Abraham J, Kannampallil T, Patel VL A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. J Am Med Inform Assoc. 2013; 21:(1)154-62

Amirchetty SR, Rutherford J Prioritization in the labour suite. Obstetrics, Gynaecology and Reproductive Medicine. 2008; 18:(6)150-54

Basu A, Arora R, Fernandes N Onsite handover of clinical care: implementing modified CHAPS. Clinical Governance. 2011; 16:(3)220-30

Block M, Ehrenworth JF, Cuce VM, Ng'ang'a N, Weinbach J, Saber S Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). Jt Comm J Qual Patient Saf. 2013; 39:(5)213-20

London: BMA; 2004

Cantwell R, Clutton-Brock T, Cooper G, Dawson A, Drife J, Garrod D Saving Mothers' Lives: Reviewing maternal deaths to make motherhood safer: 2006–08. BJOG. 2011; 118:1-203

Chin GS, Warren N, Kornman L, Cameron P Patients' perceptions of safety and quality of maternity clinical handover. BMC Pregnancy Childbirth. 2011; 11

Chin GS, Warren N, Kornman L, Cameron P Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover. BMJ Open. 2012; 2:(5)

Cohen MD, Hilligoss PB The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Quality and Safety in Health Care. 2010; 19:(1)493-498

Edozien LC Structured multidisciplinary intershift handover (SMITH): a tool for promoting safer intrapartum care. J Obstet Gynaecol. 2011; 31:(8)683-6

Foster S, Manser T The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. Acad Med. 2012; 87:(8)1105-24

Griffin T Bringing Change-of-Shift Report to the Bedside. J Perinat Neonatal Nurs. 2010; 24:(4)348-53

Haig KM, Sutton S, Whittington J SBAR: A shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006; 32:(3)167-75

Hatten-Masterson SJ, Griffiths ML SHARED maternity care: enhancing clinical communication in a private maternity hospital setting. Med J Aust. 2009; 190:S150-1

Hunt S, Symonds A Shifts and handovers.Basingstoke: Macmillan Press Ltd; 1995

Jeffcott SA, Evans SM, Cameron PA, Chin GS, Ibrahim JE Improving measurement in clinical handover. Qual Saf Health Care. 2009; 18:(4)272-7

Kohn L, Corrigan J, Donaldson MWashington, DC: Institute of Medicine National Academy Press; 2000

Leonard M, Graham S, Bonacum D The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care. 2004; 13:i85-90

Lewis G, Drife JLondon: CEMACH; 2004

Lewis GLondon: CEMACH; 2007

Manser T, Foster S Effective handover communication: an overview of research and improvement efforts. Best Pract Res Clin Anaesthesiol. 2011; 25:(2)181-91

Manser T, Foster S, Flin R, Patey R Team Communication During Patient Handover From the Operating Room: More Than Facts and Figures. Hum Factors. 2013; 55:(1)138-56

Moher D, Liberati A, Tetzlaff J, Altman DG Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol. 2009; 62:(10)1006-12

NHS Institute for Innovation and Improvement. 2008. (accessed 10 September 2014)

O'Neill OLondon: The King's Fund; 2008

Ottewill M, Urben J, Elson D Safe hand-over: safe care. Midwives. 2007; 10:(11)508-9

Pezzolesi C, Schifano F, Pickles J, Randell W, Hussain Z, Muir H Clinical handover incident reporting in one UK general hospital. Int J Qual Health Care. 2010; 22:(5)396-401

Poot EP, de Bruijne MC, Wouters MG, de Groot CJ, Wagner C Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2013; 20:(2)166-75

Raduma-Tomàs MA, Flin R, Yule S, Williams D Doctors' handovers in hospitals: a literature review. BMJ Qual Saf. 2011; 20:(2)128-133

Riesenberg LA, Leitzsch J, Little BW Systematic review of handoff mnemonics literature. Am J Med Qual. 2009; 24:(3)196-204

Robertson ER, Morgan L, Bird S, Catchpole K, McCulloch P Interventions employed to improve intrahospital handover: a systematic review. BMJ Qual Saf. 2014; 23:(7)600-7

London: RCOG; 2010

Scott P, Ross P, Prytherch D Evidence-based inpatient handovers: a literature review and research agenda. Clinical Governance: An International Journal. 2012; 17:(1)14-27

Segall N, Bonifacio AS, Schroeder RA, Barbeito A, Rogers D, Thornlow DK Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012; 115:(1)102-15

Sen R, Paterson-Brown S Prioritisation on the delivery suite. Current Obstetrics and Gynaecology. 2005; 15:(4)228-36

Smeulers M, Lucas C, Vermeulen H Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Cochrane Database Syst Rev. 2014; 6

Talbot R, Bleetman A Ambulance handover: do standardised approaches work?. Emerg Med J. 2007; 24:(8)539-42

Improving hand-off communications: meeting national patient safety goal 2E. Joint Commission Perspectives on Patient Safety. 2006; 6:(8)

Toeima E SHARING-improving and documentation of handover: mind the gap. J Obstet Gynaecol. 2011; 31:(8)681-2

World Health Organization. 2007. (accessed 10 September 2014)

Wright G, Kean L Prioritization on the labour suite. Obstetrics, Gynaecology and Reproductive Medicine. 2011; 21:(10)292-6

Clinical handover on the labour ward: A narrative synthesis of the literature

02 October 2014
12 min read
Volume 22 · Issue 10


Objective: To assess the extent of current knowledge on clinical handover on the labour ward.

Methods: Electronic database searching was supplemented by manual searching of the reference lists of retrieved articles.

Results: A total of nine studies and articles were identified, reviewed and are presented as a narrative synthesis. Six of these include the use of a mnemonic during handover on labour ward, of which two report a postintervention reduction in serious clinical incidents.

Conclusion: The literature available on clinical handover on labour ward is limited. Further research is needed to develop evidence to guide clinical practice in relation to handover of care on labour ward.

Clinical handover has long been identified as a critical point in patient care. Safety and quality are considered key concepts within the provision of services in modern society. The publication in the USA in 2000 of the report To Err is Human: Building a Safer Health System (Kohn et al, 2000) is still regarded as a milestone for raising awareness of quality and patient safety within healthcare. It brought to public attention the paradox that every year millions of patients worldwide suffer adverse outcomes as a result of receiving medical care. Among clinical errors, communication breakdown is widely considered to be a significant contributing factor to poor patient outcomes, with handover being a major risk point. Communication is particularly pertinent within maternity care. In the UK, poor communication within maternity services has been consistently identified in all recent Confidential Enquiries into Maternal Deaths reports (Lewis and Drife, 2004; Lewis, 2007; Cantwell et al, 2011) and the King's Fund report (O'Neill, 2008), as a contributing factor to poor maternal and fetal outcome.

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