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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
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Published on: January 8, 2020

Optimizing physician handover through the creation of a comprehensive minimum data set.

Niraj K Mistry1, Alene Toulany, John F Edmonds

  • 1Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario.

Healthcare Quarterly (Toronto, Ont.)
|October 21, 2010
PubMed
Summary

Developing a minimum data set (MDS) for physician handover (MDHO) improves patient safety. Analysis showed current tools can be adapted into a comprehensive MDS, enhancing data accuracy and security via technology.

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Area of Science:

  • Healthcare Quality and Safety
  • Medical Informatics
  • Clinical Communication

Background:

  • Poor patient handovers pose risks to patient safety and are linked to adverse events.
  • A minimum data set (MDS) can enhance clinical information exchange during patient care transitions.
  • Physician medical handover (MDHO) processes require standardization for improved patient care.

Purpose of the Study:

  • To describe the development of a hospital-wide minimum data set (MDS) for physician medical handover (MDHO).
  • To analyze current handover processes and information tools at a pediatric academic health sciences center.
  • To identify opportunities for improving the timeliness, efficiency, and safety of physician handovers.

Main Methods:

  • A 20-item questionnaire assessed MDHO processes across 49 services.
  • Analysis of existing physician medical handover (MDHO) tools for content, type, location, and security.
  • Development of a comprehensive, cross-institutional MDS based on collected data.

Main Results:

  • Physician medical handover (MDHO) demonstrated consistency in frequency, process, participants, and duration.
  • Many best practices for physician medical handover (MDHO) were not consistently followed.
  • Existing MDHO tools largely contained components for a comprehensive MDS, suggesting high adoption potential.

Conclusions:

  • Current consistency in physician medical handover (MDHO) facilitates the adoption of a standardized MDS.
  • A comprehensive MDS can improve data accuracy and security, meeting physician needs.
  • Information communication technologies can support the implementation of an improved MDHO tool.