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Improving the handover process in a psychiatry liaison setting.

Kirtana Vallabhaneni1, Jemma Hazan2, Lucinda Donaldson3

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Summary
This summary is machine-generated.

Implementing a structured handover process, including the Situation-Background-Assessment-Recommendation (SBAR) tool, significantly improved patient care communication and efficiency for the Integrated Liaison Assessment Team (ILAT). Handover times were reduced, and team satisfaction increased.

Keywords:
PDSAhand-offhealthcare quality improvement

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Area of Science:

  • Healthcare Management
  • Clinical Communication
  • Patient Safety

Background:

  • Inefficient patient handover in multidisciplinary teams (MDT) can compromise clinical safety and lead to adverse outcomes.
  • The Integrated Liaison Assessment Team (ILAT) faced challenges including high patient turnover, varied staff schedules, and unstructured communication during daily handovers.
  • Identified areas for improvement included handover efficiency, structure, documentation, and opportunities for teaching and learning.

Purpose of the Study:

  • To reduce daily handover time to 30 minutes.
  • To enhance communication using the Situation-Background-Assessment-Recommendation (SBAR) tool.
  • To improve team satisfaction and integrate a teaching program into saved time.

Main Methods:

  • Utilized the Model for Improvement methodology with MDT focus groups and questionnaires.
  • Implemented 'Plan, Do, Study, Act' cycles to develop a structured handover process.
  • Collected daily data on handover length and team satisfaction, with weekly qualitative feedback.

Main Results:

  • 'Good' handover ratings increased from 22% to 65%, while 'Poor' ratings decreased from 25% to 8%.
  • Mean handover time decreased by 33.5%, from 47 minutes to 31.25 minutes.
  • The SBAR tool was positively received for promoting efficiency; structured handover enhanced staff competencies, morale, and information sharing.

Conclusions:

  • Structured handover, incorporating SBAR, task allocation, and a handover lead, significantly improved efficiency and communication within the ILAT.
  • The integrated MDT teaching program boosted team communication and confidence.
  • Sustaining interventions and handover documentation are crucial for long-term improvement.