Commentary Standardizing hand-off processes. Citation Text: Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL January 3, 2007 Gregory BSC. AORN J. 2006;84(6):1059-61. View more articles from the same authors. The author suggests ways to improve hand-off communications and provides an assessment form to assist staff in detecting weaknesses in their current processes. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Using social and behavioural science to support COVID-19 pandemic response. June 3, 2020 Families as partners in hospital error and adverse event surveillance. March 8, 2017 Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. February 17, 2021 Development of a pediatric adverse events terminology. March 15, 2017 Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing the quality chasm. November 24, 2010 Characteristics of medical professional liability claims in patients with cardiovascular diseases. April 21, 2010 Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. November 11, 2009 Tubing safety in the obstetric setting: preventing medication errors. May 6, 2009 White patients’ physical responses to healthcare treatments are influenced by provider race and gender. July 20, 2022 Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. May 19, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. October 19, 2022 Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. March 30, 2011 Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. September 23, 2020 Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data. October 7, 2020 Lacerations and embedded needles caused by epinephrine autoinjector use in children. October 28, 2015 The role of housestaff in implementing medication reconciliation on admission at an academic medical center. June 16, 2010 An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. February 23, 2011 Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. August 24, 2011 Effect of clinical decision-support systems: a systematic review. July 18, 2012 Root cause analysis of ICU adverse events in the Veterans Health Administration. August 30, 2017 Should all duty hours be the same? Results of a national survey of surgical trainees. July 29, 2009 Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. January 15, 2020 Overprescribing of opioids to adults by dentists in the U.S., 2011-2015. March 18, 2020 A systems approach to address the impact of second victim phenomenon. December 9, 2020 Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. July 26, 2023 Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. July 19, 2023 Adopting high reliability organization principles to lead a large scale clinical transformation. April 26, 2023 Safety huddles to proactively identify and address electronic health record safety. January 25, 2017 Improving diagnosis by improving education: a policy brief on education in healthcare professions. September 12, 2018 Use of personal electronic devices by nurse anesthetists and the effects on patient safety. May 25, 2016 Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. December 1, 2010 Performance-based payment incentives increase burden and blame for hospital nurses. February 16, 2011 The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution. June 23, 2010 Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. October 12, 2011 A system-wide initiative to prevent retained vaginal sponges. September 14, 2011 Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. July 20, 2011 Evidence summary and recommendations for improved communication during care transitions. June 8, 2016 Patient safety culture transformation in a children's hospital: an interprofessional approach. April 30, 2014 Interprofessional education in team communication: working together to improve patient safety. March 27, 2013 Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. September 12, 2018 Good Catch Campaign: improving the perioperative culture of safety. July 18, 2018 Competencies for improving diagnosis: an interprofessional framework for education and training in health care. August 28, 2019 Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. August 12, 2009 Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. April 10, 2024 Interprofessional team collaboration and work environment health in 68 US intensive care units. November 30, 2022 Shifting supervision: implications for safe administration of medication by nursing students. November 5, 2008 Impact of patient communication problems on the risk of preventable adverse events in acute care settings. June 25, 2008 Incidence of prescription errors in patients discharged from the emergency department. September 22, 2021 Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. May 22, 2013 SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations. March 14, 2012 Crowding in the Emergency Department: Challenges for the Care of Children. March 15, 2023 Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis. March 8, 2023 Review of alternatives to root cause analysis: developing a robust system for incident report analysis. September 18, 2019 Toward the development of the perfect medical team: critical components for adaptation. March 17, 2021 I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. March 10, 2019 Outcomes of medication misadventure among people with cognitive impairment or dementia: a systematic review and meta-analysis. July 21, 2021 Detecting and assessing suicide ideation during the COVID-19 pandemic. May 26, 2021 Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. October 20, 2021 Using medication containers during pharmacist transitional care visits and impact on medication discrepancies identified and hospital readmission risk. November 11, 2020 Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. November 4, 2020 A report of information technology and health deficiencies in U.S. nursing homes. September 8, 2021 Coping and recovery in surgical residents after adverse events: the second victim phenomenon. April 20, 2022 Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. April 20, 2022 Antibiotic prescribing errors in patients discharged from the pediatric emergency department. March 30, 2022 Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. December 13, 2023 Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. November 9, 2022 Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. October 26, 2022 Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. July 26, 2023 Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. May 31, 2023 Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information. May 10, 2023 Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022 Standardizing opioid prescriptions to patients after ambulatory oncologic surgery reduces overprescription. July 1, 2020 Encouraging resident adverse event reporting: a qualitative study of suggestions from the front lines. October 30, 2019 Understanding patient-centred readmission factors: a multi-site, mixed-methods study. January 25, 2017 Association between surgical trainee daytime sleepiness and intraoperative technical skill when performing septoplasty. October 24, 2018 Appropriate use of medical interpreters. November 19, 2014 Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. May 6, 2015 Elucidating reasons for resident underutilization of electronic adverse event reporting. April 29, 2015 Enhancing the effectiveness of team debriefings in medical simulation: more best practices. March 11, 2015 Preventability and causes of readmissions in a national cohort of general medicine patients. May 4, 2016 Saving lives: a meta-analysis of team training in healthcare. August 3, 2016 Bedside shift reports: what does the evidence say? September 24, 2014 Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process. September 10, 2014 Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. August 13, 2014 Innovative teaching in situational awareness. June 24, 2015 Diagnostic errors that lead to inappropriate antimicrobial use. June 3, 2015 The effect of a residential care pharmacist on medication administration practices in aged care: a controlled trial. April 17, 2019 Intravenous infusion safety technology: return on investment. August 26, 2009 Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. August 31, 2011 Comparing trainee and staff perceptions of patient safety culture. June 29, 2016 Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. May 28, 2014 Leadership, safety climate, and continuous quality improvement: impact on process quality and patient safety. April 16, 2014 Momentary interruptions can derail the train of thought. January 30, 2013 Strategies for preventing distractions and interruptions in the OR. June 19, 2013 Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study. April 3, 2013 Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center. August 21, 2013 Anticoagulation-associated adverse drug events. December 14, 2011 Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. September 19, 2012 Interventions to increase clinical incident reporting in health care. September 5, 2012 Synergy for patient safety and quality: academic and service partnerships to promote effective nurse education and clinical practice. February 15, 2012 View More Related Resources Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023 Annual Perspective Improving Diagnostic Safety and Quality April 26, 2023 WebM&M Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. September 28, 2022 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 Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design. November 11, 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 Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. August 21, 2019 Does a unit shift report "blackout" period improve patient safety? April 10, 2019 Using a potentially aggressive/violent patient huddle to improve health care safety. January 30, 2019 Implementing bedside handoff in the emergency department: a practice improvement project. January 23, 2019 Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018 Guideline implementation: team communication. September 12, 2018 Taking bullying out of health care: a patient safety imperative. January 10, 2018 Medication errors in injured patients. September 27, 2017 Effects of the I-PASS nursing handoff bundle on communication quality and workflow. August 9, 2017 Implementation of a modified bedside handoff for a postpartum unit. June 21, 2017 Promoting civility in the OR: an ethical imperative. March 8, 2017 Opioids for pain management in older adults: strategies for safe prescribing. February 22, 2017 Factors influencing patient safety during postoperative handover. December 14, 2016 Using Kotter's change model for implementing bedside handoff: a quality improvement project. August 24, 2016 Promoting patient safety with perioperative hand-off communication. August 10, 2016 The promise of big data: improving patient safety and nursing practice. April 27, 2016 Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. December 9, 2015 Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. May 13, 2015 Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. March 11, 2015 Bedside shift reports: what does the evidence say? September 24, 2014 Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. August 27, 2014 The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review. August 20, 2014 Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. July 23, 2014 View More See More About The Topic Nurses Nurse Managers Quality and Safety Professionals Nurse Care Discontinuities, Gaps, and Hand-Off Problems View More
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. February 17, 2021
Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing the quality chasm. November 24, 2010
Characteristics of medical professional liability claims in patients with cardiovascular diseases. April 21, 2010
Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. November 11, 2009
White patients’ physical responses to healthcare treatments are influenced by provider race and gender. July 20, 2022
Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. May 19, 2021
Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. March 30, 2011
Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. September 23, 2020
Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data. October 7, 2020
Lacerations and embedded needles caused by epinephrine autoinjector use in children. October 28, 2015
The role of housestaff in implementing medication reconciliation on admission at an academic medical center. June 16, 2010
An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. February 23, 2011
Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. August 24, 2011
Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. January 15, 2020
Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. July 26, 2023
Adopting high reliability organization principles to lead a large scale clinical transformation. April 26, 2023
Improving diagnosis by improving education: a policy brief on education in healthcare professions. September 12, 2018
Use of personal electronic devices by nurse anesthetists and the effects on patient safety. May 25, 2016
Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. December 1, 2010
Performance-based payment incentives increase burden and blame for hospital nurses. February 16, 2011
The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution. June 23, 2010
Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. October 12, 2011
Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. July 20, 2011
Evidence summary and recommendations for improved communication during care transitions. June 8, 2016
Patient safety culture transformation in a children's hospital: an interprofessional approach. April 30, 2014
Interprofessional education in team communication: working together to improve patient safety. March 27, 2013
Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. September 12, 2018
Competencies for improving diagnosis: an interprofessional framework for education and training in health care. August 28, 2019
Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. August 12, 2009
Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. April 10, 2024
Interprofessional team collaboration and work environment health in 68 US intensive care units. November 30, 2022
Shifting supervision: implications for safe administration of medication by nursing students. November 5, 2008
Impact of patient communication problems on the risk of preventable adverse events in acute care settings. June 25, 2008
Incidence of prescription errors in patients discharged from the emergency department. September 22, 2021
Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. May 22, 2013
SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations. March 14, 2012
Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis. March 8, 2023
Review of alternatives to root cause analysis: developing a robust system for incident report analysis. September 18, 2019
Toward the development of the perfect medical team: critical components for adaptation. March 17, 2021
I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. March 10, 2019
Outcomes of medication misadventure among people with cognitive impairment or dementia: a systematic review and meta-analysis. July 21, 2021
Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. October 20, 2021
Using medication containers during pharmacist transitional care visits and impact on medication discrepancies identified and hospital readmission risk. November 11, 2020
Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. November 4, 2020
Coping and recovery in surgical residents after adverse events: the second victim phenomenon. April 20, 2022
Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. April 20, 2022
Antibiotic prescribing errors in patients discharged from the pediatric emergency department. March 30, 2022
Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. December 13, 2023
Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. November 9, 2022
Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. October 26, 2022
Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. July 26, 2023
Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. May 31, 2023
Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information. May 10, 2023
Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022
Standardizing opioid prescriptions to patients after ambulatory oncologic surgery reduces overprescription. July 1, 2020
Encouraging resident adverse event reporting: a qualitative study of suggestions from the front lines. October 30, 2019
Understanding patient-centred readmission factors: a multi-site, mixed-methods study. January 25, 2017
Association between surgical trainee daytime sleepiness and intraoperative technical skill when performing septoplasty. October 24, 2018
Elucidating reasons for resident underutilization of electronic adverse event reporting. April 29, 2015
Enhancing the effectiveness of team debriefings in medical simulation: more best practices. March 11, 2015
Preventability and causes of readmissions in a national cohort of general medicine patients. May 4, 2016
Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process. September 10, 2014
Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. August 13, 2014
The effect of a residential care pharmacist on medication administration practices in aged care: a controlled trial. April 17, 2019
Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. August 31, 2011
Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. May 28, 2014
Leadership, safety climate, and continuous quality improvement: impact on process quality and patient safety. April 16, 2014
Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study. April 3, 2013
Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center. August 21, 2013
Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. September 19, 2012
Synergy for patient safety and quality: academic and service partnerships to promote effective nurse education and clinical practice. February 15, 2012
Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023
WebM&M Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. September 28, 2022
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
Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design. November 11, 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
Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. August 21, 2019
Using a potentially aggressive/violent patient huddle to improve health care safety. January 30, 2019
Implementing bedside handoff in the emergency department: a practice improvement project. January 23, 2019
Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018
Using Kotter's change model for implementing bedside handoff: a quality improvement project. August 24, 2016
Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. December 9, 2015
Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. May 13, 2015
Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. March 11, 2015
Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. August 27, 2014
The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review. August 20, 2014
Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. July 23, 2014