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Related Concept Videos

Types of Reports I: Hands-off Report01:25

Types of Reports I: Hands-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:
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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.
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Hand hygiene01:23

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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
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Handwashing I: Introduction and Types of Equipment01:18

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Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
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Handwashing II: Pre-procedure and Initial Procedure Steps01:19

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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.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury.  The nails must be short and clean, without nail...
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Updated: Nov 19, 2025

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics
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Developing a new flexible tool for handover.

Racheli Magnezi1, Inbal Gazit2, Arie Bass2

  • 1Department of Management, Health Systems Management Program, Bar Ilan University, Ramat Gan, Israel.

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
|February 2, 2021
PubMed
Summary

A new Flexible Handover Structured Tool (FAST) was developed and implemented to improve patient information transfer. This adaptable tool enhances handover efficiency and nurse satisfaction, even during the COVID-19 pandemic.

Keywords:
PDSAhandoffhospital changeimplementationpatient safetyquality improvementredesigned handover tool

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Area of Science:

  • Healthcare Management
  • Clinical Communication
  • Patient Safety

Background:

  • Effective medical information transfer is vital for patient care continuity and safety, particularly for critically ill patients.
  • The handover process necessitates prioritizing essential information and filtering out redundancies.

Purpose of the Study:

  • To develop and implement a flexible handover tool adaptable to diverse departmental needs.
  • To enhance the efficiency and safety of medical information transfer between healthcare professionals.

Main Methods:

  • A Flexible Handover Structured Tool (FAST) was developed using Plan-Do-Study-Act (PDSA) methodology in a 900-bed teaching hospital.
  • Nurses from 35 departments contributed to defining critical handover information, leading to the FAST tool's design.
  • The tool was iteratively revised based on practical application and staff feedback.

Main Results:

  • Factor analysis identified four key areas for handover: clinical status, medical information, special treatments, and initiated treatments.
  • The FAST tool was designed to be flexible, addressing specific departmental requirements and patient needs.
  • High nurse satisfaction was reported, with easy adoption during the COVID-19 pandemic.

Conclusions:

  • Implementing the FAST handover tool presented challenges but yielded positive outcomes.
  • The PDSA methodology facilitated continuous improvement and successful integration of the new reporting tool.