HANDOVER

Improving the Continuity of patient care Through Identification and implementation of Novel patient handoff processes in Europe

 Coordinatore UNIVERSITAIR MEDISCH CENTRUM UTRECHT 

 Organization address address: HEIDELBERGLAAN 100
city: UTRECHT
postcode: 3584 CX

contact info
Titolo: Dr.
Nome: Loes
Cognome: Pijnenborg
Email: send email
Telefono: +31 88 75 53 396
Fax: +31 2541828

 Nazionalità Coordinatore Netherlands [NL]
 Totale costo 3˙443˙100 €
 EC contributo 2˙623˙200 €
 Programma FP7-HEALTH
Specific Programme "Cooperation": Health
 Code Call FP7-HEALTH-2007-B
 Funding Scheme CP-FP
 Anno di inizio 2008
 Periodo (anno-mese-giorno) 2008-10-01   -   2011-09-30

 Partecipanti

# participant  country  role  EC contrib. [€] 
1    UNIVERSITAIR MEDISCH CENTRUM UTRECHT

 Organization address address: HEIDELBERGLAAN 100
city: UTRECHT
postcode: 3584 CX

contact info
Titolo: Dr.
Nome: Loes
Cognome: Pijnenborg
Email: send email
Telefono: +31 88 75 53 396
Fax: +31 2541828

NL (UTRECHT) coordinator 676˙800.00
2    KAROLINSKA UNIVERSITETSSJUKHUSET

 Organization address address: HUDDINGE
city: STOCKHOLM
postcode: 14186

contact info
Nome: Margareta
Cognome: Löfgren
Email: send email
Telefono: +46 858586859
Fax: +46 858585570

SE (STOCKHOLM) participant 327˙600.00
3    STICHTING KATHOLIEKE UNIVERSITEIT

 Organization address address: GEERT GROOTEPLEIN NOORD 9
city: NIJMEGEN
postcode: 6525 EZ

contact info
Nome: Angelo
Cognome: Piana
Email: send email
Telefono: 0031 243617348
Fax: 0031 243540166

NL (NIJMEGEN) participant 319˙200.00
4    THE UNIVERSITY OF BIRMINGHAM

 Organization address address: Edgbaston
city: BIRMINGHAM
postcode: B15 2TT

contact info
Titolo: Mr.
Nome: Robert
Cognome: Fekete
Email: send email
Telefono: 441214000000
Fax: 441214000000

UK (BIRMINGHAM) participant 306˙000.00
5    OPEN UNIVERSITEIT NEDERLAND

 Organization address address: VALKENBURGERWEG 177
city: HEERLEN
postcode: 6419 AT

contact info
Titolo: Ms.
Nome: Marlies
Cognome: Timmermans
Email: send email
Telefono: +31 45 5762183
Fax: +31 45 5762800

NL (HEERLEN) participant 262˙800.00
6    AZIENDA SANITARIA DI FIRENZE

 Organization address address: PIAZZA SANTA MARIA NUOVA 1
city: FIRENZE
postcode: 50122

contact info
Titolo: Dr.
Nome: Riccardo
Cognome: Ceroti
Email: send email
Telefono: + 39 55 6263980
Fax: +39 55 6263007

IT (FIRENZE) participant 259˙200.00
7    FUNDACION AVEDIS DONABEDIAN

 Organization address address: CALLE PROVENZA 293 PRAL
city: BARCELONA
postcode: 8037

contact info
Titolo: Mr.
Nome: Alvaro
Cognome: Melero
Email: send email
Telefono: +34 932 076 608
Fax: +34 934 593 864

ES (BARCELONA) participant 236˙400.00
8    CENTRUM MONITOROWANIA JAKOSCI W OCHRONIE ZDROWIA

 Organization address address: UL. SYROKOMLI 10
city: KRAKOW
postcode: 30 102

contact info
Titolo: Mr.
Nome: Pawel
Cognome: Tyrka
Email: send email
Telefono: -4278134
Fax: -4232052

PL (KRAKOW) participant 235˙200.00
9    KAROLINSKA INSTITUTET

 Organization address address: Nobels Vag 5
city: STOCKHOLM
postcode: 17177

contact info
Titolo: Mr.
Nome: Rolf
Cognome: Trana
Email: send email
Telefono: +46 8 585 815 04
Fax: +46 8 711 92 42

SE (STOCKHOLM) participant 0.00

Mappa


 Word cloud

Esplora la "nuvola delle parole (Word Cloud) per avere un'idea di massima del progetto.

discharged    multiple    handovers    effectiveness    treatment    hospitals    tools    care    practices    hospital    adverse    continuity    avoidable    preventable    healthcare    clinical    events    handoff    training    primary    either    handoffs    deaths    interface    medical    handover    life    guidelines    patient    patients    standardised    discharge    communication   

 Obiettivo del progetto (Objective)

'Research has shown that every year 30,000 European patients suffer preventable harm during treatment. It is estimated there were potentially 1,735 avoidable deaths in 2004. The financial cost of avoidable adverse events is reckoned at €167 million, 1% of hospitals’ total budget, due to longer hospital stays and additional treatment. Many of these adverse events relate to handoff in care. Poor continuity of clinical care (with multiple provider involvement), either at a patient’s referral to a hospital by a primary care specialist or at a patient’s discharge from the hospital, is a critical aspect of a patient’s care. Incomplete handoffs to a secondary/tertiary care unit or discharge from hospital can lead to adverse events for patients that may ultimately lead to either life threatening situations during treatment/surgery or avoidable treatment and / or re-hospitalizations after the patient’s discharge. Care transitions are especially important for vulnerable groups as the elder and the very young as for high-risk patients with multiple co-morbidities. The overall objective the HANDOVER project is optimize the continuum of clinical care at the primary care hospital interface by reducing unnecessary and avoidable treatment - medical errors and loss of life, by identifying and studying best practices and creating standardized approaches to handoff communication at the primary care hospital interface and measuring the effectiveness of these practices in terms of costs and impact. Handoffs take as many forms as there are handoff scenarios. The idea of developing a single approach for all handoffs is not likely to be possible due to the diversity and complexity of healthcare. HANDOVER will therefore aim at providing standardised basic elements in handoff processes, which can be tailored to meet local and/or institutional needs for flexibility.'

Introduzione (Teaser)

There are many cases where patients are not discharged correctly from hospitals or become victims of negligence in handover procedures, often leading to catastrophic results. New guidelines and training tools may change this.

Descrizione progetto (Article)

Patient recovery doesn't generally end in the hospital. Patients are sometimes discharged inappropriately or too early from hospitals, as well as being given the wrong medication or incorrect advice. This has resulted in many complications for the patients and even tragic yet preventable deaths, as well as incurring huge costs on health systems.

The EU-funded project 'Improving the continuity of patient care through identification and implementation of novel patient handoff processes in Europe' (Handover) is developing new approaches to patient discharge and handoff.

While handoff cannot be standardised for all healthcare systems, the project is developing a standardised toolkit that helps institutions in the process, involving policymakers and educators as well.

The project is investigating patient handover practices in England, Italy, Netherlands, Poland, Spain and Sweden, collecting data from hundreds of physicians, nurses, patients and hospital managers. It is identifying the enablers and barriers within the social, medical and technological environments of handovers, especially communication failures. Once adverse outcomes and 'near misses' are identified, the project will develop tools and training programmes to improve handoff. It will then assess the cost effectiveness of optimised handovers.

The Handover project has already interviewed more than 160 healthcare professionals and shadowed healthcare workers to unveil the intricacies of this process. It has noted major differences in patient discharge, transfer and rehabilitation across the countries.

The project is currently outlining guidelines for clinical practice in this area, as well as best practices for undergraduate and postgraduate trainees in healthcare. This will streamline the handover process and standardise practices as much as possible, leading to a better system that improves well-being, saves lives and reduces healthcare costs.

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