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Related Concept Videos

Types of Reports I: Hand-off Report01:25

Types of Reports I: Hand-off Report

A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Types of Reports III: Telephone and Verbal Reports01:26

Types of Reports III: Telephone and Verbal Reports

Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Barriers to Effective Communication II01:21

Barriers to Effective Communication II

The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Guidelines for Nursing Documentation I01:30

Guidelines for Nursing Documentation I

Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:  
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.

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Examining Gesture Production in the Presence of Communication Challenges
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Published on: January 26, 2024

ED handoffs: observed practices and communication errors.

Brandon C Maughan1, Lei Lei, Rita K Cydulka

  • 1Department of Emergency Medicine, Rhode Island Hospital & Warren Alpert School of Medicine of Brown University, Providence, RI 02903, USA. bmaughan@lifespan.org

The American Journal of Emergency Medicine
|September 10, 2010
PubMed
Summary
This summary is machine-generated.

Emergency physician handoffs often contain errors and omissions, impacting patient care. Improving handoff practices through standardization and support tools is crucial for reducing these communication gaps.

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Area of Science:

  • Medical Education
  • Patient Safety
  • Emergency Medicine

Background:

  • Effective patient handoffs are critical in emergency departments (EDs).
  • Communication errors during physician handoffs can compromise patient care.
  • Understanding current ED handoff practices is essential for identifying areas of improvement.

Purpose of the Study:

  • To identify emergency department (ED) handoff practices.
  • To describe handoff communication errors among emergency physicians.
  • To analyze factors associated with handoff errors and omissions.

Main Methods:

  • Direct observation of 110 patient handoff sessions involving 992 patients over 8 weeks.
  • Data collection on handoff characteristics: duration, location, interruptions, and content.
  • Definition and documentation of handoff errors as discrepancies between verbal handoff and physician records.
  • Statistical analysis using multivariate negative binomial regression models.

Main Results:

  • Examination errors occurred in 13.1% and omissions in 45.1% of handoffs.
  • Laboratory errors occurred in 3.7% and omissions in 29.2% of handoffs.
  • Longer handoff times correlated with more examination errors; support materials reduced omissions.
  • Longer ED length of stay correlated with more laboratory omissions.

Conclusions:

  • Significant discrepancies exist between reported findings in ED physician handoffs and documentation.
  • Handoff errors and omissions are linked to handoff duration, ED length of stay, and use of support materials.
  • Standardization protocols and error reduction techniques are needed to improve ED handoff quality and patient outcomes.