Reference : Cognitive support for a better handoff: does it improve the quality of medical communica...
Scientific journals : Article
Human health sciences : Public health, health care sciences & services
Social & behavioral sciences, psychology : Multidisciplinary, general & others
http://hdl.handle.net/2268/135773
Cognitive support for a better handoff: does it improve the quality of medical communication at shift change in an emergency department?
English
Gillet, Aline mailto [Université de Liège - ULg > Département Psychologies et cliniques des systèmes humains > Ergonomie et intervention au travail >]
GHUYSEN, Alexandre mailto [Centre Hospitalier Universitaire de Liège - CHU > > Urgences >]
BONHOMME, Suzanne mailto [Centre Hospitalier Universitaire de Liège - CHU > > Urgences >]
D'ORIO, Vincenzo mailto [Centre Hospitalier Universitaire de Liège - CHU > > Urgences >]
Nyssen, Anne-Sophie mailto [Université de Liège - ULg > Département Psychologies et cliniques des systèmes humains > Ergonomie et intervention au travail >]
In press
European Journal of Emergency Medicine
Lippincott Williams & Wilkins
International
0969-9546
1473-5695
London
United Kingdom
[en] Emergency Department (ED) ; Medical Handover ; Communication Failure ; Emergency Physician ; Patient Safety
[en] In order to improve the communication during shift handover in an emergency
department, we observed the handover process and analysed the discourse between
physicians at shift change first, then we created two cognitive tools and tested their
clinical impact on the field. We used different measures to evaluate this impact on the
health care process including frequency and type of information content communicated
between physicians, duration of the handoff, physician self-evaluation of the quality of
the handoff and a post-handover study of patient handling. Our results showed that the
patient's medical history, significant tests results, recommendations (treatment plan)
and patient follow-up were communicated to a greater extent when the tools are used.
We also demonstrated that physicians spent more time at the bedside and less time
consulting medical records using these tools.
http://hdl.handle.net/2268/135773

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