SHARED maternity care: enhancing clinical communication in a private maternity hospital setting

Med J Aust. 2009 Jun 1;190(S11):S150-1. doi: 10.5694/j.1326-5377.2009.tb02624.x.


Midwives and visiting medical officers have a unique relationship within private hospital maternity settings. The effective exchange of accurate information between them is a fundamental element of patient safety and is vital to the success of the clinical handover process. The SHARED (situation, history, assessment, risk, expectation, documentation) project developed, implemented and evaluated a framework and support tools for improving clinical handover in two private maternity hospitals. The project included a pre- and post-study design using clinician surveys, chart audits, patient satisfaction surveys and a review of clinical incident data. A standardised approach to handover, using the SHARED framework with a standardised minimum dataset, improves the accuracy and appropriateness of information.

MeSH terms

  • Australia
  • Communication*
  • Continuity of Patient Care / organization & administration*
  • Female
  • Hospitals, Maternity
  • Hospitals, Private
  • Humans
  • Medical Staff, Hospital
  • Midwifery
  • Nursing Staff, Hospital
  • Patient Satisfaction
  • Patient-Centered Care / organization & administration*
  • Program Evaluation
  • Quality Assurance, Health Care / organization & administration
  • Safety