Other mother

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Patient Care Hand Off Passing the Torch without Passing the Buck This information has been brought to you by

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other-mother patient care

Transcript of Other mother

Page 1: Other mother

Patient Care Hand OffPassing the Torchwithout Passing the Buck!

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“You are the ones who are going to be caring for the ones that I love”

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WHODoctors

Nurses

Paramedics

EMTs

Allied Health This information has been brought to you by

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WHEREFirst Response to Ambulance

Ambulance to Paramedic

Paramedic to ED

ED to Interventional Staff

Interventional Staff to Critical Care Staff

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Hand-offs involve the transfer of [patient care information,] rights, duties and obligations from one person or team to another.

WHAT

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Hand Off

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Problem

OpportunityThis information has been brought to you by

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Common Medical Errors

http://www.flickr.com/photos/meganpatapoff/6545674775/lightbox/The Source Of

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“TheBermudaTriangleof

Healthcare”

PatientHandOff

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Patient Care Hand-Off Communications have been identified as a critical safety and quality problem.

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In 2005, this increased to 70%, with

50%during the hand-off.

– The Joint Commission. Improving handoff communicati ons: Meeti ng Nati onal Pati ent Safety Goal 2 E. Joint Perspect Pati ent Safety . 2006;6:9-15.

More than 3,000 sentinel events from 1995 to 2004 revealed

65% of reported problems caused by

poor communication.

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3 AM

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Delay in treatment

Inappropriate treatment

Adverse events

Omission of care

Increased hospital length of stay

Avoidable readmissions

Increased costs

Inefficiency from rework

Other minor or major patient harm.

UH OH!This information has been brought to you by

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Can I get a Witness?•None•One•Some•All

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Resources

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GeneralCulture: Lack of teamwork and respect

Expectations between sender and receiver differ

Ineffective communication method, e.g. verbal, recorded, bedside, written

Timing of physical transfer of the patient and the hand-off are not in sync

Inadequate amount of time provided for successful hand-off

Interruptions occur during hand-off

Lack of standardized procedures in conducting successful hand-off

Inadequate staffing to accommodate successful hand-off

Patient not included during hand-off

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SendingSender provides inaccurate or incomplete information, e.g. medication list, DNR, concerns/ issues, contact information

Sender, who has little knowledge of patient, is handing off patient to receiver

Sender unable to provide up-to-date information, e.g. lab tests, radiology reports, because not available at the time of hand-off

Inability of sender to follow up with receiver if additional information needs to be shared

Sender asked to repeat information that has already been shared This information has been brought to you by

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ReceivingReceiver has competing priorities and is unable to focus on

transferred patient

Receiver unaware of patient transfer

Inability for receiver to follow up with sender if additional information is needed

Lack of responsiveness by receiver

Receiver has little knowledge of patient being transferred This information has been brought to you by

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Resources

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4 AM

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Problem

OpportunityOpportunity

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Alerts Glasgow Coma Scale GCS

Face Arm Speech Time ER FASTER

Boston Operation Stroke Scale BOSS

Cincinnati Prehospital Stroke Scale CPSS

Melbourne Ambulance Stroke Screen MASS

Age, Blood Pressure, Clinical Features, Duration Score ABCD

Brooklyn Stroke Scale BSS

Los Angeles Prehospital Stroke Screen LAPSS

Miami Emergency Neurological Deficit Checklist MEND

National Institute of Health Stroke Scale NIHSS

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When EMS provided hospital staff with advanced notification of incoming stroke patients, the number of patients eligible for thrombolytic therapy significantly improved.

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Systematic Approach

Situation

Background

Assessment

Recommendations This information has been brought to you by

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Slow is SmoothABC’s

Moment of Silence

Echo Answer

Smooth is FastThis information has been brought to you by

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Add a Q

Questions

Quantify

Qlarify This information has been brought to you by

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Opportunity

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In A World

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In A World

Reduce errors!

Facilitate the continuum of care!

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SHAREStandardize

Hardwire

Allow Questions

Reinforce

Educate & CoachThis information has been brought to you by

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Handoff communication is… a dialogue between health professionals…that fosters empathy, equity, common ground, in addition to transferring necessary information.

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Patient Care

www.other-mother.in

https://www.facebook.com/pages/Other-Mother-Nursing-Crusade/224235031114989

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