinson, J.: Safe handover: safe patients - the electronic handover system. BMJ Open Qual. 2, u202926.w1359 (2014)
BMA, Junior Doctors Committee, National Patient Safety Agency, NHS Modernisation Agency: Safe Handover: Safe Patients. Guidance on Clinical Handover for Clinicians and Managers. BMA, London (2005)
Northern Devon Healthcare NHS Trust Homepage. http://www.northdevonhealth.nhs.uk. Last accessed Sep 2018
Norfolk and Norwich University Hospitals NHS Foundation Trust Homepage. http://www.nnuh.nhs.uk/. Last accessed Sep 2018
Boaro, N., Fancott, C., Baker, R., et al.: Using SBAR to improve communication. J. Interprof. Care 24(1), 111–114 (2010)
Haig, K.M., Sutton, S., Whittington, J.: SBAR: a shared model for in between clinicians. Jt. Comm. J. Qual. Patient Saf. 32(3), 167–175 (2006)
Ahmed, J., Mehmood, S., Rehman, S., Ilyas, C., Khan, L.U.R.: Impact of a structured template and staff training on compliance and quality of clinical handover. Int. J. Surg. 10(9), 571–574 (2012)
Hesselink, G., Schoonhoven, L., Barach, P., et al.: Improving patient handovers from hospital to primary care: a systematic review. Ann. Intern. Med. 157(6), 417–428 (2012)
Owen, R., Candelier, C.: A ‘modified’ CHAPs tool – an effective system for handover of care between medical staff in a maternity unit setting. Arch. Dis. Child.-Fetal Neonatal Ed. 95(Supplement 1), Fa66–Fa67 (2010)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Bonito, M., Albolino, S., Dagliana, G., Toccafondi, G., Dubini, V. (2019). Enhancing a Structured Communication Between the Community Pregnancy Services and the Hospital Maternal Area: A Tool for the Handover Process in High - Risk Pregnancy Through an Ethnographic Study Conducted in the Toscana Centro Trust. In: Cotrim, T., Serranheira, F., Sousa, P., Hignett, S., Albolino, S., Tartaglia, R. (eds) Health and Social Care Systems of the Future: Demographic Changes, Digital Age and Human Factors. HEPS 2019. Advances in Intelligent Systems and Computing, vol 1012. Springer, Cham. https://doi.org/10.1007/978-3-030-24067-7_14
Download citation
DOI: https://doi.org/10.1007/978-3-030-24067-7_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-24066-0
Online ISBN: 978-3-030-24067-7
eBook Packages: Intelligent Technologies and RoboticsIntelligent Technologies and Robotics (R0)