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Emerg Med Australas. 2017 Jun;29(3):336-341. doi: 10.1111/1742-6723.12717. Epub 2016 Dec 22.

Impact of an education session on clinical handover between medical shifts in an emergency department: A pilot study.

Author information

1
Medical Education Unit, Logan Hospital, Meadowbrook, Queensland, Australia.
2
Emergency Department, Gold Coast Hospital and Health Service, Gold Coast, Queensland, Australia.

Abstract

OBJECTIVE:

To evaluate the impact of a medical education session on the implementation of a new change of shift medical clinical handover format in an urban hospital ED.

METHODS:

This pilot study used a pre- and post-intervention design. The intervention consisted of a 1 h education session to teach a new handover format, SBARM (Situation, Background, Assessment, Recommendation, Medication). Data were collected through observations of doctors performing clinical handover and individual interviews with participants.

RESULTS:

The educational intervention led to an increased focus on checking medication charts, but had minimal effect on changing other aspects of clinical handover at doctors' change of shift times. Perceived increased time spent on handover using the new system was seen as a major barrier to the implementation of SBARM. The addition of 'M' to 'SBAR' heightened awareness of checking medication and fluid charts.

CONCLUSION:

Time pressures need to be taken into consideration when introducing changes to current processes. Also, it is recommended that, in addition to ongoing education, senior clinicians are engaged during the planning and execution stages of changes to practice.

KEYWORDS:

assessment and recommendation; background; clinical handover; emergency department; medical education; situation

PMID:
28004506
DOI:
10.1111/1742-6723.12717
[Indexed for MEDLINE]
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