Onsite handover of clinical care: implementing modified CHAPS

Abstract

Abstract Purpose – The paper’s aim is to determine the quality of transfer of information in relation to NHSLA criterion “on site handover of patient care” between doctors on delivery suite of a UK teaching hospital. Design/methodology/approach – A pilot project, supplemental to the existing system, was trialled on delivery suite to assess the usefulness of a locally modified, standardised instrument (CHAPS) tested previously among midwives at a UK hospital. This was a retrospective audit of the hard copies of the forms available over a period of six weeks. Findings – A total of 69 (82 per cent) forms were available for analysis. Obstetric registrar did the handover in 45(65 per cent) while no information was available in 32 per cent. Satisfactory assessment of clinical picture and history was possible in 96 per cent and 90 per cent cases respectively. Patient assessment was deemed satisfactory in 90 per cent cases. Management plan was satisfactory in 88 per cent. Documentation regarding date and time of handover was present in 84 per cent and 77 per cent cases respectively. Signature of the personnel handing and taking over were identifiable in 64 per cent and 55 per cent cases respectively. Research limitations/implications – This pilot study was done in one clinical area at a single hospital over a short period. Wider use in other clinical areas treating different conditions is required to demonstrate global applicability. Practical implications – This small study demonstrates good quality of transfer of information regarding patient care with the modified CHAPS instrument for handover between doctors on a delivery suite. It also raises the issues regarding poor documentation. Originality/value – This is the only study of its kind hence comparisons could not be made. However it highlights the multiple issues regarding the complexities of handover of patient care between medical personnel.