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Medical and healthcare · programme 02

Smooth handovers

Improve communication between teams, departments and shifts.

Why this programme

Many incidents begin with a piece of information that does not get through. The programme trains teams to pass on the essentials, quickly and unambiguously, using a structured method such as SBAR. Doctors, caregivers and support staff play in the same teams.

Speech belongs half to the one who speaks, half to the one who listens.

Michel de Montaignephilosopher and moralistEssays, Book III, chap. 13 “Of Experience”, 1588

What your teams experience

  1. The travelling message: a piece of information passes from team to team, and the screen shows what is left of it at the end.
  2. The express handover: summarise a fictional clinical situation in four points, against the clock.
  3. Who to call: match each situation with the right contact, day or night.
  4. The shift change: two teams hand over a ward to each other, then discover what was forgotten.

Each activity opens and closes with a projected cinematic sequence, personalised for your teams. The facilitator sets the pace: nothing moves forward without them.

What the company gains

Shorter and more complete handovers, less information lost between shifts, and greater mutual respect between professions.

Staging written for you

In your client area, a form specific to this programme collects your content: it is built into the challenges and cinematic sequences, exactly as you provide it. The look uses your logo and your colours. Teams are formed on the spot or based on your organisation chart.

Follow-up, up to D+30

Your follow-up dashboard stays with the programme, from the order to the final results.

  • After the session: the session report, with the gap between the opening and closing measures.
  • At D+7: a reminder asks a few key questions again, and the D+7 report shows what has been retained.
  • At D+30: a second reminder, and the D+30 report shows what holds over time.

Follow-up: before, during, after

The sources of this programme

The published research that this programme's games, measures and debriefs refer to. You can check every reference.

  1. Starmer, A. J., Spector, N. D., Srivastava, R., et al. (2014). Changes in medical errors after implementation of a handoff program. New England Journal of Medicine, 371(19), 1803-1812. 10.1056/NEJMsa1405556
  2. Haig, K. M., Sutton, S., & Whittington, J. (2006). SBAR: A shared mental model for improving communication between clinicians. Joint Commission Journal on Quality and Patient Safety, 32(3), 167-175. 10.1016/S1553-7250(06)32022-3
  3. Müller, M., Jürgens, J., Redaèlli, M., Klingberg, K., Hautz, W. E., & Stock, S. (2018). Impact of the communication and patient hand-off tool SBAR on patient safety: A systematic review. BMJ Open, 8(8), e022202. 10.1136/bmjopen-2018-022202
  4. Pothier, D., Monteiro, P., Mooktiar, M., & Shaw, A. (2005). Pilot study to show the loss of important data in nursing handover. British Journal of Nursing, 14(20), 1090-1093. 10.12968/bjon.2005.14.20.20053
  5. Arora, V., et al. (2005). Communication failures in patient sign-out and suggestions for improvement: A critical incident analysis. Quality and Safety in Health Care, 14(6), 401-407. 10.1136/qshc.2005.015107
  6. Härgestam, M., Lindkvist, M., Brulin, C., Jacobsson, M., & Hultin, M. (2013). Communication in interdisciplinary teams: Exploring closed-loop communication during in situ trauma team training. BMJ Open, 3(10), e003525. 10.1136/bmjopen-2013-003525
  7. Sexton, J. B., Helmreich, R. L., Neilands, T. B., et al. (2006). The Safety Attitudes Questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Services Research, 6, 44. 10.1186/1472-6963-6-44
  8. Gollwitzer, P. M., & Sheeran, P. (2006). Implementation intentions and goal achievement: A meta-analysis of effects and processes. Advances in Experimental Social Psychology, 38, 69-119. 10.1016/S0065-2601(06)38002-1
  9. Howard, G. S. (1980). Response-shift bias: A problem in evaluating interventions with pre/post self-reports. Evaluation Review, 4(1), 93-106. 10.1177/0193841X8000400105
  10. Roediger, H. L., & Karpicke, J. D. (2006). Test-enhanced learning: Taking memory tests improves long-term retention. Psychological Science, 17(3), 249-255. 10.1111/j.1467-9280.2006.01693.x
  11. Stasser, G., & Titus, W. (1985). Pooling of unshared information in group decision making: Biased information sampling during discussion. Journal of Personality and Social Psychology, 48(6), 1467-1478. 10.1037/0022-3514.48.6.1467
  12. Okuyama, A., Wagner, C., & Bijnen, B. (2014). Speaking up for patient safety by hospital-based health care professionals: A literature review. BMC Health Services Research, 14, 61. 10.1186/1472-6963-14-61
  13. King, H. B., Battles, J., Baker, D. P., et al. (2008). TeamSTEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety. In K. Henriksen et al. (dir.), Advances in Patient Safety: New Directions and Alternative Approaches, vol. 3 : Performance and Tools. Agency for Healthcare Research and Quality (rapport). www.ncbi.nlm.nih.gov/books/NBK43686/
Further reading (1 reference)

Other research we drew on to design this programme.

  1. Riesenberg, L. A., Leitzsch, J., Massucci, J. L., et al. (2009). Residents' and attending physicians' handoffs: A systematic review of the literature. Academic Medicine, 84(12), 1775-1787. 10.1097/ACM.0b013e3181bf51a6
Shared foundations (12 references)

The mechanics of all our sessions (team play, the debrief, the before-and-after measure, spaced reminders) and the research that also underpins the other programmes in the same specialty or sector.

  1. Tannenbaum, S. I., & Cerasoli, C. P. (2013). Do team and individual debriefs enhance performance? A meta-analysis. Human Factors, 55(1), 231-245. 10.1177/0018720812448394
  2. Sitzmann, T. (2011). A meta-analytic examination of the instructional effectiveness of computer-based simulation games. Personnel Psychology, 64(2), 489-528. 10.1111/j.1744-6570.2011.01190.x
  3. Reason, J. (2000). Human error: Models and management. BMJ, 320(7237), 768-770. 10.1136/bmj.320.7237.768
  4. Edmondson, A. C. (1996). Learning from mistakes is easier said than done: Group and organizational influences on the detection and correction of human error. Journal of Applied Behavioral Science, 32(1), 5-28. 10.1177/0021886396321001
  5. Edmondson, A. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly, 44(2), 350-383. 10.2307/2666999
  6. Tucker, A. L., & Edmondson, A. C. (2003). Why hospitals don't learn from failures: Organizational and psychological dynamics that inhibit system change. California Management Review, 45(2), 55-72. 10.2307/41166165
  7. Dekker, S. (2007). Just Culture: Balancing Safety and Accountability. Ashgate (ouvrage).
  8. Organisation mondiale de la santé (2021). Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care (rapport). iris.who.int/handle/10665/343477
  9. Hughes, A. M., Gregory, M. E., Joseph, D. L., et al. (2016). Saving lives: A meta-analysis of team training in healthcare. Journal of Applied Psychology, 101(9), 1266-1304. 10.1037/apl0000120
  10. Weaver, S. J., Dy, S. M., & Rosen, M. A. (2014). Team-training in healthcare: A narrative synthesis of the literature. BMJ Quality & Safety, 23(5), 359-372. 10.1136/bmjqs-2013-001848
  11. Neily, J., Mills, P. D., Young-Xu, Y., et al. (2010). Association between implementation of a medical team training program and surgical mortality. JAMA, 304(15), 1693-1700. 10.1001/jama.2010.1506
  12. Cook, D. A., Hatala, R., Brydges, R., et al. (2011). Technology-enhanced simulation for health professions education: A systematic review and meta-analysis. JAMA, 306(9), 978-988. 10.1001/jama.2011.1234

Before you book

How is a Corporate Solutions experience different from team building?

It starts from a business objective, not an activity: onboarding new hires, preventing a risk, bringing your commitments to life. It is staged for your company, with your content, your figures and your brand. Your teams play in person, on their phones, while a big screen tells the story and a facilitator runs the room. And it is followed up: the session report, then the D+7 and D+30 reminders in your client area.

Do we need to install an app?

No. Participants scan a QR code and play in their phone's browser. No account, no password, no installation. It works on iPhone and Android.

Is there a limit on the number of participants?

No. The platform adapts to your headcount, from a small team to the whole company, in one or several rooms.

Demo

See “Smooth handovers” in action.

Thirty minutes on your premises. You play a challenge and see the report at the end.

Request a demo