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Handover is essential to ensure high quality care. It is also a dynamic educational opportunity for trainee doctors. In the UK, the General Medical Council's annual training survey has repeatedly highlighted handover as a major concern in the training of doctors in psychiatry. The purpose of this paper is to evaluate the handover experiences for Core Trainees (years one to three) in psychiatry in the North Western Deanery (England).

An online questionnaire focusing on current practice, safety and the educational aspects of handover was sent to all Core Trainees (years one to three) in psychiatry from the North Western Deanery in April 2013. The questionnaire had quantitative and qualitative elements and was analysed descriptively, with free text collated into themes by the authors.

The survey was completed by 77.7 per cent of trainees, and indicated a wide variety in the structure of the handover process. There were no specific safety incidents but concerns regarding the handover of medical problems and handover from peripheral hospital sites. Trainees felt that handover was an important opportunity to learn, but in practice it had limited educational value. It is important to consider the robustness of handover in the context of the types of problems handed over, multiple sites and a lack of senior involvement. There also needs consideration as to how a high quality handover can be of educational value.

This is the first report that evaluates clinical handover between Psychiatry trainee doctors in the UK which evaluates both a clinical and educational perspective.

The implementation of the European Working Time Directive and its subsequent impact on the hours worked by doctors in training has resulted in shift-working rotas being the norm and greater cross-cover between specialties. As such, the need for continuity of information and comprehensiveness of handover between shifts has become more important than ever. The purpose of this paper is to show how handover can be improved by the implementation of an electronic handover system and subsequent Quality Improvement Rapid Cycle Change Model of clinical audit.

Initial data were collected using a standardised questionnaire collected prospectively from all junior doctors within the surgical division. Following the first audit cycle, changes were implemented in a Quality Improvement Rapid Cycle Change Model of clinical audit and a Surgical Division Electronic Handover Shared Drive was developed. Three further prospective cycles of clinical audit were carried out over a period of 12 months.

The results show a more effective handover system to be in place. Effects of change measured as an 80 per cent standard was achieved in all categories and maintained throughout all cycles of re-audit.

A surgical division shared electronic handover drive was developed and subsequent audits have shown improved handover practice in a foundation trust. This has positive benefits on patient safety and quality of care.

This work is of interest to those looking to set up an electronic handover system and additionally to all those working in specialities where cross-cover is required.

This research investigates the distinct characteristics of blockchain technology to safeguard against the deterioration of handover information quality in the post-construction phase. The significance of effective management of handover information is highlighted by global building failures, such as the Grenfell Tower fire in London, UK. Despite existing technological interventions, there remains a paucity of understanding regarding the factors contributing to the decline in the quality of handover information during the post-construction phase.

This study employed a multi-case studies approach across five higher education institutions. It involved conducting semi-structured interviews with 52 asset management professionals, uncovering the underlying reasons for the decline in handover information quality. Building on these insights, the study performed a mapping exercise to align these identified factors with blockchain technology features and information quality dimensions, aiming to evaluate blockchain’s potential in managing quality handover information.

The study findings suggest that blockchain technology offers advantages but has limitations in addressing all the identified quality issues of managing handover information. Due to the lack of an automated process and file-based information exchange, updating handover information still requires an error-prone manual process, leading to potential information loss. Additionally, no solutions are available for encoding drawings for updates and validation.

This study proposes a framework integrating blockchain to enhance the information management process and improve handover information quality.

This paper aims to explore how dispositions of nursing habitus carry shift handover into practice in acute care.

Handover (the exchange of information by nurses between shifts) is more recently purported to be a procedure that transfers the responsibility of and accountability for care to maintain patient safety. Using Bourdieu's theory of practice as lens, this paper examines data from an ethnographic study of nurses' work in acute care to reveal what happens in and around nurses' practices of handover.

Exploring handover as a practice enables identification of nurses' responsibilities of work as professional, clinician and employee. These responsibilities are not practised separately, rather, as braided identities they are embodied into nurses' practices of work. Nurses' clinician and employee identities address the clinical and organisationally relevant material contained in handover, but it is in the ways that nurses embody their responses that their professional identity becomes evident.

Viewing handover as a procedure suggests that nurses are rule followers and/or sole players and conceptualises nurses as individualised professionals only. This received knowledge as doxa misrecognises the centrality of connectedness between nurses in their work in the acute care setting.

Recognising nurses' braided workplace identities as being professional, clinician and employee upends the doxa of nurses work as tasks and roles in the delivery of healthcare in the acute care setting.

In the past, by adopting the handover prediction concept of the fast mobile IPv6, the authors have proposed a cross-layer architecture, which was called the proactive fast HCoP-B (FHCoP-B), to trigger layer 3 HCoP-B route optimization flow by 802.11 and 802.16 link events before the actual layer 2 handover of a mobile subnet in the nested mobile network (NEMO) occurs. In this way, proactive FHCoP-B has shortened its handover latency and packet loss. However, there are two scenarios where proactive FHCoP-B cannot normally complete its operations due to fast movements of the NEMO during handover. The paper aims to discuss these issues.

In this paper, the authors will propose efficient reactive FHCoP-B flows for these two scenarios to support fast and seamless handovers. The authors will further extend the analytical model proposed for mobile IPv6 to investigate four performance metrics of proactive and reactive FHCoP-B, HCoP-B and two well-known NEMO schemes with the radio link protocol (RLP), which can detect packet losses and performs retransmissions over the error-prone wireless link.

Through intensive simulations, the authors conclude that FHCoP-B outperforms HCoP-B and the other two well-known NEMO schemes by achieving the shortest handover latencies, the smallest number of packet losses and the fewest playback interruption time during handover only with few extra buffer spaces, even over error-prone wireless links of the nested NEMO.

This paper has three major contributions, which are rare in the NEMO literature. First, the proactive FHCoP-B has been enhanced as the reactive one to handle two fast handover scenarios with RLP for the nested NEMO. Second, the reactive FHCoP-B supports seamless reactive handover for the nested NEMO over error-prone wireless links. Third, mathematical performance analyses for two scenarios of reactive FHCoP-B with RLP over error-prone wireless links have been conducted.

The paper aims to propose an optimized handover necessity estimation scheme for a mobile terminal (MT) traversing from a third-generation (3G) cellular network into the wireless local area network (WLAN) cell for reducing the number of handover failures and unnecessary handovers.

The proposed optimized handover necessity estimation scheme comprises of two algorithms – a “travelling time prediction” reliant on consecutive received signal strength (RSS) measurements and MT’s velocity, and a “time threshold estimation” depending on the handover latency, WLAN’s cell radius, tolerable handover failure probability and the tolerable unnecessary handover probability.

Our performance analysis reveals that the suggested mechanism effectively minimizes the number of handover failures and unnecessary handovers by 60 per cent as compared to the already proposed schemes in the literature.

The convergence of Internet and wireless mobile communication accompanied by a massive increase in the number of cellular subscribers has led mobility management to emerge as a significant and challenging domain for wireless mobile communication over the Internet. Mobility management enables serving networks to locate roaming terminals for the call delivery (location management) and ensures a seamless connection as MT enters into the new service area (handover management). In this manuscript, an optimized handover necessity estimation scheme has been envisaged for reducing the probability of handover failures and unnecessary handovers from 3G cellular networks to WLANs to provide optimal network utilization along with an enhanced user satisfaction. Performance analysis reveals that the suggested scheme yields enhanced results as compared to the schemes already proposed in the literature.

Vertical handover has been grown rapidly due to the mobility model improvements. These improvements are limited to certain circumstances and do not provide the support in the generic mobility, but offering vertical handover management in HetNets is very crucial and challenging. Therefore, this paper presents a vertical handoff management method using the effective network identification method.

This paper presents a vertical handoff management method using the effective network identification method. The handover triggering schemes are initially modeled to find the suitable position for starting handover using computed coverage area of the WLAN access point or cellular base station. Consequently, inappropriate networks are removed to determine the optimal network for performing the handover process. Accordingly, the network identification approach is introduced based on an adaptive particle-based Sailfish optimizer (APBSO). The APBSO is newly designed by incorporating self-adaptive particle swarm optimization (APSO) in Sailfish optimizer (SFO) and hence, modifying the update rule of the APBSO algorithm based on the location of the solutions in the past iterations. Also, the proposed APBSO is utilized for training deep-stacked autoencoder to choose the optimal weights. Several parameters, like end to end (E2E) delay, jitter, signal-to-interference-plus-noise ratio (SINR), packet loss, handover probability (HOP) are considered to find the best network.

The developed APBSO-based deep stacked autoencoder outperformed than other methods with a minimal delay of 11.37 ms, minimal HOP of 0.312, maximal stay time of 7.793 s and maximal throughput of 12.726 Mbps, respectively.

The network identification approach is introduced based on an APBSO. The APBSO is newly designed by incorporating self-APSO in SFO and hence, modifying the update rule of the APBSO algorithm based on the location of the solutions in the past iterations. Also, the proposed APBSO is used for training deep-stacked autoencoder to choose the optimal weights. Several parameters, like E2E delay, jitter, SINR, packet loss and HOP are considered to find the best network. The developed APBSO-based deep stacked autoencoder outperformed than other methods with minimal delay minimal HOP, maximal stay time and maximal throughput.

The purpose of this paper is to describe handover in the emergency centre from the perspective of prehospital emergency care providers in Johannesburg, South Africa. Reference to emergency centre handover from the prehospital perspective will have particular relevance to all deliverers of emergency centre handover.

A purposive, cross-sectional design addressed the study aim by using a purpose-designed, validated, paper-based questionnaire to collect data relating to prehospital emergency care personnel's perspectives on emergency centre handover.

There were 175 completed questionnaires collected from South African prehospital personnel within the Johannesburg area. The response rate was 175/290 or 62%. Training on handover was described as poor. There was a general appreciation of mnemonics and how well they ensured that all relevant information was handed over. However, this was countered by poor familiarity of common mnemonics. Perception of the accuracy of their own and observed prehospital handovers was generally positive. Handover length was generally perceived to be appropriate. The qualification of emergency centre personnel was perceived to impact on how handovers were received.

The study was limited to one geographical area and did not include all potential participants in the study area. The self-reported data collection meant that there was a risk of self-report bias. These factors may have negatively affected the generalisability of the data.

This paper seeks to describe perceptions related to emergency centre handover from the perspective of prehospital emergency care personnel. In doing so, it is postulated that there is the potential to use these findings to improve certain aspects of emergency centre handover.

Although the handover stage is the key transition stage between the construction and operation, there is no critical overview of issues and research at the handover stage, hindering the achievement of sustainable development of buildings. Therefore, the purpose of this paper is to review the building handover-related issues and research in construction and facility management (FM) journals. The specific objectives of this study include: analyze the research trends and overview the handover-related publications; identify the major research topics on the handover of buildings; identify research gaps and propose future research directions.

This study opted for a four-step systematic review of papers from the well-known academic journals in the construction and FM respects.

The results first revealed the increasing research interest in the handover of buildings from the researchers. Moreover, the post-construction defects, poor information fidelity, poor interoperability between building information modeling (BIM) and FM technologies, and insufficient consideration of end users were identified as the most concerned challenges for a building handover. Furthermore, identifying and formalizing information requirements for handover, improving the handover process, and improving the interoperability between BIM and FM were solutions mostly emphasized by researchers.

As the first systematic review of building handover-related issues and research, this study is the building block for future research on this topic. The findings provide guidance for researchers in the construction and FM research community, and help them form useful collaboration for future research opportunities and find future research directions.

The identified significant challenges and potential solutions for a building handover could assist practitioners in making rational decisions on developing or adopting relevant technologies, and reshaping their management patterns and working processes. Moreover, the findings could be severed as evidence for policymakers to initiate policies, such as documents e-submission and timely updating BIMs, to achieve the vision of model-based project delivery.

This study contributed to the body of knowledge of sustainable development by providing a new insight to tackle the hindrance to the smooth transition from the construction to the operation.

The purpose of this paper is to investigate the content, purpose and effectiveness of the handover of information between care home staff beginning and completing a shift.

This was an exploratory study drawing on ethnographic methods. A total of 27 interviews with a range of care home staff, including managers, registered nurses, senior care workers and care workers were undertaken in five care homes selected to give a good contrast in terms of size, ownership, shift patterns and type of handover.

Most handovers were short – lasting 15 min or so – and were held in the office or secluded area in which staff could talk privately. They lasted longer in one home in which the incoming and outgoing shifts physically visited each resident’s room and the communal spaces. Staff felt that handovers were important for the efficient running of the home as well as to alert everyone to changes in a resident’s health or important events, such as a hospital appointment. In one home, handheld devices enabled staff to follow a resident’s care plan and update what was happening in real time.

This was a small scale study based on data from a limited number of care homes.

The increasing popularity of 12 h shifts means that many homes only hold two short handovers early in the morning and in the evening when the night staff arrive. There appears to be a trend to reduce the number of staff paid to attend handover. Despite this, handovers remain an important component of the routine of a care home. The information contained in handover relates to the running of the care home, as well as residents’ wellbeing, suggesting that, while their content overlaps with written records in the home, they are not superfluous.

Although the literature on handovers in hospitals is extensive, this appears to be the first published study of handover practices in care homes.