Handoff practices in emergency medicine: are we making progress? | PSNet

Provide Feedback |

Submit a Case

Register

Study

Handoff practices in emergency medicine: are we making progress?

March 23, 2016

Hern G, Gallahue FE, Burns BD, et al. Acad Emerg Med. 2016;23(2):197-201.

View more articles from the same authors.

Improving patient handoffs has emerged as a critical safety goal of residency training programs. This national survey study of emergency medicine residency programs found that more than half of respondents now use a standardized handoff protocol. Even though more programs offer formal handoff training compared to a similar study in 2011, less than two-thirds of respondents felt their residents were competent in delivering and receiving handoffs.

PubMed citation

Related Resources From the Same Author(s)

Surgeons don't know what they don't know about the safe use of energy in surgery.

June 20, 2012

Practice Advisory on Intraoperative Awareness and Brain Function Monitoring.

July 27, 2005

Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program.

November 23, 2005

Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information.

May 10, 2023

The new recommendations on duty hours from the ACGME Task Force.

June 23, 2010

Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force.

January 25, 2012

Improving sepsis care through systems change: the impact of a medical emergency team.

March 5, 2008

Principles of pediatric patient safety: reducing harm due to medical care.

June 15, 2011

Using a medical emergency team to manage anaphylactic shock.

June 4, 2008

Systematic review of the impact of physician implicit racial bias on clinical decision making.

May 5, 2017

Unintended consequences of patient online access to health records: a qualitative study in UK primary care.

November 16, 2022

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care.

March 27, 2013

The impact of resident duty hour and supervision changes: a review.

December 9, 2015

The use of simulation in emergency medicine: a research agenda.

March 7, 2007

Error, blame, and the law in health care—an antipodean perspective.

March 6, 2005

Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force.

January 19, 2011

The computerized rounding report: implementation of a model system to support transitions of care.

August 3, 2011

The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England.

August 18, 2021

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

November 8, 2023

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

March 29, 2023

Recommendations for quality assurance and improvement in surgical and autopsy pathology.

August 9, 2006

Disclosing medical errors to patients: attitudes and practices of physicians and trainees.

May 23, 2007

Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals.

January 23, 2008

Critical diagnoses (critical values) in anatomic pathology.

August 9, 2006

Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies.

March 3, 2020

The effect of clinical experience on the error rate of emergency physicians.

December 3, 2008

Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study.

April 1, 2015

Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence.

September 18, 2013

Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.

March 27, 2013

Maternal sleepiness and risk of infant drops in the postpartum period.

June 12, 2019

Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE).

March 13, 2013

Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department.

September 8, 2021

A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy.

January 14, 2015

Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences.

September 22, 2021

Failure mode and effects analysis application to critical care medicine.

April 21, 2005

Safe operation as a social construct.

January 1, 1999

Curriculum development and implementation of a national interprofessional fellowship in patient safety.

September 5, 2018

Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults.

July 10, 2019

The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program.

June 14, 2017

Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis.

March 6, 2013

Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers.

April 18, 2012

Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review.

June 25, 2014

Pediatric surgical errors: a systematic scoping review.

July 20, 2022

Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States.

December 19, 2018

Trends in medical and nonmedical use of prescription opioids among US adolescents: 1976–2015.

May 17, 2017

Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior.

June 12, 2013

Measuring safety climate in health care.

April 19, 2006

Effective strategies to increase reporting of medication errors in hospitals.

January 25, 2006

Missed diagnosis of cancer in primary care: insights from malpractice claims data.

August 7, 2019

Evidence that nurses need to participate in diagnosis: lessons from malpractice claims.

April 29, 2020

Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals.

December 4, 2013

A randomized trial of nighttime physician staffing in an intensive care unit.

June 5, 2013

30-day potentially avoidable readmissions due to adverse drug events.

May 3, 2017

Medicine for the wandering mind: mind wandering in medical practice.

December 21, 2011

Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training.

October 14, 2015

Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study.

February 17, 2021

Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches.

November 30, 2022

Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology.

October 26, 2011

Standardized competencies for parenteral nutrition prescribing: The American Society for Parenteral and Enteral Nutrition Model.

July 8, 2015

Determination of health-care teamwork training competencies: a Delphi study.

December 2, 2009

Doctors charged with manslaughter in the course of medical practice, 1795-2005: a literature review.

July 19, 2006

Cognitive bias impact on management of postoperative complications, medical error, and standard of care.

November 4, 2020

A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge.

September 30, 2015

The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies.

July 29, 2020

The organizational and intraorganizational development of disasters.

March 27, 2005

Paramedics and the effects of shift work on sleep: a literature review.

February 29, 2012

Educational opportunities with postevent debriefing.

May 11, 2016

Debriefing in the emergency department after clinical events: a practical guide.

December 17, 2014

Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial.

December 6, 2017

Impact of inpatient harms on hospital finances and patient clinical outcomes.

April 15, 2015

To what extent are patients involved in researching safety in acute mental healthcare?

April 6, 2022

Are you using checklists? Check!

August 4, 2010

Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM.

September 17, 2014

A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.

May 27, 2020

Electronic prescribing systems in pediatrics: the rationale and functionality requirements.

August 15, 2007

Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention.

April 12, 2017

Unintended consequences of online consultations: a qualitative study in UK primary care.

February 2, 2022

A quality initiative: a system-wide reduction in serious medication events through targeted simulation training.

May 23, 2018

Quality and patient safety. Engaging your board to take the lead.

March 29, 2006

Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service.

May 29, 2019

The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity of care.

March 21, 2012

Errors in surgery: a case control study.

December 14, 2022

The effect of the electronic transmission of prescriptions on dispensing errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge study.

May 14, 2014

Impact of a computerized physician order-entry system.

June 3, 2009

The efficacy of computer-enabled discharge communication interventions: a systematic review.

February 9, 2011

Tips to reduce dangerous interruptions by healthcare staff.

February 6, 2013

The application of the Global Trigger Tool: a systematic review.

October 26, 2016

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 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

Disclosure of medical errors: the right thing to do.

September 1, 2010

Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis.

July 15, 2015

Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare.

February 5, 2014

How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States.

January 11, 2023

Practice advisory for the prevention and management of operating room fires.

May 7, 2008

Electronic prescribing in pediatrics: toward safer and more effective medication management.

April 10, 2013

Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland.

May 23, 2012

Closing the loop with ambulatory staff on safety reports.

December 4, 2019

Building and sustaining a systemwide culture of safety.

December 14, 2005

Nurses' perceptions of how rapid response teams affect the nurse, team, and system.

March 9, 2011

Healthy work environments, nurse-physician communication, and patients' outcomes.

November 14, 2007

View More

Related Resources

Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel.

March 22, 2023

Factors associated with malpractice claim payout: an analysis of closed emergency department claims.

July 13, 2022

Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study.

May 18, 2022

SECUre: a multicentre survey of the safety of emergency care in UK emergency departments.

November 24, 2021

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study.

March 10, 2021

High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.

February 17, 2021

Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions.

December 16, 2020

Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach.

December 2, 2020

Emergency department monitor alarms rarely change clinical management: an observational study.

September 16, 2020

A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other?

September 2, 2020

Tolerance of uncertainty and the practice of emergency medicine.

July 15, 2020

Beyond 'find and fix': improving quality and safety through resilient healthcare systems.

April 15, 2020

Adverse events present on arrival to the emergency department: the ED as a dual safety net.

March 11, 2020

Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review.

August 7, 2019

Quality improvement and safety in pediatric emergency medicine.

March 6, 2019

WebM&M Cases

Duplicate Insulin Order

March 1, 2019

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

December 5, 2018

A target to achieve zero preventable trauma deaths through quality improvement.

April 25, 2018

Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department.

January 10, 2018

Medication errors in injured patients.

September 27, 2017

Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records.

June 21, 2017

Increasing patient safety event reporting in an emergency medicine residency.

June 7, 2017

Handoffs: transitions of care for children in the emergency department.

January 25, 2017

Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures.

November 30, 2016

Patient safety in the emergency department.

November 23, 2016

WebM&M Cases

Lapse in Antibiotics Leads to Sepsis

October 1, 2016

Safety of the Manchester Triage System to detect critically ill children at the emergency department.

August 17, 2016

The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department.

June 1, 2016

Human factors and quality improvement in the emergency department: reducing potential errors in blood collection.

March 30, 2016

The effect of emergency department boarding on order completion.

January 13, 2016

View More

See More About The Topic

Emergency Departments

Health Care Providers

Emergency Medicine

Discontinuities, Gaps, and Hand-Off Problems

Epidemiology of Errors and Adverse Events

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364