@article{7948, author = {Dickson S. Cheung and John J. Kelly and Christopher Beach and Ross P. Berkeley and Robert A. Bitterman and Robert I. Broida and William C. Dalsey and Heather L. Farley and Drew C. Fuller and David J. Garvey and Kevin M. Klauer and Lynne B. McCullough and Emily S. Patterson and Julius C. Pham and Michael P. Phelan and Jesse M. Pines and Stephen M. Schenkel and Anne Tomolo and Thomas W. Turbiak and John A. Vozenilek and Robert L. Wears and Marjorie L. White and American College of Emergency Physicians Section of Quality Improvement and Patient Safety}, title = {Improving handoffs in the emergency department.}, abstract = {

Patient handoffs at shift change are a ubiquitous and potentially hazardous process in emergency care. As crowding and lengthy evaluations become the standard for an increasing proportion of emergency departments (EDs), the number of patients handed off will likely increase. It is critical now more than ever before to ensure that handoffs supply valid and useful shared understandings between providers at transitions of care. The purpose of this article is to provide the most up-to-date evidence and collective thinking about the process and safety of handoffs between physicians in the ED. It offers perspectives from other disciplines, provides a conceptual framework for handoffs, and categorizes models of existing practices. Legal and risk management issues are also addressed. A proposal for the development of handoff quality measures is outlined. Practical strategies are suggested to improve ED handoffs. Finally, a research agenda is proposed to provide a roadmap to future work that may increase knowledge in this area.

}, year = {2010}, journal = {Ann Emerg Med}, volume = {55}, pages = {171-80}, month = {02/2010}, issn = {1097-6760}, doi = {10.1016/j.annemergmed.2009.07.016}, language = {eng}, }