Interactive Handovers: Out of the Dark Ages
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.
- 2,000+ adverse events reported in Interior Health from 2010 – 2012. The majority still go unreported and are causes of significant harm / critical incidents.
Manager – Human Factors and System Safety,
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…