Transitions in care: Signovers in the emergency department

Shawna J. Perry*, Robert L. Wears, Marc Shapiro, Christopher Beach, Pat Croskerry, Ravi Behara, Eric Eisenberg, Lexa Murphy

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contributionpeer-review

1 Citation (Scopus)

Abstract

The need for 24-hour emergency care requires emergency department (ED) staff to work in shifts. We observed shift transitions in 5 EDs as part of a study on safety in emergency care. We found the observable characteristics of shift transitions to be highly variable across institutions and dynamically adaptable within shift change episodes. However, across all sites, turnovers were interactional rather than transactional, and highly tailored to the immediate context. The high degree of complexity in the turnovers suggests they are not likely to be adapted to a standardized tool or protocol.

Original languageEnglish
Title of host publicationHealthcare Systems Ergonomics and Patient Safety: Human Factor, a Bridge Between Care and Cure - Proceedings of the International Conference HEPS 2005
Place of PublicationAbingdon-on-Thames
PublisherTaylor & Francis
Pages220-223
Number of pages4
ISBN (Print)0415375568, 9780415375566
Publication statusPublished - 2005
Externally publishedYes
EventInternational Conference on Healthcare Systems Ergonomics and Patient Safety: Human Factor, a Bridge Between Care and Cure, HEPS 2005 - Florence, Italy
Duration: 30 Mar 20052 Apr 2005

Other

OtherInternational Conference on Healthcare Systems Ergonomics and Patient Safety: Human Factor, a Bridge Between Care and Cure, HEPS 2005
CountryItaly
CityFlorence
Period30/03/052/04/05

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