Navigation Links
Some Patients May Be Shortchanged During Hospital Shift Changes

WEDNESDAY, Nov. 14 (HealthDay News) -- Changing the way doctors and nurses exchange patient information during hospital shift changes could help improve care and save lives, a new study suggests.

These brief but important discussions can have a major impact on patient care in the early parts of a shift. Research has shown that miscommunication during these handoff conversations is a major contributing factor in preventable medical errors, according to the study authors.

The researchers analyzed 23 shift handoff sessions involving 262 patients at a Canadian hospital and found that doctors spend too much time talking about the first cases on their list and then rush those at the end of their list, even though those last cases might merit a longer discussion.

The doctors turned over between six and 23 patients in each of the shift handoff sessions and spent an average of 2.5 minutes per patient, but that varied widely. Doctors typically spent at least 50 percent longer discussing the first patient on the list than the last.

The average time spent discussing each patient declined steadily as the doctors moved down their lists, which were ordered by room number, according to the study published online Nov. 12 in the journal Archives of Internal Medicine.

Instead of using lists based on things such as patients' names or room and bed numbers, doctors and nurses should give priority to the patients that require the most discussion, the researchers suggested.

"I would expect that people could shift to talking about the sickest patients first, or the most unfamiliar or complex case," study lead author Michael Cohen, professor of complex systems, public policy and information at the University of Michigan, said in a university news release. "There isn't a one-size-fits-all remedy except to say the person handing off should begin by making a judgment of which patients need the most time."

More than half a billion shift-change handoffs occur in U.S. hospitals each year, the researchers noted.

Handoff conversations have been identified as an important issue in previous research on patient safety problems in hospitals, but training on how to conduct proper handoffs has only recently begun to be offered to health workers. However, these best practices focus on how to hand over one patient, not a group of them, Cohen noted.

Since most handoffs involve multiple patients, the training should reflect that reality, Cohen said. Doing so could lead to improved patient safety.

"Hundreds of millions of handoffs happen in U.S. hospitals every year," Cohen said. "Just an increase of one-tenth of 1 percent in their effectiveness could translate into a large number of prevented injuries and lives saved."

More information

The U.S. Agency for Healthcare Research and Quality outlines ways that patients can help prevent medical errors.

-- Robert Preidt

SOURCE: University of Michigan, news release, Nov. 12, 2012

Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Higher-spending hospitals have fewer deaths for emergency patients
2. Researchers uncover a viable way for colorectal cancer patients to overcome drug resistance
3. Vaccine yielded encouraging long-term survival rates in certain patients with NSCLC
4. Study finds doctors have exaggerated fears when starting patients on insulin
5. Diagnostic Scans Tied to Radiation Risk for Gastro Patients
6. Predictors identified for rehospitalization among post-acute stroke patients
7. Pulse pressure elevation could presage cerebrovascular disease in Alzheimers patients
8. Breast cancer patients suffer treatment-related side effects long after completing care
9. Heart failure patients with diabetes may benefit from higher glucose levels
10. Gastro Woes Often Strike Rheumatoid Arthritis Patients
11. Short Walks May Ease Fatigue in Pancreatic Cancer Patients
Post Your Comments:
Related Image:
Some Patients May Be Shortchanged During Hospital Shift Changes
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library ... City Observer , brings up a new, often overlooked aspect of head lice: the parasite’s ... for fumigation is not a common occurrence, but a necessary one in the event that ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room , ... Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm facility. , ... our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of First ...
(Date:6/25/2016)... Oklahoma City, Oklahoma (PRWEB) , ... June 25, ... ... to helping both athletes and non-athletes recover from injury. Recently, he has implemented ... for the Oklahoma City area —Johnson is one of the first doctors to ...
(Date:6/25/2016)... ... 2016 , ... Conventional wisdom preaches the benefits of moderation, whether it’s a ... the bar too high can result in disappointment, perhaps even self-loathing. However, those who ... , Research from reveals that behind the tendency to set ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Those who have ... these feelings, many turn to unhealthy avenues, such as drug or alcohol abuse, as ... Michigan, has released tools for healthy coping following a traumatic event. , Trauma sufferers ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... 2016 One of Australia,s successful ... of a new biotechnology company, Noxopharm Limited [ABN 50 608 966 ... and to list on the ASX. Noxopharm is a ... enter a Phase 1 clinical study later this year. ... of the biggest problems facing cancer patients - the ability of ...
(Date:6/26/2016)... , June 27, 2016 Jazz Pharmaceuticals ... waiting period under the Hart-Scott-Rodino Antitrust Improvements Act of ... acquisition of Celator Pharmaceuticals, Inc. ("Celator"; Nasdaq: ... p.m. (Eastern Daylight Time). As previously announced ... into a definitive merger agreement under which Jazz Pharmaceuticals ...
(Date:6/26/2016)... June 27, 2016  VMS Rehab Systems, Inc. ( ... take whatever measures required to build a strong and ... is currently listed on the OTC Markets-pink current trading ... and CEO, "We are seeing an anomaly in market ... not only by the Company, but shareholders and market ...
Breaking Medicine Technology: