Handoff Communication In Health Care

The culture of healthcare environments can be broken down into several subcultures all of which have a significant impact on patient safety (Sammer et al. 2010) this essay will address the subculture of communication. Communication is a process by which information is exchanged between individuals through a shared system of terms, symbols, signs, or behaviors, the healthcare environment is extremely dynamic and multifaceted and as such communication is constantly taking place, this essay will focus on handovers between healthcare professionals, examining the impact of communication quality during transitions of care, as well as discussing specific communicative

In preparation of a review from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Nightingale Community Hospital will focus on improving its communication process in the operating room. The purpose of communication in the healthcare setting is to disseminate information in such a way as to create shared understanding about the patient and about what needs to be done for a positive outcome. (synergia.com) A patient is at his most vulnerable state during procedures that require sedation or anesthesia. The patient is releasing his decision making ability and safety into the control and care of the healthcare team. Therefore, effective communication on behalf of the patient is

Communication in the healthcare field may be a little different for some people. Healthcare requires the communication to have a purpose, and that purpose is revolved around a person’s needs. A patient with good staff communication during

The significance of the study is to discuss and clarify why bedside reporting is the best method of patient handoff. The benefits associated with this kind of bedside reporting and if implemented, how it will be of help to

Open communication is essential part to a successful healthcare team that directly impacts patient’s lives. In the video “Just a Routine Operation, ” by Laedal Medical Human Factors in Patient Safety, physicians and nurses demonstrates how different human factors contribute to the overall outcome of the patient. Elaine, the patient in the video came into the hospital for a reconstruction surgery. However, during the surgery Elaine had a complication and because the lack of communication, assertiveness, self-awareness, decision-making, teamwork, and prioritization, Elaine did not survive the surgery. This situation shows how important these characteristics are when dealing with emergency care. Even the health care professional with the years

A significant amount of communication is done between nurses at handoff report, and the patient’s safety can also be compromised at this time (Sand-Jecklin & Sherman, 2014). In a study conducted regarding near miss incidents, nurses reported that handoff report is a contributing factor (Sand-Jecklin & Sherman, 2014). Communication errors are the leading cause of patient harm and are the root cause of 65% of sentinel events (Tobiano, Chaboyer, & Mcmurray, 2013). If the bedside report is

Communication: Today I had the pleasure of being in both the pre-operative and post-operative units. Communication within the members of both the teams were very efficient. I noticed the nurses work much more independently and focus more on one on one patient care. However, the nurses in pre-op did communicate a great deal with members of the surgical team. The nurses would call and inform the surgical team when a patient was prepared to enter surgery. Also, the surgical team would contact the pre-op nurses regularly to give them an update on how procedures were going in the OR. For example, if a surgeon was ahead of schedule they would contact the pre-op nurses to inform them that they could begin preparing the next patient ahead of time. Or vice versa, in cases that the surgeon was behind schedule. On the other hand, in post-op the nurse was also very independent. She would wait for a phone call from the PACU nurse, to receive a quick SBAR report of the patient just a few minutes before the patient was transferred. Via the telephone, the PACU nurse would inform the post-op nurse of current vitals, along with the types of anesthetics the patient received and outcomes of the procedure. Mainly, the nurses communicated with the patient and their family. Along with performing full body assessments, the pre-op nurses spent most of their time asking patients detailed questions regarding their health history, current health status, and use of medications. In addition, the pre-op

Within a health care setting communication is a necessity. This communication not only includes the need for professional communication but also the way in which information is shared to the patient and to other healthcare workers. Another important aspect of health care worker such as a nurse is the effectiveness off a handover. Within the video, Effective Communication in nursing these three aspects of communication (Professional communication, provision of information and handover) were seen and will be analysed further, within this essay. These will be analysed through the three aspects, the care of the patient, the image of the individual nurse and the health outcomes of the patient. All of these three aspects of communication are vitally important to the overall patient needs.

A weakness in communication between interdisciplinary team members can impact patient safety and health . A recent study revealed that out of all the claims analyzed , 57 percent of malpractice cases reflected miscommunication between two or more healthcare providers (Riah, 2015). In fact, the same communication failures directly linked to 1,744 deaths over the past five years (Budryk, 2016). During my clinical placement this semester I have witnessed the overwhelming number of health care team members that are involved in each patient’s care. I also take part in morning nursing rounds where all nurses are updated on every patient’s status. Transmission of permanent patient information is also relayed to all members of the health team via the patient chart .Here , interdisciplinary notes all come together to form updated health information on patients. However, although I have read interdisciplinary notes from all team members , I rarely have had the opportunity to personally communicate with members other than doctors and nurses. Personal communication allows for a team member to pass on relevant information in a timely manner without the possibility or misinterpretations. When communication is strictly done non-verbally, it is impossible to ask any questions.. This is why communication between professionals in health care is essential for patient safety and improved quality of care (Koivunen, Niemi., & Hupli,2015). There are 3 main factors that cause miscommunication

‘Clear and complete communication between health care providers is a prerequisite for safe patient management. Which is a major priority of the Joint Commission's 2008 National Patient Safety Goals and long-term care (LCT). (Commission, 2008)

In this assignment I will employ my reflections on a clinical incident (see Appendix I) that occurred within a community setting where I worked as a third year student nurse, as the basis for discussing the key issue of handover identified previously. Even though this critical clinical incident raises various problems, for the purpose of this assignment and considering the limited word count permissible for the assignment my focus will be on the issue of effective handover among healthcare personnel. This is because clinical handover in health care has received extensive international scrutiny through the World Health Organization Patient Safety program which notes that communication failures during patient handover are one of the key threats within this initiative, and nurses are aspiring to address this national and international threat to patient care (WHO 2006).

Effective communication is selective of the information comprising of current patient state being handed over between caregivers resulting in continuity and safety for the patient (Kear, 2016)Click and drag to move . Handoff ideas that are systematically reviewed and these aim at ensuring specific information encompassing patient safety is passed on. Different acronyms are used to help ease the handoff process. Kear 2016 highlighted SBAR (situation, background, assessment, recommendation, and patient); I PASS the BATON- Introduction, patient, assesment, situation, safety concerns,background,actions,timing,ownership,next; Five Ps- Patient,plan,purposeof plan, problem, precaution; Five Ps- patient, precautions, plan of care, problems, purpose. All these highlighted tools have similar realtime assement inquiries and most importantly assess for patient safety when taking

Braaf, S., Rixon, S., Williams, A., Liew, D. and Manias, E. (2015), Medication communication during handover interactions in specialty practice settings. J Clin Nurs, 24: 2859–2870. doi:10.1111/jocn.12894

Lastly, in the surgery theatre, misidentification may happen due to the same factors formerly mention plus failure to mark site/side of surgery, failure to properly perform time-out, and multiple surgical teams (Chan et al., 2010). To analyze the risk for these errors, few factors will be analyzed including human factors (staffing, scheduling, supervision, and qualification), equipment and technology (scanners, computers, and software), Communication (between staff and patients, between staff, between staff and physician, between physician and patient, and between units), environmental factors (physical, safety, security, and preparedness), and procedures and policies (planning, staff education, patient education, protocols, patient identification, and patient observation) (Chan et al., 2010).

Communication plays a vital role in the healthcare setting, as the relationship with the healthcare professional sets the tone of the care experience and has a powerful impact on patient satisfaction. It is “the shared process in which messages are sent and received between two or more people which are made up of a sender, receiver, and message in a particular context” (cite, date). This essay highlights the importance of, and some common barriers to, effective communication in the healthcare setting. It involves many interpersonal skills such as effective observation, questioning and listening, giving feedback, recognizing and removing barriers.