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 (172)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (16)

•Medical Complications (2)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (18)

•Psychological and Social Complications (3)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (10)

Resource Types

•Journal Article (143)

•Legislation/Regulation (2)

•Meeting/Conference (1)

•Newspaper/Magazine Article (16)

•Special or Theme Issue (2)

•Tools/Toolkit (5)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (30)

•Active Errors (33)

•Latent Errors (24)

•Near Miss (1)

Approach to Improving Safety
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Structured Hand-offs

Clinical Areas

•Medicine (145)

•Nursing (25)

•Pharmacy (3)

Target Audience

•Health Care Providers (137)

•Health Care Executives and Administrators (139)

•Non-Health Care Professionals (42)

•Patients (5)

Setting of Care

•Hospitals (152)

•Residential Facilities (3)

•Ambulatory Care (10)

•Outpatient Surgery (1)

•Patient Transport (9)

1 - 20 of 180

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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.

REVIEW

Nursing handoffs: a systematic review of the literature.

Riesenberg LA, Leisch J, Cunningham JM. Am J Nurs. 2010;110:24-34.

STUDY

Barriers and facilitators to nursing handoffs: recommendations for redesign.

Welsh CA, Flanagan ME, Ebright P. Nurs Outlook. 2010;58:148-154.

REVIEW

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

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

REVIEW

Review: bringing patient safety to the forefront through structured computerisation during clinical handover.

Matic J, Davidson PM, Salamonson Y. J Clin Nurs. 2011;20:184-189.

STUDY

Task uncertainty and communication during nursing shift handovers.

Mayor E, Bangerter A, Aribot M. J Adv Nurs. 2012;68:1956-1966.

REVIEW

Can technology improve intershift report? What the research reveals.

Strople B, Ottani P. J Prof Nurs. 2006;22:197-204.

NEWSPAPER/MAGAZINE ARTICLE

Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study.

AHRQ National Resource Center for Health Information Technology.

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.

STUDY

Nurses discuss bedside handover and using written handover sheets.

Johnson M, Cowin LS. J Nurs Manag. 2013;21:121-129.

STUDY

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.

Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.

TOOLKIT

Perioperative Patient 'Hand-Off' Tool Kit.

Association of Perioperative Registered Nurses.

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

Standardizing hand-off processes.

Crum Gregory BS. AORN J. 2006;84:1059-1061.

COMMENTARY

Bedside handover: quality improvement strategy to "transform care at the bedside."

Chaboyer W, McMurray A, Johnson J, et al. J Nurs Care Qual. 2009; 24:136-142.

COMMENTARY

Implementing handoff communication.

Ardoin KB, Broussard L. J Nurses Staff Dev. 2011;27:128-135.

COMMENTARY

JCAHO's safety goals—the clock is ticking, will your ED be compliant?

ED Manag. 2005;17:73-75.

STUDY

Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway.

Dean J, Hutchinson A, Hamilton Escoto K, Lawson R. BMC Health Serv Res. 2007;7:89.

STUDY

Reasons for after-hours calls by hospital floor nurses to on-call physicians.

Bernstam EV, Pancheri KK, Johnson CM, Johnson TR, Thomas EJ, Turley JP. Jt Comm J Qual Patient Saf. 2007;33:342-349.

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