AHRQ Patient Safety Network

The Collection > Structured Hand-offs

PATIENT SAFETY PRIMERS
Handoffs and Signouts

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (6)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (171)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (16)

•Medical Complications (2)

•Surgical Complications (19)

•Psychological and Social Complications (3)

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•Asia (1)

•Australia and New Zealand (10)

Resource Types

•Journal Article (145)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (15)

•Special or Theme Issue (3)

•Tools/Toolkit (5)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (30)

•Active Errors (33)

•Latent Errors (25)

•Near Miss (1)

Approach to Improving Safety
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Structured Hand-offs

Clinical Areas

•Medicine (145)

•Nursing (27)

•Pharmacy (3)

Target Audience

•Health Care Providers (139)

•Health Care Executives and Administrators (140)

•Non-Health Care Professionals (43)

•Patients (5)

Setting of Care

•Hospitals (152)

•Residential Facilities (3)

•Ambulatory Care (10)

•Outpatient Surgery (1)

•Patient Transport (9)

1 - 20 of 181

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STUDY

Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods.

Payne CE, Stein JM, Leong T, Dressler DD. BMJ Qual Saf. 2012;21:925-932.

COMMENTARY

Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements.

DeRienzo CM, Frush K, Barfield ME, et al. Acad Med. 2012;87:403-410.

STUDY

Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program.

Graham KL, Marcantonio ER, Huang GC, Yang J, Davis RB, Smith CC. J Gen Intern Med. 2013 Apr 18; [Epub ahead of print].

STUDY

Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.

Helms AS, Perez TE, Baltz J, et al. J Gen Intern Med. 2012;27:287-291.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

COMMENTARY

Implementing AORN recommended practices for transfer of patient care information.

Seifert PC. AORN J. 2012;96:475-493.

COMMENTARY

Time to sign off on signout.

Stein DM, Stetson PD. Acad Med. 2011;86:804-806.

COMMENTARY

Blending evidence and innovation: improving intershift handoffs in a multihospital setting.

Thomas L, Donohue-Porter P. J Nurs Care Qual. 2012;27:116-124.

COMMENTARY

Ticket to ride: reducing handoff risk during hospital patient transport.

Pesanka DA, Greenhouse PK, Rack LL, et al. J Nurs Care Qual. 2009;24:109-115.

REVIEW

Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists.

Kripalani S, Jackson AT, Schnipper JL, Coleman EA. J Hosp Med. 2007;2:314-323.

STUDY

Who's covering our loved ones: surprising barriers in the sign-out process.

Antonoff MB, Berdan EA, Kirchner VA, et al. Am J Surg. 2013;205:77-84.

STUDY

Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist.

Greenstein EA, Arora VM, Staisiunas PG, Banerjee SS, Farnan JM. BMJ Qual Saf. 2013;22:219-224.

AWARD RECIPIENT

The MacArthur Fellows Program: Eric Coleman.

The John D. and Catherine T. MacArthur Foundation. October 3, 2012.

STUDY

An institution-wide handoff task force to standardise and improve physician handoffs.

Horwitz LI, Schuster KM, Thung SF, et al. BMJ Qual Saf. 2012;21:863-871.

COMMENTARY

Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.

Bernstein J, MacCourt DC, Jacob DM, Mehta S. Clin Orthop Relat Res. 2010;468:2627-2732.

STUDY

Implementing peer evaluation of handoffs: associations with experience and workload.

Arora VM, Greenstein EA, Woodruff JN, Staisiunas PG, Farnan JM. J Hosp Med. 2013;8:132-136.

MULTI-USE WEBSITE

Hand-off Communications.

Joint Commission Center for Transforming Healthcare.

REVIEW

Research on nursing handoffs for medical and surgical settings: an integrative review.

Staggers N, Blaz JW. J Adv Nurs. 2013;69:247-262.

STUDY

Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ).

Block M, Ehrenworth JF, Cuce VM, et al. Jt Comm J Qual Patient Saf. 2013;39:213-220.

STUDY

The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis.

Raduma-Tomàs MA, Flin R, Yule S, Close S. BMJ Qual Saf. 2012;21:211-217.

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