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Related Concept Videos

Types of Reports I: Hand-off Report01:25

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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.
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SBAR I: Understanding the Concept01:29

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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.
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Hand hygiene01:23

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The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
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Related Experiment Video

Updated: Apr 22, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Clinical handover: An audit from Australia.

Heather Pascoe1, Stephen D Gill1, Andrew Hughes1

  • 1Geelong Hospital, Barwon Health.

The Australasian Medical Journal
|October 18, 2014
PubMed
Summary

House medical officers reported significant concerns regarding patient safety due to current shift-to-shift handover practices. Improvements in handover structure, standardization, and training are crucial for enhancing patient care quality.

Keywords:
AccreditationCommunicationHandoverHouse Medical OfficerShift-to-shift

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Area of Science:

  • Medical Education
  • Patient Safety
  • Healthcare Quality Improvement

Background:

  • The Australian National Safety and Quality Health Service (NHQHS) Standards provide benchmarks for hospital practices.
  • No Australian hospital has previously published a comparison of its handover practices against these Standards.

Purpose of the Study:

  • To assess house medical officer (HMO) shift-to-shift handover practices at a regional hospital against the NHQHS Standards.
  • To identify deficiencies and areas for improvement in current handover protocols.

Main Methods:

  • A mixed-methods study involving an online questionnaire and focus groups with HMOs at Barwon Health.
  • Qualitative and quantitative data were collected from participating HMOs.

Main Results:

  • 61% of HMOs completed the questionnaire; 11 participated in focus groups.
  • A significant majority of HMOs expressed concerns about handover quality, with 53% believing it could risk patient safety.
  • Issues identified included handover structure, documentation, attendance, content, and training, with 100% stating quality varied by doctor.

Conclusions:

  • HMOs identified numerous deficiencies in handover practices concerning structure, documentation, attendance, content, and training.
  • Implementing structured, standardized handovers and providing specific training for HMOs are key recommendations for improvement.