All clinicians participate in handovers, and often several or more times a day, yet it is exceedingly rare that handover skills are taught or evaluated in any of the health professions, much less evaluated (in situ) in multi-disciplinary care settings. Compared to other safety critical industries such as commercial aviation, health care is in the dark ages.
Health care lacks a well-accepted definition of handover, much less clear, practical and usable clinical guidelines. We have no reason to be comfortable with a situation that is associated with 80% of adverse events as well as 2,000+ adverse events reported in Interior Health from 2010 – 2012. The majority still go unreported and are causes of significant harm / critical incidents.
This Quality Café presentation was delivered on May 16, 2014, by Wrae Hill, Manager – Human Factors and System Safety at Interior Health.
Why Wrae cares: As an ex-ICU clinician, I know that handovers are a risky time and are a basic but complex part of care. Each case represents a face, a name and a whole family who is impacted by preventable harm which is within our power to change. This is not rocket science… it is behavioral science – much harder…
About the Quality Café
The Quality Café is a free one-hour lunch and learn series that takes place on the 3rd Wednesday of every month at 1200 PT. Each Café features a new guest and topic related to improving quality of care.
Are you passionate about improving how health care is delivered? Come to Quality Café! We invite all health care professionals, patients, organizations, and educators to join our online conversation. Register for upcoming webinars at bcpsqc.ca/learning/quality-cafe/