Provide guidance on the overarching minimum information required for all handovers, and allow this to be adapted and refined to the different contexts in which handovers occur in the organisation. Provide orientation and training to support the workforce in effectively transferring the correct information (see Action 6.01). 3ĭocument the minimum information content for different clinical handovers, and make this easily available to the workforce to ensure that all participants involved in a handover are aware of what the minimum information content is for that handover, and their roles and responsibilities for communicating and receiving this information. This is a simple way to collect opinions from the whole team involved in the transfer of care about what information should be included. One way to define the minimum information content is by ‘dot voting’. They are available on the Commission's website. These tools are designed to be flexible and adapted to suit local workforce environments and culture, and the purpose of the handover. I PASS the BATON (Introduction, Patient, Assessment, Situation, Safety concerns, Background, Actions, Timing, Ownership, Next).SHARED (Situation, History, Assessment, Risk, Expectation, Documentation).SBAR (Situation, Background, Assessment, Recommendation).ISBAR (Identify, Situation, Background, Assessment, Recommendation). Other examples of tools to help structure handover include: This may include raising or reiterating any safety concerns, such as socioeconomic factors, alerts, allergies or risks. 2Ī ‘patient safety check’ process at the end of a handover can help to focus on the patient’s safety as a priority. The iSoBAR framework is an example (Table 4). Use of structured handover tools can help to provide a framework for communicating the minimum information content for clinical handovers. organisation – accountable for ensuring the most efficient patient flow through the organisation, and that all issues relating to discharge planning are transferred from one team to another.profession and colleagues – the incoming team understands the tasks ahead, including the consultant in charge of the overall care of the patient.patient – accountability for the care of the patient is transferred to the incoming responsible individual or team, and a patient’s preference of care is clearly communicated.Responsibility, risk management and action plans.Patient identification (see Action 6.05, which requires three approved patient identifiers).The Royal Hobart Hospital designed an overarching minimum information content framework as part of the National Clinical Handover Initiative. It includes considering: At a minimum, consider the information that is required to be communicated across the NSQHS Standards.Įxamples of frameworks for defining minimum information content 1ĭocument the minimum information content for different clinical handovers, and make this easily available to the workforce to ensure that all participants involved in a handover are aware of what the minimum information content is for that particular handover, and their roles and responsibilities for communicating and receiving this information. The minimum information required may differ, depending on the type of clinical handover and the situation in which clinical handover is occurring.
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