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Published on: February 16, 2011
Innovative Approach to Reconstruct Bedside Handoff: Using Simple Rules of Complexity Science to Promote Partnership
Mary K Anthony1, Janet Kloos, Patricia Beam
1University Hospitals Cleveland Medical Center, Cleveland, Ohio (Drs Anthony and Kloos); Kent State University College of Nursing, Kent, Ohio (Dr Anthony); UH/Rainbow Babies & Children's Hospital, Cleveland, Ohio (Dr Beam); and University Hospitals Home Care Services, Cleveland, Ohio (Ms Vidal).
Abstract:
When nurses integrate patient expertise, nurse-to-nurse handoff becomes patient-centered (nurse and patient), and the weak link between quality and safety is mitigated. The existing paradigm for handoff is an ineffective measure to minimize errors. This article describes a reimagined bedside handoff-transitioning handoff from its prescriptive nurse-centered interaction to a patient-centered partnership using the principles of complex adaptive systems, simple rules, and partnerships that address the uniqueness of each patient and nurse interaction.
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