1,721,095 research outputs found
Clinical Handover and Handoff in Healthcare: A Systematic Review of Systematic Reviews
No full textPurpose
The purpose of this systematic review is to appraise and summarize existing literature on clinical handover.
Data sources
We searched EMBASE, MEDLINE, Database of Abstracts of Reviews of Effects and Cochrane Database of Systematic Reviews.
Study selection
Included articles were reviewed independently by the review team.
Data extraction
The review team extracted data under the following headers: author(s), year of publication, journal, scope, search strategy, number of studies included, type of studies included, study quality assessment, used definition of handover, healthcare setting, outcomes measured, findings and finally some comments or remarks.
Results of data synthesis
First, research indicates that poor handover is associated with multiple potential hazards such as lack of availability of required equipment for patients, information omissions, diagnosis errors, treatment errors, disposition errors and treatment delays. Second, our systematic review indicates that no single tool arises as best for any particular specialty or use to evaluate the handover process. Third, there is little evidence delineating what constitutes best handoff practices. Most efforts facilitated the coordination of care and communication between healthcare professionals using electronic tools or a standardized form. Fourth, our review indicates that the principal teaching methods are role-playing and simulation, which may result in better knowledge transfer to the work environment, better health and patients’ well-being.
Conclusions
This review emphasizes the importance of staff education (including simulation-based and team training), non-technical skills and the implementation process of clinical handover in healthcare settings.This work was supported by the SafePAT-project and was being executed within the context of Interreg V-A Euregion Meuse-Rhine, with funding from the European Regional Development Fund, Province of Limburg and Hasselt Universit
Defining a set of potentially preventable complications relevant to nursing: A Delphi Study among head nurses
No full textAim To establish a list of potentially preventable complications as a tool for nursing management. Background Different outcome parameters have been used in patient safety research. However, they have mainly been used for medical and administrative goals. The role of nurses in achieving patient safety outcomes has been given little attention. Method A three-round Web-based modified Delphi study was conducted in four hospitals, using the list of potentially preventable complications (PPCs) as a starting point. Consensus on a shortlist of nursing relevant complications was the endpoint. Results This study revealed a shortlist 12 PPCs relevant to the nursing profession, based on the expert opinion of more than sixty head nurses from different wards and hospitals. An overall consensus of 77.58% was reached. In surgical, medical and geriatric wards, a consensus of 95.7% was achieved. Conclusion This is the first study that points out which PPCs are related to nursing. The shortlist contains some of the most studied complications and can serve a wide variety of hospital wards. Implications for Nursing Management Prevention of complications reduces harm to patients and avoids the nursing work and costs to treat them. This list provides nursing managers with a powerful tool to raise awareness for risk assessment and preventive measures among nurses. It offers an instrument to facilitate the documentation and handover of patient safety outcomes in nursing. This shortlist can also serve as an assessment tool for patient safety interventions.An unrestricted university grant was provid
ACKNOWLEDGEMENTS
This article could only be realized thanks to the willing cooperation
of the participating hospitals and head nurses.ed for the first authorGrosemans, J (corresponding author), Hasselt Univ, Fac Med & Life Sci, Martelarenlaan 42, B-3500 Hasselt, Belgium.
[email protected]
Challenges in organizing a Belgian reference hospital to respond to the COVID-19 pandemic: A case report
No full textThe coronavirus disease 2019 (COVID-19) pandemic resulted in an enormous influx of seriously ill patients in the hospitals worldwide. After its initial impact in Asia, Europe also suffered greatly. Caring for COVID-19 patients whist maintaining treatment for patients with other conditions was a complex planning and management challenge. A series of interventions has been implemented to increase hospital capacity in response to the pandemic. Hospital provision interventions included the purchase of equipment, the establishment of additional hospital facilities and the redeployment of staff and other resources. Ensuring safe and high quality care to both COVID-19 patients and those with other conditions was a crucial aspect of the Belgian response in this current health crisis.Sincere thanks to all the healthcare professionals at AZ Delta for their unconditional commitment to the care of both COVID and non-COVID patients. Also many thanks to all back office staff who made sure our hospital remained standing during this health crisis. We did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sector
The psychosocial approach in cancer care: a small step to realise its importance, one giant leap to implement in practice
No full textPublication added to the doi: 10.1002/pon.447
A survey in a multidisciplinary group of healthcare professionals: professionals' point of view on the psychosocial approach in cancer care
No full textEvaluation of the implementation of Value-Based Healthcare with a weekly digital follow-up of lung cancer patients in clinical practice
No full textObjective The aim of this study was to evaluate the implementation of Value-Based Healthcare principles for lung cancer patients in a large Belgian hospital. This hospital implemented a digital platform for the collection of patient-reported outcomes and the standardisation of care pathways. Also, a follow-up by the multidisciplinary care team was put in place. Methods Evaluation was done by employing a mixed method approach with data analysis of all included patients (n = 201), a pilot study (n = 30) and semi-structured interviews with the care team (n = 5). Results Overall, 95% of all lung cancer patients of two thoracic oncologists agreed to participate in the digital follow-up during the period January 2018 to September 2020 (201 participating patients). The response rates of those patients were high: 92% of the weekly questionnaires and 90% of the 6-weekly ICHOM questionnaires were responded. Based on the pilot study, we conclude that questions are clear and the platform is user-friendly for 90% of patients in the pilot. The interviews revealed that the weekly follow-up has a positive impact on the patient-provider communication and makes it easier to discuss psychological and palliative care needs. Conclusion This study shows a successful implementation of Value Based Healthcare with weekly digital follow-up. Clinical trial registration is as follows: , NCT04712149.Flanders Innovation and Entrepreneurship
We want to acknowledge the following: AZ Delta lung cancer care team, Awell Health
The psychosocial approach in cancer care: a small step to realise its importance, one giant leap to implement in practice
No full textPublication added to the doi: 10.1002/pon.447
Healthcare professionals' perspectives on the prevalence, barriers and management of psychosocial issues in cancer care: A mixed methods study
No full textThis cross-sectional mixed methods survey explores healthcare professionals' perspective on their management of cancer patients' psychosocial concerns, and barriers to integrate the psychosocial approach in their work. An invitation for participation was sent to 4,965 inpatient and outpatient working professionals, of which 583 responded (12% response rate), and 368 fully completed the survey. The majority of respondents does not use a systematic approach to discuss patients' psychosocial concerns, 37.5% use the general question "How are you?," and 65.0% spontaneously addresses various psychosocial aspects. Most psychosocial topics are "sometimes" or "regularly" discussed. Sexuality and return to work are rarely mentioned. About half of the respondents are convinced that they pay enough attention to the psychosocial well-being of cancer patients: by listening, engaging in a deeper conversation, providing advice and through referral. Mostly, patients are referred to a psychologist, a general practitioner, a social worker, a specialised nurse or a centre for well-being and mental health. The barriers experienced, when providing psychosocial support, can be attributed to the patients, to themselves or other healthcare professionals, and to policy restrictions. These barriers should be addressed in order to enable healthcare professionals to improve the integration of the psychosocial approach in cancer care.sponsorship: We want to acknowledge the following: Jessaziekenhuis, Ziekenhuis Oost-Limburg, Sint-Fransiscus ziekenhuis, Regionaal ziekenhuis Sint-Trudo, Mariaziekenhuis Noord-Limburg, LISTEL, the circuits for GPs, physical therapists and psychologists, CM, Solidariteit voor het Gezin, De Voorzorg, Thuisverpleging Lemmens, Thuisverpleging A tot Z, Familiehulp, ONS, Liberale Mutualiteit, OCMW's, Orthos, CGG group LITP and group DAGG, Flemisch federation of occupational therapy, KLAV and the LMN's. Many thanks go out to Eva Cordery who has reviewed the script and has improved the English language. We also thank LSM for funding. (LSM)status: Publishe
Evaluation of the implementation of value-based healthcare with a weekly digital follow-up of lung cancer patients in clinical practice
No full textThe aim of this study was to evaluate the implementation of Value-Based Healthcare principles for lung cancer patients in a large Belgian hospital. This hospital implemented a digital platform for the collection of patient-reported outcomes and the standardisation of care pathways. Also, a follow-up by the multidisciplinary care team was put in place.Objective The aim of this study was to evaluate the implementation of Value-Based Healthcare principles for lung cancer patients in a large Belgian hospital. This hospital implemented a digital platform for the collection of patient-reported outcomes and the standardisation of care pathways. Also, a follow-up by the multidisciplinary care team was put in place. Methods Evaluation was done by employing a mixed method approach with data analysis of all included patients (n = 201), a pilot study (n = 30) and semi-structured interviews with the care team (n = 5). Results Overall, 95% of all lung cancer patients of two thoracic oncologists agreed to participate in the digital follow-up during the period January 2018 to September 2020 (201 participating patients). The response rates of those patients were high: 92% of the weekly questionnaires and 90% of the 6-weekly ICHOM questionnaires were responded. Based on the pilot study, we conclude that questions are clear and the platform is user-friendly for 90% of patients in the pilot. The interviews revealed that the weekly follow-up has a positive impact on the patient-provider communication and makes it easier to discuss psychological and palliative care needs. Conclusion This study shows a successful implementation of Value Based Healthcare with weekly digital follow-up. Clinical trial registration is as follows: , NCT04712149
Evaluation of the implementation of value-based healthcare with a weekly digital follow-up of lung cancer patients in clinical practice
No full textThe aim of this study was to evaluate the implementation of Value-Based Healthcare principles for lung cancer patients in a large Belgian hospital. This hospital implemented a digital platform for the collection of patient-reported outcomes and the standardisation of care pathways. Also, a follow-up by the multidisciplinary care team was put in place.Objective The aim of this study was to evaluate the implementation of Value-Based Healthcare principles for lung cancer patients in a large Belgian hospital. This hospital implemented a digital platform for the collection of patient-reported outcomes and the standardisation of care pathways. Also, a follow-up by the multidisciplinary care team was put in place. Methods Evaluation was done by employing a mixed method approach with data analysis of all included patients (n = 201), a pilot study (n = 30) and semi-structured interviews with the care team (n = 5). Results Overall, 95% of all lung cancer patients of two thoracic oncologists agreed to participate in the digital follow-up during the period January 2018 to September 2020 (201 participating patients). The response rates of those patients were high: 92% of the weekly questionnaires and 90% of the 6-weekly ICHOM questionnaires were responded. Based on the pilot study, we conclude that questions are clear and the platform is user-friendly for 90% of patients in the pilot. The interviews revealed that the weekly follow-up has a positive impact on the patient-provider communication and makes it easier to discuss psychological and palliative care needs. Conclusion This study shows a successful implementation of Value Based Healthcare with weekly digital follow-up. Clinical trial registration is as follows: , NCT04712149
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