eCite Digital Repository

Handover--Enabling Learning in Communication for Safety (HELiCS): a report on achievements at two hospital sites


Iedema, R and Merrick, ET and Kerridge, R and Herkes, R and Lee, B and Anscombe, M and Rajbhandari, D and Lucey, M and White, L, Handover--Enabling Learning in Communication for Safety (HELiCS): a report on achievements at two hospital sites, Medical Journal of Australia, 190, (11) pp. S133-S136. ISSN 0025-729X (2009) [Contribution to Refereed Journal]


Clinical handover is an area of critical concern, because deficiencies in handover pose a patient safety risk. Redesign of handover must allow for input from frontline staff to ensure that designs fit into existing practices and settings. The HELiCS (Handover--Enabling Learning in Communication for Safety) tool uses a "video-reflexive" technique: handover encounters are videotaped and played back to the practitioners involved for analysis and discussion. Using the video-reflexive process, staff of an emergency department and an intensive care unit at two different tertiary hospitals redesigned their handover processes. The HELiCS study gave staff greater insight into previously unrecognised clinical and operational problems, enhanced coordination and efficiency of care, and strengthened junior-senior communication and teaching. Our study showed that reflexive and "bottom-up" handover redesign can produce outcomes that harbour local fit, practitioner ownership and (to date) sustainability.

Item Details

Item Type:Contribution to Refereed Journal
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Clinical Sciences not elsewhere classified
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Cancer and Related Disorders
Author:Iedema, R (Professor Rick Iedema)
ID Code:94259
Year Published:2009
Deposited By:Health Sciences B
Deposited On:2014-09-04
Last Modified:2014-09-04

Repository Staff Only: item control page