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Safe Communication
Quality Improvement Clinic Ltd. August 2015 Safe Communication Design, implement and measure: A guide to improving transfers of care and handover Authors: Nicola Davey & Ali Cole Quality Improvement Clinic Ltd. P a g e | 2 August 2015 Contents: Acknowledgements page 3 References page 3 Distribution & reproduction page 3 Executive summary page 4 Introduction page 5 Where can things go wrong? page 6 How do you achieve it? (The six step improvement process) page 8 Useful resources & references page 40 Appendices page 42 1 Startoutpage102 Defineandscopepage133 Measureandunderstandpage194 Designandplan(includingSBAR)page245 Pilotandimplementpage346 Sustainandsharepage38 I got so used to the system being broken I prepared and copied my own handover sheet about my husband s condition All the things I knew they needed to know and asked every time he was admitted.
Poor transfer of care or handover communication is widely recognised as a major preventable cause of harmi. Good transfers of care rely on consistently good communication and there are many stages in a person’s care journey where this can go wrong, including: this rises to shift to shift (continuity of care and ongoing assessment)
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