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Reducing Patient Clinical Management Errors Using Structured Content and Electronic Nursing Handover
Maree Johnson1, Paula Sanchez, Catherine Zheng
1Centre for Applied Nursing Research, South Western Sydney Local Health District & University of Western Sydney, Liverpool, New South Wales, Australia (Affiliated with the Ingham Institute, Liverpool, New South Wales) (Dr Johnson and Ms Sanchez); and School of Computing and Engineering, University of Western Sydney, Parramatta, New South Wales, Australia (Ms Zheng). Dr Johnson is now with the Faculty of Health Sciences, Australian Catholic University, Sydney, New South Wales, Australia.
Abstract:
We examined whether an integrated nursing handover system-structured content and an electronic tool within the patient clinical information system with bedside delivery-would improve the quality of information delivered at nursing handover and reduce adverse patient outcomes. Using a pre/posttest evaluative design, improvements in the transfer of critical patient information and reductions in nursing clinical management incidents were demonstrated. No changes in falls or medication incident rates were identified.
