手法を比較

	クリニカル・ハンドオーバー・クオリティ・スケール	ヘルスケアチーム活力尺度
分野	医療経営学	医療経営学
系統	Process / pipeline	Process / pipeline
提唱年	2008	2015
提唱者	Multiple researchers including Arora, Riesenberg, and colleagues, based on aviation handoff protocols and clinical error analysis	Metersky, M. L., and colleagues; based on organizational team cohesion research
種類	Self-report / Observation-based	Self-report
原典	Manser, T. (2005). Managing the risks of organizational accidents. Journal of Contingencies and Crisis Management, 12(4), 141–150.	Metersky, M. L., Garman, A., Li, X., & Teplitsky, M. (2015). Cohesion and teamwork in the ICU: Validation of the Health Care Team Vital Instrument. American Journal of Medical Quality, 30(1), 44–52.
別名	CHQS	HTVI
関連	4	4
概要	The Clinical Handover Quality Scale (CHQS) is a comprehensive framework and measurement tool for assessing the quality of clinical handovers—the critical communication process by which responsibility for a patient's care is transferred from one provider or team to another. Handovers occur multiple times daily in healthcare settings (shift changes, patient transfers between units, discharge planning, procedure-to-recovery transitions) and are recognized as high-risk moments for communication breakdown, incomplete information transfer, and consequent patient harm. The CHQS measures handover quality across dimensions including information content, clarity, timeliness, opportunity for questions, and documented understanding. It is used in hospitals, operating rooms, and intensive care units to assess handover effectiveness and to guide improvement in standardized handoff protocols such as SBAR (Situation, Background, Assessment, Recommendation).	The Healthcare Team Vitality Instrument (HTVI) is a brief, 5-item survey designed to measure healthcare team cohesion, communication quality, and shared purpose—dimensions of team "vitality" that are associated with effective teamwork and patient safety. Developed by Metersky and colleagues and validated in intensive care units and surgical units, the HTVI assesses whether team members perceive themselves as a cohesive unit with clear goals, good communication, and mutual respect. The instrument is particularly valued for its brevity (takes <2 minutes) and its ability to rapidly assess team dynamics in clinical settings where administrative burden is a barrier to survey completion.