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Examining communication and team performance during clinical handover in a complex environment : the private sector post-anaesthetic care unit
journal contribution
posted on 2009-06-01, 00:00 authored by Mari BottiMari Botti, Tracey BucknallTracey Bucknall, P Cameron, Megan-Jane JohnstoneMegan-Jane Johnstone, Bernice Redley, S Evans, S Jeffcott* Threats to patient safety during clinical handover have been identified as an ongoing problem in health care delivery.
* In complex handover situations, organisational, cultural, behavioural and environmental factors associated with team performance can affect patient safety by undermining the stability of team functioning and the effectiveness of interprofessional communication.
* We present a practical framework for promoting systematic, comprehensive measurement of the factors involved in clinical handover.
* The framework can be used to develop viable solutions to the problems of clinical handover.
* The framework was devised and used in a recent project examining interprofessional communication and team performance during clinical handover in post-anaesthetic care units.
* The framework combines five key concepts: clinical governance, clinician engagement, ecological validity, safety culture and team climate, and sustainability.
* We believe that use of this framework will help overcome the limitations of previous research that has not taken into account the complex and multifaceted influences on clinical handover and interprofessional communication.
* In complex handover situations, organisational, cultural, behavioural and environmental factors associated with team performance can affect patient safety by undermining the stability of team functioning and the effectiveness of interprofessional communication.
* We present a practical framework for promoting systematic, comprehensive measurement of the factors involved in clinical handover.
* The framework can be used to develop viable solutions to the problems of clinical handover.
* The framework was devised and used in a recent project examining interprofessional communication and team performance during clinical handover in post-anaesthetic care units.
* The framework combines five key concepts: clinical governance, clinician engagement, ecological validity, safety culture and team climate, and sustainability.
* We believe that use of this framework will help overcome the limitations of previous research that has not taken into account the complex and multifaceted influences on clinical handover and interprofessional communication.
History
Journal
Medical journal of AustraliaVolume
190Issue
11Publisher
Australasian Medical Publishing CompanyLocation
Sydney, N.S.W.ISSN
0025-729XeISSN
1326-5377Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2009, Medical Journal of AustraliaUsage metrics
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