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Clinical Handover as Craft, Not Checklist.

Aloha Hufana Ambe1, Nathan Brown2, Daniel Bodnar2

  • 1Electrical Engineering and Computer Science, The University of Queensland, Australia.

Emergency Medicine Australasia : EMA
|April 6, 2026
PubMed
Summary
This summary is machine-generated.

Clinical handover quality improves by viewing it as a skilled craft, not a checklist. Focusing on the nuanced practice of handover, rather than rigid standardization, enhances patient care and outcomes.

Keywords:
clinical handoverclinical judgementhandover as craftpatient safetyrethinking quality and safety

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Area of Science:

  • Healthcare Quality
  • Human-Computer Interaction
  • Medical Education

Background:

  • Clinical handover is crucial for patient care continuity and outcomes.
  • Current improvement efforts focus on compliance through mnemonics and checklists.
  • These standardized models fail to capture the heterogeneous nature of handovers.

Purpose of the Study:

  • To reframe clinical handover as a skilled craft.
  • To challenge the effectiveness of standardization and checklists in improving handover quality.
  • To explore how emphasizing craft over completeness can enhance handover value.

Main Methods:

  • Observational work over 2 years.
  • Collaboration between an emergency department and a human-centered design research team.
  • Analysis of handover as a nuanced, personalized practice.

Main Results:

  • Handovers are heterogeneous, personalized events, not stable, reproducible processes.
  • Standardization and checklists can hinder, rather than improve, handover quality.
  • Viewing handover as a craft, shaped by context, is essential.

Conclusions:

  • Clinical handover is best understood as a craft, a skilled practice.
  • Emphasizing craft over checklist completeness is key to improving quality.
  • Rethinking the understanding, teaching, assessment, and support of handover is necessary.