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Title: Examining communication and team performance during clinical handover in a complex environment: the private sector post-anaesthetic care unit.
Epworth Authors: Botti, Mari
Redley, Bernice
Other Authors: Bucknall, Tracey
Cameron, Peter
Johnstone, Megan-Jane
Evans, Sue
Jeffcott, Shelly
Keywords: Chair of Nursing, Epworth HealthCare, Melbourne, Victoria, Australia
Clinician Engagement
Safety Culture
Team Climate
Quality Improvement
Ecological Validity
Clinical Handover
Observational Teamwork Assessment for Surgery Tool
Interprofessional Communication
Organisational Culture
Patient Handoff
Safety Management
Patient Care Team
Post Anaesthetic Care Unit
Clinical Governance
Issue Date: Jun-2009
Publisher: MJA Group Australia
Citation: Med J Aust. 2009 Jun 1;190(11 Suppl):S157-60.
Abstract: 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.
PubMed URL:
ISSN: 1326-5377
Journal Title: The Medical Journal of Australia
Type: Journal Article
Affiliated Organisations: Epworth/Deakin Centre for Clinical Nursing Research, Deakin University, Melbourne, Victoria
Faculty of Health, Medicine, Nursing and Behavioural Sciences, Deakin University, Melbourne, Victoria
Cabrini-Deakin Centre for Nursing Research, Cabrini Hospital, Melbourne, Victoria
Centre of Research Excellence in Patient Safety, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC.
Type of Clinical Study or Trial: Comparative Study
Appears in Collections:Health Administration

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