Transfer of accountability form 2025

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For example, in an acute care setting, when a nurse receives report from the outgoing nurse, there is a transfer of accountability from one person to another. The oncoming nurse is responsible and answerable for the behaviors and outcomes of a group of patients for the duration of the shift.
The three Cs of accountability consist of clarity, candid feedback, and consequences. Each aspect is integral to effective performance management and cannot exist without the other.
Transfer of accountability or providing report or handover is a crucial component of the care transition process. Care transitions happen often, such as when a client experiences a change in location or health care providers. They also include when shifts end, or when nurses go on break.
We distinguish between four archetypes: bureaucratic, political, professional and social accountability (Romzek Dubnick 1987;Klingner et al 2002;Bovens et al. 2014;Thomann et al. 2018). 1 The four types of accountability are associated with different levels of legitimacy and expertise, see also Table 2.
Transfer of Accountability (TOA): An interactive process of transferring patient specific information from one caregiver to another or from one team of caregivers to another for the purpose of ensuring the continuity of care and the safety of the patient (CNO, 2008).
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Accountable Forms (AF) The term Accountable Forms is defined as printed and pre-numbered forms, the issuance of which are sequentially controlled. For NFA purposes, documents specified in Exhibit A shall be considered as accountable forms. It may also include obsolete, spoiled or damaged accountable forms.
The College of Nurses of Ontario defines transfer of accountability (TOA) as an interactive process of transferring client-specific information from one caregiver to another, or from one team of caregivers to another, for the purpose of ensuring the continuity of care and the safety of the client (2008).

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