Bedside handover of critically ill patients
1 Department of Critical Care, University Hospital of Wales, Cardiff CF14 4XW, UK
2 Department of Anaesthesia, University Hospital of Wales, Cardiff CF14 4XW, UK
Critical Care 2012, 16:419 doi:10.1186/cc11245
See related viewpoint by Cohen et al., http://ccforum.com/content/16/1/303Published: 23 March 2012
First paragraph (this article has no abstract)
Cohen and colleagues' recent viewpoint emphasised that handover is not a unilateral transfer of information and that when poorly conducted it can degrade quality of care . A key feature of handover required by clinicians is the big picture, which shapes the viewpoint of the receiving party . Frequently this is obscured in critically ill patients by a surfeit of physiological variables or results, and this 'noise' denigrates the handover process. Such a scenario is often observed with less experienced clinicians, who are also the most frequently studied group. Only one investigation has described handover by experienced full-time faculty physicians in critical care . Unsurprisingly, handover between these individuals did not conform to widely promoted communication schemes but did commonly include questions allowing two physicians to jointly construct a picture of the patient.