Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications.
Philibert I. Qual Saf Health Care. 2009;18:261-266.
Strategies for ensuring safe transfers of patient care have been developed by analyzing
strategies in other
. The integral components of an effective signout
providing accurate and updated information, interactive communications, limited interruptions, and a process for verifying data. Unfortunately, this mixed-methods study found that most resident handoffs did not include these key elements. In particular, few residents reported being able to sign out without interruptions. This study demonstrates that despite attempts to translate learnings from
(organizations with a superior
culture of safety
) to health care, implementation of these strategies remains difficult in practice.
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Evaluation of a physician informatics tool to improve patient handoffs.
Flanagan ME, Patterson ES, Frankel RM, Doebbeling BN. J Am Med Inform Assoc. 2009;16:509-515.
What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff.
Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Qual Saf Health Care. 2009;18:248-255.
Admission handoff communications: clinician's shared understanding of patient severity of illness and problems.
Brannen ML, Cameron KA, Adler M, Goodman D, Holl JL. J Patient Saf. 2009;5:237-242.
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.
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