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Reducing Patient Clinical Management Errors Using Structured Content and Electronic Nursing Handover

Johnson, Maree PhD, RN; Sanchez, Paula BN, BN (Hons), GradDipNurs; Zheng, Catherine MSc (Hons), PostGradDipSc, GradDipEd

doi: 10.1097/NCQ.0000000000000167

We examined whether an integrated nursing handover system—structured content and an electronic tool within the patient clinical information system with bedside delivery—would improve the quality of information delivered at nursing handover and reduce adverse patient outcomes. Using a pre/posttest evaluative design, improvements in the transfer of critical patient information and reductions in nursing clinical management incidents were demonstrated. No changes in falls or medication incident rates were identified.

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Centre for Applied Nursing Research, South Western Sydney Local Health District & University of Western Sydney, Liverpool, New South Wales, Australia (Affiliated with the Ingham Institute, Liverpool, New South Wales) (Dr Johnson and Ms Sanchez); and School of Computing and Engineering, University of Western Sydney, Parramatta, New South Wales, Australia (Ms Zheng). Dr Johnson is now with the Faculty of Health Sciences, Australian Catholic University, Sydney, New South Wales, Australia.

Correspondence: Maree Johnson, PhD, RN, Australian Catholic University, 40 Edward St, North Sydney, New South Wales, Australia (

The authors thank Dr Diana Jefferies.

The authors declare no conflict of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: October 11, 2015

Published ahead of print: January 19, 2016

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