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Safe handoff practices and improvement of communication in different paediatric settings
Pedro J Alcalá Minagorre1, Araceli Domingo Garau2, María José Salmerón Fernández3
1Unidad de Pediatría Interna Hospitalaria, Hospital General Universitario Dr Balmis, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Alicante, Spain.
Insights
Effective patient handoff is crucial for preventing adverse events in healthcare. This document outlines best practices and tools for safe communication during pediatric patient transfers across various care settings.
Area of Science:
- Pediatric Healthcare
- Patient Safety
- Health Informatics
Background:
- Inadequate information management during patient handoffs is a significant cause of healthcare-related adverse events.
- Effective communication is vital for patient safety, particularly during transitions of care.
Purpose of the Study:
- To provide an overview of handover practices in diverse pediatric care settings.
- To identify resources and tools for safe and effective communication during patient handoffs.
- To propose recommendations for preventing medication errors and optimizing care continuity.
Main Methods:
- Document review and synthesis of best practices in pediatric patient handoffs.
- Analysis of handover protocols across emergency, inpatient, intensive care, neonatal, and primary care settings.
- Development of recommendations based on established quality of care principles.
Main Results:
- Standardized handoff tools are identified as key resources for safe communication.
- Specific recommendations are proposed for medication error prevention during handovers.
- Strategies for improving inter- and intra-hospital patient transfer safety are outlined.
Conclusions:
- Optimizing patient handoff processes is essential for enhancing safety and continuity of care for pediatric patients.
- Standardized tools and clear protocols can mitigate risks associated with information transfer.
- Continuous improvement in communication during care transitions is vital for medically complex children.
Abstract:
Inadequate information management, especially during patient handoff, contributes to a large part of health care-related adverse events. The Committee for Quality of Care and Patient Safety of the Asociación Española de Pediatría has developed this document to provide an overview of handover practices in different paediatric care settings (emergency, inpatient, intensive care, neonatal and primary care). It describes resources to achieve safe and effective communication in all these settings, such as standardised handoff tools. It also proposes recommendations for the prevention of medication errors during the handover process, to improve safety in interhospital and intrahospital patient transfer, and to optimise communication and continuity of care in chronically ill and medically complex children.
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