Abstract

Hand over is the process of transferring clinical data between health care professionals. Interruption to the continuity of care can take place during handover and result in poor patient outcome. The aim of this audit was to find out whether the handover practice between shifts in the Intensive care unit (ICU) is safe and effective. Data was collected by a self-administered questionnaire which was distributed among nursing and medical officers who were selected by convenience sampling of ICU’s at the National Hospital of Sri Lanka (NHSL). It was identified that there are multiple deficiencies in the current hand over practice and need introduction of standardized hand over technique to our ICU’s.

Highlights

  • Clinical handover refers to the transfer of professional responsibility and accountability of some or all aspects of care of a patient or group of patients to another person or professional group on a temporary or permanent basis.[1]

  • Continuity of information is vital for the safety of critically ill patients.[3]

  • Ineffective handover has been found to result in poor patient outcome

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Summary

Introduction

Clinical handover refers to the transfer of professional responsibility and accountability of some or all aspects of care of a patient or group of patients to another person or professional group on a temporary or permanent basis.[1]. Continuity of information is vital for the safety of critically ill patients.[3] Ineffective handover has been found to result in poor patient outcome. Clinical handover between shifts is a high risk activity for patient safety.[4] Critical information of each patient should be transferred effectively and correctly in order to maintain continuity of care despite change in shifts among medical and nursing officers. Both medical and nursing staff has the responsibility of proper handover of their patients

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