Reference : Cognitive support for a better handoff: does it improve the quality of medical commun...
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 >]
2012
European Journal of Emergency Medicine
Lippincott Williams & Wilkins
Yes (verified by ORBi)
International
0969-9546
1473-5695
London
United Kingdom
[en] Emergency Department (ED) ; Medical Handover ; Communication Failure ; Emergency Physician ; Patient Safety
[en] AIM: To improve the communication during shift handover in an emergency department. METHODS: We observed the handover process and analysed the discourse between physicians at shift change first, and 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 the frequency and type of information content communicated between physicians, duration of the handoff, physician self-evaluation of the quality of the handoff and a posthandover study of patient handling. RESULTS: Our results showed that the patient's medical history, significant test results, recommendations (treatment plan) and patient follow-up were communicated to a greater extent when the tools are used. We also found that physicians spent more time at the bedside and less time consulting medical records using these tools. CONCLUSION: The present study showed how in-depth observations and analyses of real work processes can be used to better support the quality of patient care.
http://hdl.handle.net/2268/135773
also: http://hdl.handle.net/2268/139287
10.1097/MEJ.0b013e328357eaa2

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