Document Type : Original Article
Authors
Abstract
BACKGROUND: The patient handover process is in fact a valuable and essential part of the care
processes in the hospitals. This can be a factor in increasing the quality and effectiveness of medical
care. Incorrect and incomplete handover can increase the percentage of errors and cause serious
problems for patients. The aim of this study was to identify the handover challenges concerning
safety and quality of health services.
MATERIALS AND METHODS: A systematic review was conducted according to the Preferred
Reporting Item for Systematic Reviews and Meta‑analyses guideline. The key words “challenges
of patient handover” or “challenges of patient handoff” were used in combination with the Boolean
operators OR and AND. The ProQuest, Ovid, Doaj, Magiran, SID, Scopus, Science Direct, PubMed,
and ISI were searched.
RESULTS: A total of 263 articles were extracted, and 20 articles were selected for final review.
The results of selected articles indicated that there are various challenges such as communication,
noncoordination, nonuse of checklist, poor management, time management, and other things. These
studies reported that communication was the main challenge of handover process.
CONCLUSIONS: Hospitals try to provide a lot of services to the patients and other customers in a
safe and healthy environment. Lack of communication among the incoming and outgoing nurses in
handover process is one of the main causes of reduced safety and quality of services and patient
dissatisfaction.
Keywords
- Hemmati MP, Sheikh B, Mehri B. The relationship between
nurse‑patient communication skills and patients’ safety status
in special sectors. Clin Nurs Midwifery J 2014; 3:77‑84. URL:
http://jcnm.skums.ac.ir/article‑1‑72‑fa.html [Last accessed on
2018 Feb 2].
2. Mohseni M, Raeisi AR, Azami‑Aghdash S, Moosavi A,
Mousavi SM. Hospital services quality from patients’ perspective
in Iran: A systematic review and meta‑analysis. Evid Based Health
Policy Manage Econ 2017; 1:261‑9. URL: http://jebhpme.ssu.
ac.ir/article‑1‑116‑en.html [Last accessed 2018 Feb 2].
3. Hemmati MP, Sheikh B, Mehri B. The relationship between
nurse‑patient communication skills and patients’ safety status in
special sectors. Clin Nurs Midwifery J 2014; 3:77‑84. URL: http://
jcnm.skums.ac.ir/article‑1‑72‑fa.html [Last accessed on 2018 Feb
2].
4. Till A, Sall H, Wilkinson J. Safe handover: Safe patients – The
electronic handover system. BMJ Qual Improv Rep 2014;2. pii:
u202926.w1359.
5. Etezadi Gam TectamMalekzadeh Javad, Mazlum Reza, Taseiri
Alireza. Nursing shift counseling guide: A way to ensure the safe
operation of nurses in intensive care units . Evid Based Q J 2012;
2:7‑18. http://osub.mums.ac.ir/osub/nilfr/nmjournal/index.
php. [Last accessed on 2018 Feb 2].
6. Allen DE, Vitale‑Nolen RA. Patient care delivery model improves
nurse job satisfaction. J Contin Educ Nurs 2005; 36:277‑82.
7. Gier, Kathleen, “The Effects of a Care Delivery Model Change on
Nursing Staff and Patient Satisfaction” (2013). Nursing Theses and
Capstone Projects. 61. https://digitalcommons.gardner‑webb.
edu/nursing_etd/61. [Last accessed on 2018 Feb 2].
8. Australian Medical Association. Safe Handover: safe Patients.
Guidance on Clinical Handover for Clinicians and Managers.
Australian Medical Association; 2006. Available from: https://
www.ama.com.au/sites/default/files/documents/Clinical_
Handover_0.pdf. [Last accessed on 2018 Feb2].
9. MeyerRM, Wang S, LiX, ThomsonD, O’Brien‑Pallas L. Evaluation
of a patient care delivery model: Patient outcomes in acute cardiac
care. J Nurs Scholarsh 2009; 41:399‑410. - 10. Sheikhbardsiri H, Yarmohammadian MH, Khankeh HR,
Nekoei‑Moghadam M, Raeisi AR. Meta‑evaluation of published
studies on evaluation of health disaster preparedness exercises
through a systematic review. J Educ Health Promot 2018; 7:15.
11. Yang XJ, Park T, Siah TH, Ang BL, Donchin Y. One size fits all?
Challenges faced by physicians during shift handovers in a hospital
with high sender/recipient ratio. Singapore Med J 2015; 56:109‑15.
12. Thomson H, Tourangeau A, Jeffs L, Puts M. Factors affecting
quality of nurse shift handover in the emergency department.
J Adv Nurs 2018; 74:876‑86.
13. Showell C, Thomas M, Wong MC, Yee KC, Miller S, Pirone C,
et al. Patient safety and sociotechnical considerations for electronic
handover tools in an Australian eHealth landscape. Stud Health
Technol Inform 2010; 157:193‑8.
14. Herrigel DJ, Carroll M, Fanning C, Steinberg MB, Parikh A,
Usher M, et al. Interhospital transfer handoff practices among
US tertiary care centers: A descriptive survey. J Hosp Med 2016;
11:413‑7.
15. Din N, Ghaderi S, O’Connell R, Johnson T. Strengthening surgical
handover: Developing and evaluating the effectiveness of a
handover tool to improve patient safety. BMJ Qual Improv Rep
2012;1. pii: u492.w164.
16. Goldsmith D, Boomhower M, Lancaster DR, Antonelli M,
Kenyon MA, Benoit A, et al. Development of a nursing handoff
tool: A web‑based application to enhance patient safety. AMIA
Annu Symp Proc 2010; 2010:256‑60.
17. Sujan MA, Chessum P, Rudd M, Fitton L, Inada‑Kim M,
Cooke MW, et al. Managing competing organizational priorities
in clinical handover across organizational boundaries. J Health
Serv Res Policy 2015; 20:17‑25.
18. Zakrison TL, Rosenbloom B, McFarlan A, Jovicic A, Soklaridis S,
Allen C, et al. Lost information during the handover of critically
injured trauma patients: A mixed‑methods study. BMJ Qual Saf
2016; 25:929‑36.
19. Meisel ZF, Shea JA, Peacock NJ, Dickinson ET, Paciotti B, Bhatia R,
et al. Optimizing the patient handoff between emergency medical
services and the emergency department. Ann Emerg Med 2015;
65:310‑70.
20. Evans SM, Murray A, Patrick I, Fitzgerald M, Smith S,
Andrianopoulos N, et al. Assessing clinical handover between
paramedics and the trauma team. Injury 2010; 41:460‑4. https://
doi.org/10.1016/j.injury. 2009.07.065.
21. Breuer KR, Taicher B, Turner DA. Standardizing postoperative
PICU handovers improves handover metrics and patient
outcomes. Qual Saf 2015; 16:256‑62. https://doi.org/10.1097/
PCC.0000000000000343. [Last accessed on 2018 Feb 2].
22. Stelfox HT, Leigh JP, Dodek PM, Turgeon AF, Forster AJ,
Lamontagne F, et al. A multi‑center prospective cohort study of
patient transfers from the intensive care unit to the hospital ward.
Intensive Care Med 2017; 43:1485‑94.
23. Balka E, Tolar M, Coates S, Whitehouse S. Socio‑technical issues
and challenges in implementing safe patient handovers: Insights
from ethnographic case studies. Int J Med Inform 2013;82: e345‑57.
24. Carroll JS, Williams M, Gallivan TM. The ins and outs of change
of shift handoffs between nurses: A communication challenge.
BMJ Qual Saf 2012; 21:586‑93.
25. Hilligoss B, Cohen MD. The unappreciated challenges of
between‑unit handoffs: Negotiating and coordinating across
boundaries. Ann Emerg Med 2013; 61:155‑60.
26. Nakhshab M, Vosughi E. The Condition of Neonatal Transport
to NICU in Mazandaran. J Mazandaran Univ Med Sci. 2010;
20 (78):50‑57. URL: http://jmums.mazums.ac.ir/article‑1‑623‑en.
html. [Last accessed on 2018 Feb 2].
27. Habibzadeh F, Imanipour M, Mohammad Aliha J, Mehran A.
Effect of applying checklist on quality of intra‑hospital transport
of intensive care patients. 2014; 3 (3):30‑37. URL: http://journal.
icns.org.ir/article‑1‑257‑en.html. [Last accessed on 2018 Feb 2].
28. Sabet Sarvestani R, Moattari M, Nasrabadi AN, Momennasab M,
Yektatalab S. Challenges of nursing handover: A qualitative study.
Clin Nurs Res 2015; 24:234‑52.
29. Kostelec P, Emanuele Garbelli P, Emanuele Garbelli P.
Introduction of a Microsoft excel‑based unified electronic
weekend handover document in acute and general medicine in
a DGH: Aims, outcomes and challenges. BMJ Qual Improv Rep
2017;6. pii: u212152.w5721.
30. Møller TP, MadsenMD, FuhrmannL, Østergaard D. Postoperative
handover: Characteristics and considerations on improvement:
A systematic review. Eur J Anaesthesiol 2013; 30:229‑42.
31. Anthony MK, Preuss G. Models of care: The influence of nurse
communication on patient safety. Nurs Econ 2002; 20:209‑15, 248.
32. Cheung DS, Kelly JJ, Beach C, Berkeley RP, Bitterman RA,
Broida RI, et al. Improving handoffs in the emergency
department. Ann Emerg Med 2010; 55:171‑80. doi: 10.1016/j.
annemergmed.2009.07.016. Epub 2009 Oct 2.