Create Account | Sign In: Author or Forum

 
News  |  Journals  |  Conferences  |  Opinion  |  Articles  |  Forums  |  Twitter    
 
Category: Family Medicine | Nursing | Preventive Medicine | News

Back to Health News

Some Patients May Be Shortchanged During Hospital Shift Changes

Last Updated: November 14, 2012.

 

Doctors spent more time discussing patients based on room location, not case severity, study found

Share |

Comments: (0)

Tell-a-Friend

 

  Related
 
Doctors spent more time discussing patients based on room location, not case severity, study found.

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.

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

Copyright © 2012 HealthDay. All rights reserved.


Previous: Black Women More Likely to Die From Breast Cancer: Report Next: Moderate Drinking in Pregnancy Tied to Lower IQ in Child

Reader comments on this article are listed below. Review our comments policy.


Submit your opinion:

Name:

Email:

Location:

URL:

Remember my personal information

Notify me of follow-up comments?

advertisement.gif (61x7 -- 0 bytes)
 

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

Doctors Lounge Membership Application

 
     

 advertisement.gif (61x7 -- 0 bytes)

 

 

Useful Sites
MediLexicon
  Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us
Copyright © 2001-2014
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Advertising
Links | Humor
Forum Archive
CME | Conferences

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.