Closed-loop communication / human factors — DIPIMC MCQ
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Correct answer: C — Use ATMIST and state the intervention, response and outstanding concern explicitly
The best answer is “Use ATMIST and state the intervention, response and outstanding concern explicitly”. A structured ATMIST handover protects against loss of safety-critical information when the environment is busy. It should include the intervention delivered, physiological response and the unresolved concern so the receiving team can act immediately. A long chronology, observation-only summary or reliance on later record review omits information that may change airway, haemorrhage, imaging or transfusion preparation before the formal documentation is read.
Reference: NHS England, PIER approach to physical deterioration: https://www.england.nhs.uk/patient-safety/managing-acute-physical-deterioration-through-the-prevention-identification-escalation-response-pier-approach/