Article Text

PDF
Patient handovers within the hospital: translating knowledge from motor racing to healthcare
  1. Ken Catchpole1,
  2. Richard Sellers2,
  3. Allan Goldman3,
  4. Peter McCulloch1,
  5. Sue Hignett2
  1. 1Nuffield Department of Surgery, University of Oxford, Oxford, UK
  2. 2Department of Human Sciences, Loughborough University, Loughborough, UK
  3. 3Cardiac Critical Care, Great Ormond Street Hospital, London, UK
  1. Correspondence to Dr Ken Catchpole, Nuffield Department of Surgery, University of Oxford, The John Radcliffe, Headington, Oxford OX3 9DU, UK; Ken.catchpole{at}nds.ox.ac.uk

Abstract

Introduction This paper expands the analogy between motor racing team pit stops and patient handovers. Previous studies demonstrated how the handover of patients following surgery could be improved by learning from a motor racing team. This has been extended to include contributions from several motor racing teams, and by examining transfers at several different interfaces at a non-specialist UK teaching hospital.

Methods Letters of invitation were sent to the technical managers of nine Formula 1 motor racing teams. Semistructured interviews were carried out at a UK teaching hospital with 10 clinical staff involved in the handover of patients from surgery to recovery and intensive care.

Results Three themes emerged from the motor racing responses; (1) proactive learning with briefings and checklists to prevent errors; (2) active management using technology to transfer information, and (3) post hoc learning from the storage and analysis of electronic data records. The eight healthcare themes were: historical working practice; problems during transfer; poor awareness of handover protocols; poor team coordination; time pressure; lack of consistency in handover practice; poor communication of important information; and awareness that handover was a potential threat to patient safety.

Conclusions The lessons from motor racing can be applied to healthcare for proactive planning, active management and post hoc learning. Other high-risk industries see standardisation of working practices, interpersonal communication, consistency and continuous development as fundamental for success. The application of these concepts would result in improvements in the quality and safety of the patient handover process.

Statistics from Altmetric.com

Footnotes

  • Funding This project was part-funded by the BUPA Foundation, with KC gratefully supported by a Leverhulme Trust Early Career Fellowship.

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.