Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association

From theory to practice of electronic handover

Sara L. Barnes A B , Donald A. Campbell A , Keith A. Stockman A and Dirk Wunderlink A
+ Author Affiliations
- Author Affiliations

A Southern Health, Monash Medical Centre, Clayton Road, Clayton, VIC 3168, Australia. Email:;;

B Corresponding author. Email:

Australian Health Review 35(3) 384-391
Submitted: 27 May 2010  Accepted: 28 October 2010   Published: 25 August 2011


Clinical handover is an essential process occurring at many levels of inpatient care. Multiple studies within a hospital setting have identified that a breakdown in the handover process can lead to poor patient outcomes and serious adverse events. The use of electronic handover tools is an intervention identified to decrease errors in clinical care arising from poor handover practice. An electronic handover tool was implemented in a general medical unit in a metropolitan tertiary hospital setting. The program was written by a Medical Professional who also used the tool. The program was evaluated with a pre- and post-intervention survey within the medical, allied health and nursing staff members of the multidisciplinary teams. The use of the Electronic Handover program resulted in improved satisfaction of the handover process within the medical, nursing and allied health professions. This trial demonstrates that an electronic handover program can be successfully integrated into normal medical work practice, resulting in positive outcomes for a multidisciplinary staff team. Further work is required to determine whether patient outcomes are improved as a result.


[1]  Bowden F, Lueck C, Hurwitz M, Kennedy K. Medical handover. Med J Aust 2006; 184 477–8.

[2]  Cheah L, Amott D, Pollard J, Watters D. Electronic medical handover: towards safer medical care. Med J Aust 2005; 183 369–72.

[3]  Roughton V, Severs M. The junior doctor handover: current practices and future expectations. J R Coll Physicians Lond 1996; 30 213–4.
| 1:STN:280:DyaK28vgslGnsA%3D%3D&md5=8426b2b74705aa2cc06021b4c15321a9CAS |

[4]  Priority Program 5. National Clinical Handover Initiative Industry Brief. Australian Commission on Safety and Quality in Health Care; 2007.

[5]  Clinical handover. The Victorian Quality Council. Melbourne: Victorian Government; 2006.

[6]  Bhabra G, Mackeith S, Monteiro P, Pathier D. An experimental comparison of handover methods. Ann R Coll Surg Engl 2007; 89 298–300.
An experimental comparison of handover methods.CrossRef |

[7]  Loh E. A national survey of medical morning handover report in Australian Hospitals. Med J Aust 2007; 187 595–6.

[8]  Wong M, Turner P, Yee K. Involving clinicians in the development of an electronic clinical handover system – thinking systems not just technology. Stud Health Technol Inform 2008; 136 490–5.

[9]  Young R, Horsley S, McKenna M. The potential role of IT in supporting the work of junior doctors. J R Coll Physicians Lond 2000; 34 366–70.
| 1:STN:280:DC%2BD3cvltFWmtQ%3D%3D&md5=6b76dc83f99d119f56edd8e53ecc6ba3CAS |

[10]  Jha A, DesRoches C, Campbell E, Donelan K, Rao S, Ferris T, et al. Use of electronic health records in US hospitals. N Engl J Med 2009; 360 1628–38.
Use of electronic health records in US hospitals.CrossRef | 1:CAS:528:DC%2BD1MXkvVKlsr0%3D&md5=135f908ed8a7f5e08e9b5494ae950e01CAS |

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