Structuring flexibility: the potential good, bad and ugly in standardisation of handovers.
نویسنده
چکیده
Few strategies routinely used during shift change handovers in high-reliability organisations (HROs) are used in healthcare. The findings from the paper in this issue by Borowitz et al (see page 6) add to the growing empirical evidence that patient handovers in all healthcare settings are highly variable in content and process. Similar to other highly respected healthcare researchers, the authors recommend reducing this variability, in this case by standardising sign-out protocols. However, similar to other human factors researchers, I am concerned about the potential unintended consequences from this well-intentioned approach. A natural experiment is already underway in the USA to standardise patient handovers. This experiment will likely be shaped by these repeating patterns from human factors research in complex sociotechnical settings:
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ورودعنوان ژورنال:
- Quality & safety in health care
دوره 17 1 شماره
صفحات -
تاریخ انتشار 2008