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Ssssh for Handover: protected medical handover; optimising quality and prioritising safety—a regional initiative
  1. Peter Mallett1,
  2. Andrew Thompson1,
  3. Thomas Bourke1,
  4. Shilpa Shah2
  1. 1 Department of Paediatric Education and Simulation, Royal Belfast Hospital for Sick Children, Belfast, UK
  2. 2 Department of Paediatrics & Child Health, Craigavon Area Hospital, Southern Trust, Craigavon, UK
  1. Correspondence to Dr Peter Mallett, Department of Paediatric Education and Simulation, Royal Belfast Hospital for Sick Children, Belfast BT12 6BE, N.Ireland; pmallett01{at}


Medical handover is one of the most commonly performed actions in the healthcare system today. While it is performed regularly, it is often not done as effectively as it could or should be. 1 Many organisations have implemented systems and structures to improve the quality and impact of their handover process. These include advocating senior presence, introducing validated handover tools and an emphasis on multidisciplinary involvement. 2 A protected handover prioritises safety, enhances communication and encourages improvement in handover effectiveness. Our local pilot and subsequent regional initiative has begun actively addressing this issue using a low-cost, interprofessional, multispeciality quality improvement initiative.

  • general paediatrics
  • multidisciplinary team-care
  • protected handover
  • patient safety
  • enhancing handover

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  • Contributors AT: helped create the video; TB: helped drive and promote this initiative as well as capture data; SS: support in initial local pilot and regional project; all contributed to manuscript review.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.