What happened over the previous 12 hours is relevant for the next 12 hours. This is how communication begins to break down. Within this chain, data points sometimes slip. Strengthen the Information Chain to Strengthen Patient SafetyĮvery clinician who works with the patient applies his or her clinical observation and assessment tools, draws conclusions, and adds to the chain of data and information. The webinar explores the importance of building a shared purpose to guide all clinical communication, and discusses humanized communication tools that help hardwire communication excellence. The webinar features Marty Scott, MD, MBA, formerly chief transformation officer at Hackensack Meridian Health and Sue Murphy, RN, BSN, MS, chief experience and innovation officer at UChicago Medicine. The Experience Innovation Network, part of Vocera, sponsored a Patient Safety & Quality Healthcare (PSQH) webinar called Communication Deconstructed: 7 Elements of Effective Clinical Communication.
Tip four is about combining information and communicating it in a consolidated way, and tip eight is about integrating the EHR with other technologies. Enhance Hand-Offs with Information in Context When a hand-off requires a group meeting, use Vocera technology to call members of a broadcast group with the single touch of a button.ģ. The software system routes calls, messages, and notifications with automatic escalation paths. Vocera technology helps solve that by enabling care team members to connect directly and instantly, with no need to know names or numbers. A common reason people don’t conduct hand-offs face-to-face is they’re busy and can’t find each other. TJC’s tips six and seven are about conducting hand-offs face-to-face in a location free from interruptions. And, you can configure Vocera software to provide much of the context in TJC’s tip five with a communication protocol. Patient-specific data captured in the physiologic monitor and other systems can be sent to a clinician’s mobile device. Vocera ® software has standardized drop down boxes so you don’t have to type out full messages. Look for a communication platform that can incorporate templates and automatically attach patient, event, and care team context to calls and messages.
4 Steps to Better Hand-Off CommunicationĬollectively, TJC’s tips one, two, and five talk about determining the information that needs to be communicated, standardizing on how to communicate it, and managing how care teams send and receive communication. In this blog, I consolidate TJC’s eight tips from the Alert into four steps and emphasize the role clinical communication and workflow technology can play in supporting patient safety during hand-offs. Sentinel Event Alert 58 is worthy of a fresh look. Hand-off communication is as critical to patient safety as it ever was, and the Alert’s guidance is as relevant today as when it was published in September 2017. hospitals and medical practices were responsible at least in part for 30 percent of all malpractice claims, resulting in 1,744 deaths and $1.7 billion in malpractice costs over five years. The Alert cites a study which estimated that communication failures in U.S. This definition was part of TJC’s Sentinel Event Alert 58: Inadequate hand-off communication. It is a real-time process of passing patient-specific information from one caregiver to another or from one team of caregivers to another for the purpose of ensuring the continuity and safety of the patient’s care.” “A hand-off is a transfer and acceptance of patient care responsibility achieved through effective communication. The Joint Commission (TJC) has a definition of a hand-off, and it shows the inseparable relationship between patient hand-offs and communication:
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