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Little research has investigated handover in rural settings. In a remote setting where nurses and medical students give telephone handover to an aeromedical retrieval service, we developed a tool by which the receiving clinician might assess the handover; and investigated factors impacting on the reliability and validity of that assessment. Methods: Researchers consulted with clinicians to develop an assessment tool, based on the ISBAR handover framework, combining validity evidence and the existing literature.

The tool was applied 'live' by receiving clinicians and from recorded handovers by academic assessors. Accessed 20 Dec Foster S, Manser T. The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research.

Acad Med. A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. J Am Med Inform Assoc. Handoff practices in undergraduate medical education. J Gen Intern Med. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care.

Patient handoffs: standardized and reliable measurement tools remain elusive. World Health Organisation W. Patient safety curriculum guide: multi-professional edition. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Ensuring patient safety in care transitions: an empirical evaluation of a handoff intervention tool. Telephone referrals by junior doctors: a randomised controlled trial assessing the impact of SBAR in a simulated setting.

Postgrad Med J. A tool to measure shared clinical understanding following handoffs to help evaluate handoff quality. J Hosp Med. Intern Emerg Med. A preliminary study of the impact of a handover cognitive aid on clinical reasoning and information transfer. Med Educ. Comparative evaluation of the content and structure of communication using two handoff tools: implications for patient safety.

J Crit Care. Clinical handovers between prehospital and hospital staff: literature review. Emerg Med J. Development of a handoff evaluation tool for shift-to-shift physician handoffs: the handoff CEX.

Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle. Acad Pediatr. Kennedy C. Health in the Murdi Paaki. Achieving integration in mixed methods designs-principles and practices. Health Serv Res. Downing SM. Validity: on meaningful interpretation of assessment data. Lissitz RW, Samuelson K. A suggested change in terminology and emphasis regarding validity and education. Educ Res.

Generalisability: a key to unlock professional assessment. Crossley J, Jolly B. Making sense of work-based assessment: ask the right questions, in the right way, about the right things, of the right people.

Shavelson RJ, Webb N. Generalizability theory. In: Kotz S Ed. Encyclopedia of statistical sciences. John Wiley and Sons; Thematic analysis. Qualitative research in clinical and Health Psychology. Basingstoke: Palgrave McMillan; SBAR: a shared mental model for improving communication between clinicians. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care. Download references. The authors wish to acknowledge the staff of the following organisations for their cooperation and support in the conduct of this study: the RFDS-South-East section; the Broken Hill University Department of Rural Health, particularly Dr.

You can also search for this author in PubMed Google Scholar. MM contributed to conception and design; acquisition and analysis of data; and drafting and revision of the manuscript. CR and JN contributed to conception and design and data analysis; and drafting and revision of the manuscript. JC contributed to analysis and interpretation of data and critical revision of the manuscript.

All authors read and approved the final manuscript. Correspondence to Malcolm Moore. He has an interest in medical communication and rural and international health.

His main research interest is non-cognitive assessment. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Reprints and Permissions. Moore, M. Am I getting an accurate picture: a tool to assess clinical handover in remote settings?. BMC Med Educ 17, Download citation. Received : 23 December Accepted : 07 November Published : 15 November Anyone you share the following link with will be able to read this content:.

Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Skip to main content. Search all BMC articles Search. Download PDF. Research article Open Access Published: 15 November Am I getting an accurate picture: a tool to assess clinical handover in remote settings? Abstract Background Good clinical handover is critical to safe medical care. Methods Researchers consulted with clinicians to develop an assessment tool, based on the ISBAR handover framework, combining validity evidence and the existing literature.

Conclusions We have developed and evaluated a tool to assess high-stakes handover in a remote setting. Background The importance of handover The provision of good clinical handover has been identified as a vital part of safe, effective medical care [ 1 , 2 , 3 ]. Methods This was a cross-sectional, mixed methods study using both quantitative and qualitative measures to evaluate our assessment tool.

Constructing tool items In order to develop a tool that was suited to the local context and enabled clinicians to assess the handover in a way that matched their concept of an effective handover, we used the method of Crossley and Jolly to ensure that the response scale should focus on competencies that are central to the activity observed [ 27 ].

The Clinical Handover Assessment Tool. Full size image. Table 2 CHAT mean scores for assessments of calls by checklist item, total scale score and global score Full size table. Table 3 Variance G study and reliability D study estimates for assessing a call Full size table. Discussion Our findings show that the CHAT has good reliability for assessing the quality of a high-stakes handover call.

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Most tools are usually douchebags with negative self-esteem. Synonyms: Asshole , poser, faker , douchebag, Dane Cook. Man: Wow, Dane Cook is not funny at all. What an asshole. Man 2: Damn, you're right. What a tool. Get a Tool mug for your girlfriend Nathalie. An individual who behaves in their own self interest rather than adhering to a set of beliefs or morals.