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It is important to define and agree on the minimum information content for clinical handovers relevant to a service or discipline. It may be helpful to consider what clinical and non-clinical information is time critical or significant to patient care, such as:
19:(patient handover or handover) is the transfer of professional responsibility and accountability for some or all aspects of care for a patient, or group of patients, to another person or professional group on a temporary or permanent basis.
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Use of structured handover tools can help to provide a framework for communicating the minimum information content for clinical handovers. This may be supported by electronic clinical handover templates.
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When critical clinical information emerges or there is a risk to patient care, timely communication of this information to the appropriate person(s) is essential to ensuring
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and delivery of the right care. Failure in handover is a major source in preventable patient harm. Clinical handover is an international concern and
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I PASS the BATON (Introduction, Patient, Assessment, Situation, Safety concerns, Background, Actions, Timing, Ownership, Next).
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Changes in a patient’s physical and psychological condition, including unexpected deterioration or development of complications
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Timely clinical handover to the appropriate person(s) is essential to ensuring patient safety and delivery of the right care
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179:, Bedside Handover; One Quality Improvement Strategy to “Transform Care at the Bedside”, Retrieved 15 September 2012
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SHARED (Situation, History, Assessment, Risk, Expectation, Documentation)
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New critical diagnostic or test results that require a change to care
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and other countries have developed risk reduction recommendations.
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ISBAR (Identify, Situation, Background, Assessment, Recommendation)
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Examples of clinical handover tools to help structure handover:
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Australian
Commission on Safety and Quality in Health Care
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Follow-up communication following a review of results.
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Government of
Western Australia Department of health
74:(Situation, Background, Assessment, Recommendation)
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85:See also
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