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A Standard Operating Protocol (SOP) and Minimum Data Set (MDS) for nursing and medical handover: considerations for flexible standardization in developing electronic tools


Turner, P and Wong, MC and Yee, KC, A Standard Operating Protocol (SOP) and Minimum Data Set (MDS) for nursing and medical handover: considerations for flexible standardization in developing electronic tools, Studies in Health Technology and Informatics, 143, (1) pp. 501-506. ISSN 0926-9630 (2009) [Refereed Article]

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Copyright IOS Press 2009

DOI: doi:10.3233/978-1-58603-979-0-501


The Australian Commission on Safety and Quality in Health Care (ACSQHC) is the leading federal government technical agency involved in the area of clinical handover improvement as part of Australia’s participation in the World Health Organisation. The ACSQHC has funded a range of handover improvement projects in Australia including one at the Royal Hobart Hospital (RHH), Tasmania. The RHH project aims to investigate the potential for generalisable and transferable clinical handover solutions across medical and nursing disciplines. More specifically this project produced an over-arching minimum data set (MDS) and over-arching standardised operating protocol (SOP) based on research work on nursing and medical shift-to-shift clinical handover in general medicine, general surgery and emergency medicine. The over-arching MDS consists of five headings: situational awareness, patient identification, history and information, responsibility and tasks and accountability. The over-arching SOP currently has five phases: preparation; design; implementation; evaluation; and, maintenance. This paper provides an overview of the project and the approach deployed and considers the implications of these standardised operating protocols and minimum data sets for developing electronic clinical handover support tools. Significantly, the paper highlights a human centred design approach that actively involves medical and nursing staff in data collection, analysis, interpretation and systems design. This approach reveals the dangers of info-centrism when considering electronic tools, as information emerges as only factor amongst many others that influence the efficiency and effectiveness of clinical handover.

Item Details

Item Type:Refereed Article
Keywords:clinical handover, Standardised Operating Protocol, electronic tools
Research Division:Information and Computing Sciences
Research Group:Information systems
Research Field:Information systems not elsewhere classified
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Turner, P (Associate Professor Paul Turner)
UTAS Author:Wong, MC (Dr Ming Wong)
UTAS Author:Yee, KC (Dr Kwang Yee)
ID Code:62682
Year Published:2009
Web of Science® Times Cited:10
Deposited By:Information and Communication Technology
Deposited On:2010-03-17
Last Modified:2015-02-12
Downloads:29 View Download Statistics

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