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Pediatric clinical handover: a best practice implementation project.

Zhuowen Yu1, Yuxia Zhang, Ying Gu

  • 11Gastroenterology Department, Children's Hospital of Fudan University, Shanghai China 2Fudan University Centre for Evidence-based Nursing: a Joanna Briggs Institute Center of Excellence, Fudan University, Shanghai, China 3Nursing Department, Children's Hospital of Fudan University, Shanghai, China 4The Joanna Briggs Institute, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.

JBI Database of Systematic Reviews and Implementation Reports
|October 17, 2017
PubMed
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Implementing evidence-based practice in clinical handover significantly improves patient safety and care delivery. Standardized tools and ongoing audits enhance communication and reduce errors in pediatric settings.

Area of Science:

  • Healthcare Quality Improvement
  • Evidence-Based Practice
  • Patient Safety

Background:

  • Effective communication among healthcare providers is crucial for patient care.
  • Poor clinical handover is linked to diagnostic errors, medication mistakes, and reduced patient satisfaction.
  • An evidence-based approach is essential for efficient patient care transitions.

Purpose of the Study:

  • To promote evidence-based practice in clinical handover within a pediatric setting.
  • To enhance patient safety and service delivery through improved handover processes.

Main Methods:

  • An audit using Joanna Briggs Institute criteria was conducted in a pediatric gastroenterology department.
  • Twelve nurses and 260 handover sessions participated over six months.

Related Experiment Videos

  • JBI audit tools assessed compliance with best practices before and after implementation.

    • Main Results:

    • Compliance improved across all seven criteria.
    • Face-to-face communication, standardized documentation, patient identification, care plan handover, and responsibility transfer reached 100% compliance.
    • Patient observation compliance increased from 93% to 98%, with an 18% improvement in relevant history handover.

    Conclusions:

    • Translating evidence into practice via ongoing audits enhances handover effectiveness.
    • Standardized tools are vital for nursing inter-shift handover.
    • Sustained practice change requires continued audits to ensure long-term project sustainability.