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Technology support of the handover: promoting observability, flexibility and efficiency
1School of Health and Rehabilitation Sciences, College of Medicine, Ohio State University, 543 Atwell Hall, 453 W 10th Ave Columbus, OH 43210, USA. patterson.150@osu.edu
BMJ Quality & Safety
|November 23, 2012
Summary
Optimizing health information technology (HIT) for patient handovers involves making shared knowledge accessible, using flexible text fields for communication, and avoiding real-time data entry during peak times. This enhances efficiency and patient care.
Area of Science:
- Health Informatics
- Human-Computer Interaction
- Clinical Communication
Background:
- Growing interest in standardizing patient handover data.
- Need to augment verbal handovers with written communication via health information technology (HIT).
Purpose of the Study:
- Provide recommendations to optimize technology support for patient handovers.
- Enhance the effectiveness of HIT in clinical settings.
Main Methods:
- Literature review focusing on human factors and communication studies.
- Analysis of existing research on technology-assisted patient handovers.
Main Results:
- Three key recommendations emerged from the literature review.
- 1. Ensure "shared knowledge" is accessible to all relevant parties.
- 2. Implement flexible narrative structures (unstructured text) for technology-mediated communication.
Conclusions:
- Third recommendation: Avoid real-time data entry during high-demand periods.
- Implementing these recommendations is expected to improve observability, flexibility, and efficiency of HIT-supported handovers.
- Benefits include reduced reliance on memory, structured communication, and improved clinical management.
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