A scoping review of clinical handover mnemonic devices.

Amos H W Yung; Chi Shing Pak; Bernadette Watson

Review

A scoping review of clinical handover mnemonic devices.

October 18, 2023

Yung AHW, Pak CS, Watson B. Int J Qual Health Care. 2023;35(3):mzad065.

View more articles from the same authors.

Cognitive aids such as mnemonics can help improve process reliability and promote patient safety. Based on an initial scoping review, this article describes a proposed taxonomy for clinical handoff mnemonics and their clinical processes and functions, which could help clinical teams design handoff mnemonics that best fit their workplace.

PubMed citation

Available at

Related Resources From the Same Author(s)

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.

March 29, 2023

React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations.

November 8, 2023

Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study.

July 24, 2019

Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach.

August 16, 2023

Developing and pilot testing practical measures of preanalytic surgical specimen identification defects.

March 27, 2013

Should audits consider the care pathway model? A new approach to benchmarking real-world activities.

September 19, 2022

Safety and diagnostic accuracy of tumor biopsies in children with cancer.

June 10, 2015

A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout.

September 2, 2020

Association of surgical resident wellness with medical errors and patient outcomes.

May 6, 2020

The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medication errors in pharmacists during the COVID-19 pandemic.

August 23, 2023

The Quality in Australian Health Care Study.

March 27, 2005

Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme.

December 21, 2022

Systematic review of medication errors in pediatric patients.

October 25, 2006

Outcomes with overlapping surgery at a large academic medical center.

February 21, 2018

An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm.

April 13, 2016

Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study.

March 10, 2010

Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.

March 9, 2011

Eliminating central line-associated bloodstream infections: a national patient safety imperative.

January 15, 2014

Using the opportunity estimator tool to improve engagement in a quality and safety intervention.

January 18, 2012

Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.

November 16, 2011

A randomized controlled trial on the effect of a double check on the detection of medication errors.

August 23, 2017

Improving patient safety in intensive care units in Michigan.

June 25, 2008

Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency.

December 13, 2006

Acute care patients discuss the patient role in patient safety.

April 6, 2011

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

October 5, 2011

Problem list completeness in electronic health records: a multi-site study and assessment of success factors.

August 26, 2015

Patient safety event reporting in a large radiology department.

September 21, 2011

Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.

October 25, 2017

A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important?

August 31, 2016

Improving medication-related clinical decision support.

March 7, 2018

Misdiagnosis of acute myocardial infarction: a systematic review of the literature.

October 6, 2021

Misdiagnosis of heart failure: a systematic review of the literature.

July 28, 2021

Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit.

May 13, 2020

Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events.

March 23, 2011

Nursing and physician attire as possible source of nosocomial infections.

September 21, 2011

A learning health care system using computer-aided diagnosis.

March 22, 2017

The medical emergency team as a safety net.

November 8, 2006

How safe are paediatric emergency departments? A national prospective cohort study.

August 3, 2022

Prevalence, types, and sources of bullying reported by US general surgery residents in 2019.

June 17, 2020

Processes for identifying and reviewing adverse events and near misses at an academic medical center.

January 18, 2017

Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department.

February 27, 2019

Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience.

January 20, 2010

Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.

July 25, 2012

Deconstructing intraoperative communication failures.

June 20, 2012

Physicians' needs in coping with emotional stressors: the case for peer support.

March 29, 2012

Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study.

October 26, 2016

Discrimination, abuse, harassment, and burnout in surgical residency training.

November 20, 2019

Critical care nurses’ physical and mental health, worksite wellness support, and medical errors.

July 14, 2021

Paediatric nurses' understanding of the process and procedure of double-checking medications.

March 17, 2010

Rolling out the rapid response team.

June 1, 2011

Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.

April 4, 2012

The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes.

April 25, 2018

A national study links nurses' physical and mental health to medical errors and perceived worksite wellness.

March 21, 2018

Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.

February 12, 2020

Can technology improve intershift report? What the research reveals.

June 28, 2006

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Impact of introducing an electronic physiological surveillance system on hospital mortality.

October 15, 2014

The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial.

February 14, 2024

Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: a multicentre retrospective observational study.

October 18, 2023

An examination of Leapfrog safety measures and Magnet designation.

April 5, 2023

Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical center in Taiwan.

January 27, 2021

Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre.

July 22, 2020

Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies.

August 30, 2023

A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program.

April 26, 2023

Implementing receiver-driven handoffs to the emergency department to reduce miscommunication.

June 3, 2020

Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment.

December 5, 2018

Incivility and clinical performance, teamwork, and emotions: a randomized controlled trial.

May 22, 2019

Applying HFMEA to prevent chemotherapy errors.

December 8, 2010

Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey.

October 20, 2010

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

February 24, 2010

Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions.

September 2, 2009

Paediatric dosing errors before and after electronic prescribing.

August 18, 2010

Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital.

February 12, 2014

The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses.

May 22, 2013

Social capital and knowledge sharing: effects on patient safety.

December 7, 2011

Surgeon commitment to trauma care decreases missed injuries.

November 28, 2012

Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services

December 18, 2019

System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy.

July 11, 2007

The role of communication in paediatric drug safety.

May 23, 2007

An innovative mobile approach for patient safety services: the case of a Taiwan health care provider.

August 22, 2007

Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic.

February 13, 2008

Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study.

January 30, 2005

Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions.

September 7, 2016

Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.

June 10, 2009

How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials.

September 7, 2005

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.

November 12, 2014

5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.

September 24, 2014

Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association.

August 21, 2013

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.

August 24, 2005

Drug-induced hypoglycaemia--new insight into an old problem.

October 25, 2006

Effect of reducing interns' work hours on serious medical errors in intensive care units.

March 27, 2005

Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study.

July 28, 2021

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Risk managers' descriptions of programs to support second victims after adverse events.

May 13, 2015

The experiences of risk managers in providing emotional support for health care workers after adverse events.

May 11, 2016

Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study.

July 10, 2019

Effect of a comprehensive surgical safety system on patient outcomes.

November 24, 2010

Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center.

February 10, 2010

Related Resources

Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center.

April 24, 2024

Patient Safety Primers

Inpatient Transitions of Care: Challenges and Safety Practices

March 27, 2024

Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study.

December 6, 2023

Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review.

December 6, 2023

Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity.

October 4, 2023

WebM&M Cases

A Double “Never Event”: Wrong Patient and Wrong Side.

September 27, 2023

Long-term sustainability and adaptation of I-PASS handovers.

September 13, 2023

Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs.

August 23, 2023

Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action.

June 28, 2023

Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support.

June 21, 2023

Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review.

June 14, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Patient Safety Innovations

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Potential uses of AI for perioperative nursing handoffs: a qualitative study.

April 12, 2023

An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions.

April 5, 2023

Patient handoffs.

June 15, 2022

The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide.

February 23, 2022

Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review.

January 12, 2022

Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

November 10, 2021

Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff.

June 16, 2021

Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review.

June 9, 2021

Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study.

November 18, 2020

Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study.

October 14, 2020

Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings.

September 16, 2020

Bridging the gap between culture and safety in a critical care context: the role of work debate spaces.

August 26, 2020

Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation.

August 5, 2020

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.

July 8, 2020

Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers.

July 8, 2020

WebM&M Cases

Implicit Biases, Interprofessional Communication, and Power Dynamics

April 29, 2020

See More About The Topic

Hospitals

Medicine

Nurse Care

Discontinuities, Gaps, and Hand-Off Problems

Structured Hand-offs

A scoping review of clinical handover mnemonic devices.

Inpatient Transitions of Care: Challenges and Safety Practices

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

A scoping review of clinical handover mnemonic devices.

Inpatient Transitions of Care: Challenges and Safety Practices

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site