How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review
Abstract
Introduction Establishing continuity of care in handovers at changes of shift is a challenging endeavor that is jeopardized by time pressure and errors typically occurring during synchronous communication. Only if the outgoing and incoming persons manage to collaboratively build a common ground for the next steps of care is it possible to ensure a proper continuation. Electronic systems, in particular electronic patient record systems, are powerful providers of information but their actual use might threaten achieving a common understanding of the patient if they force clinicians to work asynchronously. In order to gain a deeper understanding of communication failures and how to overcome them, we performed a systematic review of the literature, aiming to answer the following four research questions: (1a) What are typical errors and (1b) their consequences in handovers? (2) How can they be overcome by conventional strategies and instruments? (3) electronic systems? (4) Are there any instruments to support collaborative grounding? Methods We searched the databases MEDLINE, CINAHL, and COCHRANE for articles on handovers in general and in combination with the terms electronic record systems and grounding that covered the time period of January 2000 to May 2012. Results The search led to 519 articles of which 60 were then finally included into the review. We found a sharp increase in the number of relevant studies starting with 2008. As could be documented by 20 studies that addre…
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Most handoff-EHR integration work does not focus on the critical functions of situational awareness and anticipatory guidance.
“Despite this promise, most handoff-EHR integration work does not focus on the critical functions of situational awareness and anticipatory guidance.30”
From Potential uses of AI for perioperative nursing handoffs: a qualitative study (2023) · cites this paper as [30]
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Nursing shift handover methods and their impact on patient safety
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- Authors
- Flemming, D., & Hübner, U.
- Affiliations
- Hochschule Osnabrück (DE)
- Corresponding author
- Hübner, Ursula
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2013-07
- Volume
- 82
- Issue
- 7
- Pages
- 580-592
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W2108004245
- Cited by
- 102
- References
- 91
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 5 · 2023: 2 · 2022: 7 · 2021: 10 · 2020: 8 · 2019: 7 · 2018: 9 · 2017: 14 · 2016: 9 · 2015: 9 · 2014: 7 · 2013: 2
- FWCI
- 1.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Library Osnabrück University (Hochschule Osnabrück) (submittedVersion)
- Funders
- European Regional Development Fund
- Topics
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Keywords
- continuity of care, SBAR, communication errors, anticipatory guidance, asynchronous communication, patient information transfer
- MeSH terms
- Communication, Continuity of Patient Care, Cooperative Behavior, Health Personnel, Humans, Quality of Health Care, Electronic Health Records, Patient Handoff
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