Summary
Generated from the current project data.
60 handover episodes were reviewed against 27 audit criteria for Clinical Handover Audit at Demo Site — Main Hospital. Overall documented compliance was 78% against a local target of 90%. A structured handover framework was documented in 71.7% of episodes. 6 episodes were recorded with a handover-related safety concern.
- Overall compliance is below the local target of 90%, suggesting variation in how completely handover episodes are documented.
- Weekly compliance appears to be improving over the audit period.
- Current data suggests variation between locations, from 73.3% (Same-Day Emergency Care) to 84.3% (Frailty Unit).
- Some criteria could not be determined from the record, which may itself indicate unclear handover documentation.
Areas of good practice
4. Patient location
96.6%
2. Date and time
95%
5. Responsible team
94.9%
8. Background
93.3%
7. Current situation
93.1%
1. Handover type
91.7%
3. Receiving team
91.5%
Priority gaps
24. Closed-loop confirmation (target ≥ 90%)
50%
14. Treatment escalation status (target ≥ 90%)
50.9%
19. Deadline / review time (target ≥ 90%)
57.4%
15. Pending results (target ≥ 90%)
58.9%
17. Task owner (target ≥ 90%)
63.3%
20. Contingency plan (target ≥ 90%)
63.6%
11. Priority / urgency (target ≥ 90%)
66.7%
25. Reason for incomplete handover (target ≥ 90%)
70.2%
22. Infection / safeguarding / capacity risk (target ≥ 90%)
71.4%
12. Deterioration risk (target ≥ 90%)
72.4%
6. Responsible senior (target ≥ 90%)
72.7%
13. Escalation plan (target ≥ 90%)
74.5%
26. Clear enough to continue care (target ≥ 90%)
74.6%
21. Medication / allergy risk (target ≥ 90%)
76%
23. Patient / family communication (target ≥ 90%)
78.2%
18. Expected next step (target ≥ 90%)
82.8%
10. Current assessment (target ≥ 90%)
86.2%
9. Diagnosis / problem list (target ≥ 90%)
88.3%
16. Outstanding tasks (target ≥ 90%)
89.5%
27. Safety concern escalated (target ≥ 100%)
92.6%
Variation
Compliance by ward or location.
Frailty Unit84.3% (n=8)
Respiratory Ward82.7% (n=9)
Acute Medical Unit76.7% (n=13)
Emergency Department76% (n=15)
Surgical Ward 675.5% (n=11)
Same-Day Emergency Care73.3% (n=4)
Safety themes
Handover-related safety concerns recorded during data collection.
DEMO-HO-02 Pending imaging and blood results not handed over.
DEMO-HO-04 Closed-loop acknowledgement not recorded in EPR.
DEMO-HO-116 DEMO — Escalated to responsible team and documented in EPR.
DEMO-HO-130 DEMO — Escalated to responsible team and documented in EPR.
DEMO-HO-145 DEMO — Escalated to responsible team and documented in EPR.
DEMO-HO-149 DEMO — Escalated to responsible team and documented in EPR.
User commentary
Editable interpretation for reports and governance meetings.
Governance and safety implications
Any missed handover, unclear responsibility, urgent outstanding task, deterioration, safeguarding concern or other patient safety concern identified during this audit must be escalated through local clinical, operational and governance pathways. This tool does not replace local escalation or incident reporting processes.