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Handover rounds in Irish hospitals

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Abstract

Background

With the increasing complexities in medicine and the reduction in working hours, shift work patterns are emerging for hospital doctors and with them the possiblity for discontinuity of patient care and negative outcomes for patient safety.

Aims

The purpose of this study was to evaluate the prevalence, format and structure of formal handover rounds in Irish hospitals in four different specialties.

Methods

A 26-item questionnaire was sent to 61 participants in 26 hospitals.

Results

Just over a quarter of respondents (28%) reported formal handover rounds. Respondents from Obstetrics and Gynaecology were more likely to report handover rounds (80%). Prominent features of handover include frequent consultant (100%) and post-call staff (73%) attendance.

Conclusion

This study confirms that handover rounds are not universal in Irish hospitals. While this does not imply that patient safety is compromised, the need for effective and comprehensive handover is a critical aspect of patient care.

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References

  1. British Medical Association, Junior Doctors Committee, National Patient Safety, NHS Modernisation Agency (2005) Safe handover: safe patients. Guidance on clinical handover for clinicians and managers. BMA, London

    Google Scholar 

  2. Solet DJ, Norvell JM, Rutan GH, Frankel RM (2005) Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Acad Med 80:1094–1099

    Article  PubMed  Google Scholar 

  3. Harding Clark M (2006) The Lourdes hospital inquiry: an inquiry into peripartum hysterectomy at Our Lady of Lourdes Hospital, Drogheda. Report of Judge Maureen Harding Clark SC. The Stationery Office, Dublin

  4. Department of Enterprise, Trade and Employment. European Communities (Organisation of Working Time) (Activities of Doctors in Training) Regulations 2004 (S.I. No. 494 of 2004). http://www.dohc.ie/legislation/statutory_instruments/pdf/si20040494.pdf?direct=1 (accessed December 2009)

  5. Vidyarthi AR, Arora V, Schnipper JL, Wall SD, Wachter RM (2006) Managing discontinuity in academic medical centres: strategies for a safe and effective resident sign-out. J Hosp Med 1(4):257–266

    Article  PubMed  Google Scholar 

  6. Royal College of Surgeons in Ireland. Regional information. http://surgicaltraining.rcsi.ie/DesktopDefault.aspx?tabID=386 (accessed August 2008)

  7. Royal College of Physicians of Ireland. Hospitals approved for General Professional Training in General (Internal) Medicine. http://www.rcpi.ie/EducationAndTraining/GPT%20Lists%20of%20Hospitals%20Currently%20Recognised%20for%20GP/GPT%20Approved%20Hospitals%20in%20Medicine.pdf (accessed August 2008)

  8. Royal College of Physicians of Ireland. Hospitals currently approved for General Professional Training in Paediatrics. http://www.rcpi.ie/EducationAndTraining/GPT%20Lists%20of%20Hospitals%20Currently%20Recognised%20for%20GP/GPT%20Approved%20Hospitals%20in%20Paediatrics.pdf (accessed August 2008)

  9. Royal College of Physicians of Ireland. Hospitals currently approved for General Professional Training in Obstetrics and Gynaecology. http://www.rcpi.ie/EducationAndTraining/GPT%20Lists%20of%20Hospitals%20Currently%20Recognised%20for%20GP/GPT%20Approved%20Hospitals%20in%20Obstetrics%20and%20Gynaecology.pdf (accessed August 2008)

  10. Fassett MJ, Hannan TJ, Robertson IK, Bollipo SJ, Fassett RG (2007) A national survey of medical morning handover report in Australian hospitals. Med J Aust 187:164–165

    PubMed  Google Scholar 

  11. Wilson RM, Runciman WB, Gibberd RW, Harrison BT, Newby L, Hamilton JD (1995) The quality in Australian health care study. Med J Aust 163(9):458–471

    CAS  PubMed  Google Scholar 

  12. Leonard C, Fanning N, Attwood J, Buckley M (1998) The effect of fatigue, sleep deprivation and onerous working hours on the physical and mental wellbeing of pre-registration house officers. Ir J Med Sci 167:22–25

    Article  CAS  PubMed  Google Scholar 

  13. Petersen LA, Brennan TA, O’Neill AC, Cook FE, Lee TH (1994) Does housestaff discontinuity of care increase the risk for preventable adverse events? Ann Intern Med 121:866–872

    CAS  PubMed  Google Scholar 

  14. Joint Commission on Accreditation of Healthcare Organisations (2006) National Patient Safety Goal 2E. The Joint Commission, Illinois. http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/06_npsg_cah.htm (accessed January 2010)

  15. Arora V, Johnson J, Lovinger D, Humphrey HJ, Meltzer DO (2005) Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Qual Saf Health Care 14:401–407

    Article  CAS  PubMed  Google Scholar 

  16. Volpp KGM, Grande D (2003) Residents’ suggestions for reducing errors in teaching hospitals. N Engl J Med 348:851–855

    Article  PubMed  Google Scholar 

  17. Wilcox RA, La Tella RR (2001) The personal digital assistant: a new medical instrument for the exchange of clinical information at the point of care. Med J Aust 175:659–662

    CAS  PubMed  Google Scholar 

  18. GS LeonardM, Bonacum D (2004) The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care 13(Suppl 1):i85–i90

    Google Scholar 

  19. Raptis DA, Fernandes C, Chua Weiliang, Boulos PB (2009) Electronic software significantly improves quality of handover in a London teaching hospital. Health Inform J 15(3):191–198

    Article  Google Scholar 

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Correspondence to J. N. Murphy.

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Murphy, J.N., Ryan, C.A. Handover rounds in Irish hospitals. Ir J Med Sci 180, 27–30 (2011). https://doi.org/10.1007/s11845-010-0627-7

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  • DOI: https://doi.org/10.1007/s11845-010-0627-7

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