U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
Sign up for a Free Account
Benham-Hutchins MM, Effken JA. Int J Med Inform. 2010;79:252-267.
Benham-Hutchins MM ; Effken JA.Multi-professional patterns and methods of communication during patient handoffs. Int J Med Inform. 2010; 79: 252-267
This study explored communication patterns and networks to understand how information technology can improve patient handoffs between units in an acute care setting.
In Conversation With… Jane Brice, MD, MPH
Using incident reports to assess communication failures and patient outcomes.
Umberfield E, Ghaferi AA, Krein SL, Manojlovich M. Jt Comm J Qual Patient Saf. 2019 Mar 29; [Epub ahead of print].
A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety.
Schwarz CM, Hoffmann M, Schwarz P, Kamolz LP, Brunner G, Sendlhofer G. BMC Health Serv Res. 2019;19:158.
Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions.
Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2019. AHRQ Publication No. 18(19)-0055-EF.
Does a unit shift report "blackout" period improve patient safety?
Olmstead J. Nurs Manage. 2019;50:8-10.
Prescribing in 2019: what are the safety concerns?
Coleman JJ. Expert Opin Drug Saf. 2019;18:69-74.
Characterising ICU–ward handoffs at three academic medical centres: process and perceptions.
Santhosh L, Lyons PG, Rojas JC, et al. BMJ Qual Saf. 2019 Jan 12; [Epub ahead of print].
Engineering a foundation for partnership to improve medication safety during care transitions.
Xiao Y, Abebe E, Gurses AP. J Patient Saf Risk Manag. 2019;24:30–36.
Evaluation of medication errors at the transition of care from an ICU to non-ICU location.
Tully AP, Hammond DA, Li C, Jarrell AS, Kruer RM. Crit Care Med. 2019;47:543-549.
I-PASS mentored implementation handoff curriculum: champion training materials.
O'Toole JK, Starmer AJ, Calaman S, et al; I-PASS Study Education Executive Committee. MedEdPORTAL. 2019;15:10794.
Using a potentially aggressive/violent patient huddle to improve health care safety.
Larson LA, Finley JL, Gross TL, et al. Jt Comm J Qual Patient Saf. 2019:45:72-80.
Handoffs and Signouts
Medicines-related harm in the elderly post-hospital discharge.
Cheong V-L, Tomlinson J, Khan S, Petty D. Prescriber. 2019;30:29-34.
Readmissions and Adverse Events After Discharge
Data omission by physician trainees on ICU rounds.
Artis KA, Bordley J, Mohan V, Gold JA. Crit Care Med. 2019;47:403-409.
The Joint Commission Big Book of Checklists. 2nd Edition.
Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598.
A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study.
Lane-Fall MB, Pascual JL, Peifer HG, et al; HATRICC study team. Ann Surg. 2018 Nov 29; [Epub ahead of print].
Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety.
Guttman OT, Lazzara EH, Keebler JR, Webster KLW, Gisick LM, Baker AL. J Patient Saf. 2018 Nov 9; [Epub ahead of print].
In Conversation With… David Meltzer, MD, PhD
The Comprehensivist Model of Care: A Hospitalist's View
Robert Wachter, MD
Implementing bedside handoff in the emergency department: a practice improvement project.
Campbell D, Dontje K. J Emerg Nurs. 2019;45:149-154.
Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention.
Pellegrin K, Lozano A, Miyamura J, et al. BMJ Qual Saf. 2019;28:103-110.
Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care.
Pronovost P, Johns MME, Palmer S, et al, eds. Washington, DC: National Academy of Medicine; 2018. ISBN: 9781947103122.
I-PASS checklist: a powerful tool for patient handoffs.
Peeples L. Pharmacy Practice News. October 10, 2018.
Day of discharge does not impact hospital readmission after major cardiac surgery.
Sanaiha Y, Ou R, Ramos G, Juo YY, Shemin RJ, Benharash P. Ann Thorac Surg. 2018;106:1767-1773.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364