First one needs to recognize the term "handoff' and synonymous terms that are used in a
wide variety of contexts and clinical settings. There are a number of terms used to describe the
handoff process, such as handover, 1 13 14 sign-out, 15 16 signover,17 cross-coverage, 18 19 and
shift
2 22
• • •
•
report. 0-
For the purpose of this discussion, the term "handoff' will be used and defined as,
"The transfer of information (along with authority and responsibility) during transitions in care
across the continuum; to include an opportunity to ask questions, clarify and confirm"23 (p. 31).
The concept of a handoff is complex and "includes communication between the change of shift,
communication between care providers about patient care, handoff, records, and information tools to
assist in communication between care providers about patient care"1 (p. 1). The handoff is also "a
mechanism for transferring information, primary responsibility, and authority from one or a set of
caregivers, to oncoming staff'17 (p. 1). So, conceptually, the handoffmust provide critical
information about the patient, include communication methods between sender and
receiver, transfer responsibility for care, and be performed within complex organizational systems
and cultures that impact patient safety. The complexity and nuance of the type of information,
communication methods, and various caregivers for each of these factors impact the effectiveness
and efficiency of the handoff as well as patient safety.
First one needs to recognize the term "handoff' and synonymous terms that are used in awide variety of contexts and clinical settings. There are a number of terms used to describe the handoff process, such as handover, 1 13 14 sign-out, 15 16 signover,17 cross-coverage, 18 19 and shift2 22• • • •report. 0-For the purpose of this discussion, the term "handoff' will be used and defined as,"The transfer of information (along with authority and responsibility) during transitions in care across the continuum; to include an opportunity to ask questions, clarify and confirm"23 (p. 31). The concept of a handoff is complex and "includes communication between the change of shift,communication between care providers about patient care, handoff, records, and information tools to assist in communication between care providers about patient care"1 (p. 1). The handoff is also "a mechanism for transferring information, primary responsibility, and authority from one or a set of caregivers, to oncoming staff'17 (p. 1). So, conceptually, the handoffmust provide critical information about the patient, include communication methods between sender andreceiver, transfer responsibility for care, and be performed within complex organizational systems and cultures that impact patient safety. The complexity and nuance of the type of information, communication methods, and various caregivers for each of these factors impact the effectiveness และประสิทธิภาพของการโอนรวมทั้งความปลอดภัยผู้ป่วย
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