Clinical handover is the primary source of patient information for nurses; however, inadequate information transfer compromises patient safety. We investigated the content and organization of information conveyed at 81 handovers. A structure that captures and presents the information transferred at handover emerged: identification of the patient and clinical risks, clinical history/presentation, clinical status, care plan and outcomes/goals of care (ICCCO). This approach covers essential information while allowing for prioritization of information when required. Further research into the impact of ICCCO on patient safety is in progress.
Johnson, M., Jefferies, D., & Nicholls, D. (2012). Exploring the structure and organization of information within nursing clinical handovers. International Journal of Nursing Practice, 18(5), 462-470. https://doi.org/10.1111/J.1440-172X.2012.02059.X