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Related Concept Videos

Types of Reports I: Hand-off Report01:25

Types of Reports I: Hand-off Report

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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.
Following are the key components and categories of hand-off reports:
Purpose and Process:
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SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

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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.
Standardized methods of communication have been developed to ensure that information is...
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Discharge Summary Forms01:31

Discharge Summary Forms

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
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Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Planning Nursing Care I01:21

Planning Nursing Care I

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Related Experiment Video

Updated: Mar 27, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Improving weekend patient handover.

Catherine Ashton1

  • 1Northumbria Healthcare NHS Foundation Trust.

BMJ Quality Improvement Reports
|January 7, 2016
PubMed
Summary
This summary is machine-generated.

Implementing a standardized electronic handover sheet significantly improved patient information accuracy and escalation planning for junior doctors during busy weekend on-call shifts. This enhanced communication reduces errors and stress in medical settings.

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Area of Science:

  • Medical Education
  • Patient Safety
  • Healthcare Informatics

Background:

  • Weekend on-call shifts present challenges for junior doctors due to information overload and fragmented patient data.
  • Current paper-based handover systems often lack essential patient identifiers and escalation plans, increasing the risk of medical errors.

Purpose of the Study:

  • To address deficiencies in weekend medical handover processes.
  • To improve patient safety and reduce junior doctor stress through enhanced communication.

Main Methods:

  • Analysis of existing paper-based weekend handover sheets to identify critical omissions.
  • Development and implementation of a standardized electronic handover sheet integrated into the trust intranet.
  • Education of junior doctors on the new handover protocol.

Main Results:

  • Improvement in the inclusion of minimum patient identifiers from 57% to 80%.
  • Significant increase in the documentation of clinical information, background, and escalation planning.
  • Anecdotal evidence suggests a reduction in handover-related stress and improved efficiency.

Conclusions:

  • A standardized electronic handover sheet effectively enhances patient data accuracy and communication during weekend on-call periods.
  • The new system demonstrably improves patient safety by ensuring better information transfer and escalation planning.
  • The successful implementation has led to trust-wide rollout and introduction to surgical departments.