IDEAS home Printed from https://ideas.repec.org/a/wly/riskan/v28y2008i4p969-981.html
   My bibliography  Save this article

Examining Links Between Sign‐Out Reporting During Shift Changeovers and Patient Management Risks

Author

Listed:
  • Joseph Sharit
  • Lorgia McCane
  • Deborah M. Thevenin
  • Paul Barach

Abstract

This article reports on a qualitative study that investigated how various risk factors associated with the process of sign‐out reporting across shifts in critical care hospital environments could lead to flawed communication and thus to increased risk of poor patient outcomes. The study was performed in two critical care hospital units: the pediatric intensive care unit (PICU) and the postanesthesia care unit (PACU). We collected data from observations of eight nurses and four resident physicians in the PICU and four nurses and four resident physicians in the PACU giving sign‐out reports during their shift changes. In addition, we conducted semi‐structured interviews with a separate sample of medical providers consisting of nurse managers, attending physicians, nurses, and residents from each of these two units. The issues that were addressed in these interviews included how various methods of conducting sign‐outs and factors such as personality and experience could impact the effectiveness of communication during sign‐out reporting. We also collected data from these medical providers on how failures in communication during sign‐out reporting could lead to potentially adverse patient outcomes. The article concludes with the presentation of a modeling framework that demonstrates how the combined influences of risk factors can generate a particularly important type of failure mode in communication and how interventions can be targeted to serve as barriers to such events. A number of recommendations intended for reducing risks associated with the communication of sign‐out reports are also presented.

Suggested Citation

  • Joseph Sharit & Lorgia McCane & Deborah M. Thevenin & Paul Barach, 2008. "Examining Links Between Sign‐Out Reporting During Shift Changeovers and Patient Management Risks," Risk Analysis, John Wiley & Sons, vol. 28(4), pages 969-981, August.
  • Handle: RePEc:wly:riskan:v:28:y:2008:i:4:p:969-981
    DOI: 10.1111/j.1539-6924.2008.01087.x
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/j.1539-6924.2008.01087.x
    Download Restriction: no

    File URL: https://libkey.io/10.1111/j.1539-6924.2008.01087.x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Joseph Sharit, 2000. "A Modeling Framework for Exposing Risks in Complex Systems," Risk Analysis, John Wiley & Sons, vol. 20(4), pages 469-482, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Gerard Fealy & Suzanne Donnelly & Gerardine Doyle & Maria Brenner & Mary Hughes & Elaine Mylotte & Emma Nicholson & Marina Zaki, 2019. "Clinical handover practices among healthcare practitioners in acute care services: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(1-2), pages 80-88, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. James H. Lambert & Rachel K. Jennings & Nilesh N. Joshi, 2006. "Integration of risk identification with business process models," Systems Engineering, John Wiley & Sons, vol. 9(3), pages 187-198, September.
    2. James H. Lambert & Benjamin L. Schulte & Priya Sarda, 2005. "Tracking the complexity of interactions between risk incidents and engineering systems," Systems Engineering, John Wiley & Sons, vol. 8(3), pages 262-277, September.
    3. Anders Jensen & Terje Aven, 2017. "Hazard/threat identification: Using functional resonance analysis method in conjunction with the Anticipatory Failure Determination method," Journal of Risk and Reliability, , vol. 231(4), pages 383-389, August.
    4. David M. Vanlandingham & Wesley Hampton & Kimberly M. Thompson & Kamran Badizadegan, 2020. "Modeling Pathology Workload and Complexity to Manage Risks and Improve Patient Quality and Safety," Risk Analysis, John Wiley & Sons, vol. 40(2), pages 421-434, February.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:riskan:v:28:y:2008:i:4:p:969-981. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1539-6924 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.