Formula 1: Protocols for patient handover

This is unique.

Complex patient flows

Patient handover requires a carefully choreographed synchronized event. Especially from time of intubation to final post operative care.

Great Ormond Street Hospital for Children: Ferrari’s Formula One Handovers and Handovers from Surgery to Intensive Care

GOSH doctors visited and observed the pit crew handoff in Italy, noting the value of process mapping, process description, and trying to work out what people’s tasks should be. Following their trip, the GOSH team videotaped the handover in the surgery unit and sent it to be reviewed by the Formula One team. From the analysis came a new handover protocol with more sophisticated procedures and better choreographed teamwork.

Here’s some more:

The GOSH researchers also noted the importance of the role of the lollipop man, the one who waves the car in and coordinates the pit stop. Under the new handover process, the anesthetist was given overall responsibility for coordinating the team until it was transferred to the intensivist at the termination of the handover. These same two individuals were charged with the responsibility of periodically stepping back to look at the big picture and to make safety checks of the handover.

I am not sure if they are still using this complex handover. However, it merits further consideration of how this can be used in patient handovers (or design checklists) to ensure patient safety.

Here’s the fascinating tweet.

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