Premium Essay

Three Characteristics Of Handover

Submitted By
Words 1589
Pages 7
3.3 CHARACTERISTICS OF HANDOVER
Laxmisan et al (2007) conducted an ethnographic study involving analysis of emergency department handover in a US hospital. The study found that interruptions within the emergency department were prevalent and diverse in nature and that there were gaps in information flow due to multi-tasking and shift changes. The communication process is complex and cognitively taxing during and after team handover, that can compromise patient safety. The study also discusses the need to tailor generic electronic tools to support adaptive processes like multi-tasking and handoffs in time constrained environments. Arora et al (2005) conducted interviews using the critical incident technique to handover failures between inpatient physicians in a US hospital. The study interviewed 26 interns and found 25 discrete incidents. The 21 worst events are described. Omitted contents and failure prone communication processes were identified as a major category of failure in communication. These may result in inefficient or sub-optimal care, leading to patient harm.
…show more content…
The study found that each type of handover had its own strengths and weaknesses. The effectiveness of each type of handover remained unclear and no one type was appraised as being more effective. The study recommends taking into account the socio-cultural context of handover and exploring more creative ways to conduct handovers to ensure it fulfils its multiple

Similar Documents

Premium Essay

Bedside Nursing Handover

...Bedside nursing handover: A case study 1. Purpose of the study: The purpose of this study was to identify and describe the structures, processes, and perceptions of the outcomes of bedside handovers in nursing practice. 2. Research design: The authors used a descriptive case study which is a methodological approach that can use a number of different methods to conduct an instrumental investigation that is bounded by place and time. Case study research asks questions of ‘what’, ‘why’, and ‘how’ in a non controlled or non artificial environment to analyse existing, real life situations with all their complexity 3. Sampling technique and characteristics of the sample: The study involved three wards in two hospitals in Australia, thus six wards where ultimately included. Wards that where included where medical, surgical and rehabilitation wards. Team leaders, shift coordinators, nursing managers, and educators where the focus of the study in which all participants gave their consent. A total of 32 female participants where interviewed from both hospitals. No male participants where included. From these participants seven where under the age of 30, ten between the age of 30 and 40, eleven between the age of 40 and 50 and six where aged over 50. with regards to nursing classifications, from the 32 participants, 7 where enrolled nurses, 15 where level 1 registered nurses, 7 where level 2 registered nurses and 5 where level three nurses. Only 16 out of the 32......

Words: 670 - Pages: 3

Premium Essay

Evidence Based Practice

...29(4), 371-378. A2. Graphic Background Information | The purpose of this article was to identify patient perceptions of bedside handover through directly asking patients about their care. The study was done on a two in-patient medical-surgical departments at Borgess Medical Center in Michigan. They had implemented bedside handoff at shift change 18 months prior to this study. Then a sample of patient participants was chosen from the two nursing departments for the study. They had to meet certain criteria to be a participant and they had to experience three handoffs. Then they were given a survey to fill out after the beside handovers. Participants were positive about the RN bedside handoff process. The overall mean from the survey was 3.32 on a scale of 1 (strongly disagree) to a 4 (highly agree). | Review of Literature | There were multiple references that provided statistics and facts during this study. Most of these studies have focused on implementing bedside handoffs and nurse perceptions of the handoff. Published studies that focused on patients’ perceptions of beside handoff have been mainly qualitative. Recently, researchers have published studies that seek to measure bedside handover quantitatively. Whether qualitative or quantitative, all studies report an increase in patient satisfaction with bedside handover. | Methodology | This quantitative study was to identify patients’ perceptions of the bedside handoff. This was a quantitative......

Words: 4724 - Pages: 19

Premium Essay

Handover

...International Journal of Computer Applications (0975 – 8887) Volume 8– No.12, October 2010 Handover management in GSM cellular system Jahangir khan School of computer science PAF-KIET, Pakistan Air Force Base korangi Creek Karachi 75190 Pakistan ABSTRACT Handover mechanism is extremely important in cellular network because of the cellular architecture employed to maximize spectrum utilization. Handover is the procedure that transfers an ongoing call from one cell to another as the user’s moves through the coverage area of cellular system. One way to improve the cellular network performance is to use efficient handover prioritization schemes when user is switching between the cells. In this paper I have presented an analytical framework that can enhance considerably the handover call mechanism in wireless network. Some advance schemes namely, guard channels, call admission control and handover queuing are discussed. All these of prioritiztaions schemes have a common characteristic reducing the call dropping probability at the expense of increased call blocking probability. Efficnet prioritiztaion scheme accomadetes a number of new calls while guaranates the quality of sevice(QOS) of hanover call. This idea is based on the neighbouring cells have an ovelapping (the area served by more than one cell) coverage area. Furthermore cell overlap and load balancing scheme is proposed to enhance the GSM cellular capacity using an overlapping coverage area. Capacity enhancement......

Words: 9095 - Pages: 37

Premium Essay

Systematic Review of Nursing Handover

...CHAPTER 1 INTRODUCTION 1.0 INTRODUCTION A handover is defined as “the act of moving power or responsibility from one person or group to another (Oxford Advanced Learner’s Dictionary of Current English 2005)”. In healthcare and clinical context, the term “handover” applies to the transferring of a patient’s information between two health care providers, when the patient receives care in a different location, or when another healthcare provider is responsible of the patient (ACSQHC 2005). The American word “handoff” also signifies the same meaning. Nursing handovers are often being described as a ritual, which stemmed from the medical concept preliminarily in the 1880s, whereby the nursing sister would direct the nurses on duty after hearing reports from the night shift nurses and the doctors’ rounds (Walsh and Ford 1989). The repetitive characteristic of the traditional handover does not encourage nurses to think critically or share different views, therefore depicted as a “ritual” (Kerr et al 2011). 1.1 BACKGROUND OFTHE STUDY The aim of a nursing shift handover is to precisely inform the patient’s general condition, care plan, treatment and expectations in a timely manner (Runy 2008). The process, if made without a systematic standardized method, would lead to errors and jeopardizes patient’s safety (ACSQHC 2010). Reported adverse events from handovers include unnecessary procedure and investigations, delayed diagnosis or treatments, prolonged......

Words: 9191 - Pages: 37

Free Essay

Pdf of Telecom

...Technologies Proprietary Page 2 of 36 GSM BSS Network KPI (MOS) Optimization Manual INTERNAL GSM BSS Network KPI (MOS) Optimization Manual Key words: MOS, interference, BER, C/I, power control, DTX, frequency hopping, PESQ, PSQM /PSQM+, PAMS Abstract: With the development of the radio network, mobile operators become more focused on end users’ experience instead of key performance indicators (KPIs). The improvement of the end users’ experience and the improvement of the network capacity are regarded as KPIs. Therefore, Huawei must pay close attention to the improvement of the soft capability of the network quality as well as the fulfillment of KPIs. At present, there are three methods of evaluating the speech quality: subjective evaluation, objective evaluation, and estimation. Among the three methods, objective evaluation is the most accurate. The PESQ algorithm defined by the ITU can objectively evaluate the speech quality of the communication network. This document uses the mean opinion score (MOS) to label the speech quality after objective evaluation. This...

Words: 9686 - Pages: 39

Premium Essay

Tm5720 Course Paper

...Table of Contents Introduction……………………………………………………….……………..Page 3 Strategic Business Assessment………………………………;….………………Page 4 Competition………………………………………,…………….……………….Page Technology………………………………………………………………………Page Design a Wireless System………………………………………………………..Page Planned Competitive Improvements……………………………………………...Page Other Competitive Technological Solutions……………………………………..Page Upgrading to Next Generation……………………………………………………Page Summary and Conclusions……………………………………………………….Page Work Cited……………………………………………………………………….Page Introduction The first generation of cellular networks or 1G was first build in Chicago in 1977. It uses multiple cell towers sites, each connected through a network, allowed users to travel and even switch cell towers during a call. It was known as the Analog Mobile System (AMPS) and operates on the 824-894MHz range. A Japanese telecommunications company NTT builds their own network in 1979, which became the first 1G network to cover an entire country. In 1981, the Nordic Mobile Telephone network was the first to feature international roaming. It operates in Denmark, Sweden, Finland and Norway. Mobile phones start becoming popular in the United States in the late 80’s and early 90’s when phones were small enough to carry without been in a car or suit case. Strategic Business Assessment United......

Words: 3872 - Pages: 16

Premium Essay

Annotated Bibliography

...study implemented modification related to the research questions, sample selection, data collection and Atlas.ti software for qualitative data for the purpose of providing ease of coding, viewing, mapping and storing the data for retrieval analysis. The main focus of this replication study was to understand what it means to be a good nurse and do the right thing. This research provided current and allied literature to the relationship between ethics and good nursing practice. They study was carried out in a mid- size University in Kentucky, USA. They had prior approval and all personal information was coded and stored as outlined in the request for approval. The people involved in the study were recruited from various areas of practice at three (3) hospitals. They were...

Words: 3755 - Pages: 16

Free Essay

Paper Describes About 4g and Lte

...ericsson White paper 284 23-3163 Uen | February 2012 Voice and video calling over LTE a step towards future telephony The GSMA IR.92 voice-over-LTE and GSMA IR.94 IMS conversational video specifications are the preferred industry choices for mass-market voice and video calling services over LTE, satisfying user expectations and providing the most advantageous solutions for operators. The specifications profile existing 3GPP IMS services, enhanced packet core and radio, and leverage telecom characteristics such as quality of service and global reach. VOICE services in MOBILE BROADBAND networks Mobile broadband has created a world of opportunities and opened up new revenue streams for operators. Opportunities are often coupled with challenges, and mobile broadband tests the position of communication services, such as voice, which today accounts for around 70 percent of operators’ annual revenue – about USD 650 billion – globally. The crucial question is how to take advantage of mobile broadband opportunities while at the same time maintaining and increasing revenue from communication services. LTE networks can deliver mobile broadband and communication services with greater capacity and lower latency. However, as there is no circuit-switched voice domain in LTE, the mobile industry will adopt a globally interoperable IP-based voice, video-calling and messaging solution for LTE, which also enables development of new innovative multimedia services. Some over-the-top......

Words: 5307 - Pages: 22

Free Essay

Joint Admission Control and Resource Allocation

...IEEE Globecom 2010 Workshop on Broadband Wireless Access Joint Admission Control and Resource Allocation with GoS and QoS in LTE Uplink Oscar Delgado ECE, Concordia University Montreal, Qc, H3G 1M8, Canada Email: o delgad@encs.concordia.ca Brigitte Jaumard CIISE, Concordia University Montreal, Qc, H3G 1M8, Canada Email: bjaumard@ciise.concordia.ca Abstract—In this paper, an admission control (AC) scheme is proposed for handling multiclass Grade of Service (GoS) and Quality of Service (QoS) in Uplink Long Term Evolution (LTE) systems. GoS requirement in conjunction with QoS has been seldom taken into account in previous admission control and resource allocation algorithms for LTE uplink. We propose a novel algorithm for handling the priorities while fulfilling the QoS objective of all granted requests. It corresponds to a solution that combines resource allocation and admission control properties to satisfy the GoS and QoS objectives. Call blocking probability, call outage probability, system capacity and number of effectively served requests are used as performance metrics. Numerical results show that it is possible to manage a priority scheme which satisfies the QoS constraints of all granted requests without any system capacity loss, when comparing to previous algorithms. Furthermore, the proposed AC algorithm gain, for the most sensitive traffic, can be around 20% over the reference AC algorithm. Index Terms—QoS, Priority, Admission Control, Scheduling, LTE,......

Words: 3728 - Pages: 15

Premium Essay

Nursing

...INTRODUCTION TO PROJECT MANAGEMENT 1. WHAT IS A PROJECT? Turner defines a project as: “..... an endeavour in which human, machine, material and financial resources are organised in a novel way, to undertake a unique scope of work, of given specification, within constraints of cost and time, so as to deliver beneficial change defined by quantitative and qualitative objectives. Projects range in size, scope, cost and time from mega international projects costing millions of dollars over many years - to small domestic projects with a low budget taking just a few hours. Within the context of this book a project may be defined as a beneficial change which uses the special project management techniques to plan and control the scope of work in order to deliver a product to satisfy the client's and stakeholder's needs and expectations. Consider the following projects: 1. 2. 3. 4. 5. 6. The launch of a new product (advertising and marketing project). Implementing a new computer system (IT project, or upgrade). Designing and implementing a new organisational structure (human resource project). Planning and conducting an audit (quality management project). Disaster recovery (limiting the damage of fires, floods or any type of accident). Olympics or Springboks' tour of New Zealand (a sports project). Other primary features of a project include:  A start and finish ....Although they may be difficult to define - the start may have crystallised over a period......

Words: 6045 - Pages: 25

Premium Essay

Telecommunication Gsm

...Q1 Describe the sequence of events of a typical call from a GSM mobile unit to a fixed subscriber. Identify the network components involved and describe the message flow sequence between them. ANS1 |Network Components |Parts of network components |Function | |Mobile Station (MS) |Mobile Equipment (ME – The mobile phone). |The mobile phone and SIM card. | | |Subscriber Identity Module (SIM) – Smart | | | |card that holds the subscriber identity to | | | |be used by the network. | | |Base Station System (BSS) |Base Transceiver Station (BTS) – The |Includes all transceivers and controllers. | | |antennas in the field. Consists of radio | | | |transceiver that defines a cell and handles| | | |radio link protocol with the Mobile | | | |Station. ...

Words: 1201 - Pages: 5

Premium Essay

Human Factors in Aviation Maintance

...ATSB TRANSPORT SAFETY REPORT Aviation Research and Analysis Report – AR-2008-055 An Overview of Human Factors in Aviation Maintenance Alan Hobbs Ph.D. December 2008 ATSB TRANSPORT SAFETY REPORT Aviation Research and Analysis Report AR-2008-055 Final An Overview of Human Factors in Aviation Maintenance Alan Hobbs Ph.D. - iii - Published by: Postal address: Office location: Telephone: Facsimile: E-mail: Internet: Australian Transport Safety Bureau PO Box 967, Civic Square ACT 2608 62 Northbourne Ave, Canberra City, Australian Capital Territory 1800 020 616; from overseas + 61 2 6274 6440 Accident and incident notification: 1800 011 034 (24 hours) 02 6247 3117; from overseas + 61 2 6247 3117 atsbinfo@atsb.gov.au www.atsb.gov.au © Commonwealth of Australia 2008. This work is copyright. In the interests of enhancing the value of the information contained in this publication you may copy, download, display, print, reproduce and distribute this material in unaltered form (retaining this notice). However, copyright in the material obtained from other agencies, private individuals or organisations, belongs to those agencies, individuals or organisations. Where you want to use their material you will need to contact them directly. Subject to the provisions of the Copyright Act 1968, you must not make any other use of the material in this publication unless you have the permission of the Australian Transport Safety Bureau. Please direct requests for......

Words: 15184 - Pages: 61

Premium Essay

Capture

...AN INTRODUCTION TO LTE LTE, LTE-ADVANCED, SAE AND 4G MOBILE COMMUNICATIONS Christopher Cox Director, Chris Cox Communications Ltd, UK A John Wiley & Sons, Ltd., Publication This edition first published 2012 © 2012 John Wiley & Sons Ltd Registered office John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, United Kingdom For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com. The right of the author to be identified as the author of this work has been asserted in accordance with the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or......

Words: 124044 - Pages: 497

Premium Essay

The Impact of Antenna Tilt to the Performance of Cellular Network Case Study Mnt Nigeria

...RUNNING HEAD: The impact of antenna tilt to the performance of cellular network THE IMPACT OF ANTENNA TILT TO THE PERFORMANCE OF CELLULAR NETWORK: CASE STUDY MNT NIGERIA By [Student full name] [Course of study] [Institution of study] A dissertation is submitted for the degree of [name of course of study] [Level of study eg. IF 50 Doctor of philosophy] Principal supervisor: [Name of supervisor] Associate supervisor: [name of associate supervisor] Faculty of [faculty name e.g. science and technology] Name of collage [Queens university of technology] [Location eg. Brisbane, Austrialia] Date 1 RUNNING HEAD: The impact of antenna tilt to the performance of cellular network Acknowledgement I would like to extend my sincere thanks to those who has provided support towards my thesis writing and research. The study would have been much overwhelming and thesis topic more complicated, if it was not the guidance and support of the people First of all, my sincere thanks credit to the dedication of my academic supervisors, [name of the supervisors], for their useful inputs and discussions during the study. Secondly, am grateful to the support from the MTN Nigeria of the data provided during the study to make these research a success. Thanks also to my family for the support and understanding over the research period. Lastly, is my sincere gratitude to my fellow student writing thesis who have contributed immensely in the discussion for a deeper understanding of this......

Words: 5647 - Pages: 23

Premium Essay

Project Management

...Lecture Number 1 August 2014 Introduction to Principles of Project Management 1.0 Definitions 1.1 What is a project? A one off activity (or a series of inter related activities) carried out over time to produce a unique product, a common goal or a service. 1.2 Project Management – planning, organizing, controlling resources in a systematic manner in order to complete the project. 2.0 Classification and characteristics of Projects 2.1 Civil engineering, construction, mining, quarrying – heavy investment, heavy equipment, continuous in nature, at least to run for a minimum of 50 years (mining) to sufficiently recoup initial investment. Examples: Construction of roads, bridges, airports, ships, railways, mines, buildings. Kayelekera mine, Inland Port, ships (Mtendere, Katundu) no longer in service is it due to poor planning (forecasting) or poor management? What have been the constraints to the mining industry in Malawi? 2.1 Manufacturing – producing standard products repeatedly distributed across the market. Aircraft, motor vehicles etc. What are examples of manufacturing firms in Malawi? Lever Brothers, Candlex Mapeto David Whitehead have to continuously caring out new products in order to be competitive. 2.3 Computing projects (IT) – rely on specialists, too technical, expensive outputs, exploit the market, costly. Are we competing or just consumers? 2.4 Research – intention to discover new ground for social purposes, financial appraisal difficult to......

Words: 2205 - Pages: 9