Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs.

Neha J. Darrah; Nina R. O'Connor

Commentary

Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs.

June 15, 2016

Darrah NJ, O'Connor NR. J Pain Symptom Manage. 2016;51(6):959-962.e2.

View more articles from the same authors.

Hospice providers often lack access to patient records, which can hinder patient transitions in this setting. This project report outlines an effort to develop curriculum associated with hospital-to-hospice handoffs to enhance transition practices and communication needs unique to palliative care.

PubMed citation

Available at

Related Resources From the Same Author(s)

Resistance to patient safety initiatives.

December 14, 2005

How do we learn about error? A cross-sectional study of urology trainees.

June 28, 2023

Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants.

December 12, 2018

A meta-analysis of the effectiveness of crew resource management training in acute care domains.

November 19, 2014

"Excuse me": teaching interns to speak up.

August 28, 2013

The relationships among work stress, strain and self-reported errors in UK community pharmacy.

March 19, 2014

Disclosure of patient safety incidents: a comprehensive review.

September 1, 2010

Adverse events in healthcare: learning from mistakes.

September 3, 2014

Healthcare staff wellbeing, burnout, and patient safety: a systematic review.

August 24, 2016

Surgical checklists: the human factor.

July 24, 2013

Changes in language services use by US pediatricians.

August 7, 2013

Diagnostic accuracy of pediatric teledermatology using parent-submitted photographs: a randomized clinical trial.

November 29, 2017

The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study.

February 8, 2017

STOPP/START criteria for potentially inappropriate prescribing in older people: version 2.

December 10, 2014

Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice.

December 1, 2021

Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis.

March 16, 2022

Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis.

October 28, 2015

Do safety briefings improve patient safety in the acute hospital setting? A systematic review.

June 5, 2019

Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services.

April 3, 2024

Efficacy of an incident-reporting system in cellular pathology: a practical experience.

April 25, 2012

Automation failures and patient safety.

December 2, 2020

The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units.

July 13, 2011

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

Sensemaking, safety, and cooperative work in the intensive care unit.

August 8, 2007

Four-year impact of an alert notification system on closed-loop communication of critical test results.

November 26, 2014

The patient's "story": an examination of patient-reported safety incidents in general practice.

May 4, 2022

Wellbeing, burnout, and safe practice among healthcare professionals: predictive influences of mindfulness, values, and self-compassion.

June 8, 2022

Global oncology pharmacy response to COVID-19 pandemic: medication access and safety.

June 10, 2020

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

September 24, 2014

Barriers to accessing nighttime supervisors: a national survey of internal medicine residents.

March 17, 2021

A meta-review of methods of measuring and monitoring safety in primary care.

September 15, 2021

Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.

August 9, 2006

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

November 12, 2014

How safe is prehospital care? A systematic review.

November 17, 2021

A systematic review of patient-report safety climate measures in health care.

May 27, 2020

Technological distractions—part 1 and part 2.

February 14, 2018

Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic review.

April 26, 2023

Measurement and monitoring patient safety in prehospital care: a systematic review.

February 24, 2021

Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice.

November 3, 2021

Interventions to improve hand hygiene compliance in the ICU: a systematic review.

November 29, 2017

Clinical and financial implications of second-opinion surgical pathology review.

April 7, 2021

Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery.

March 2, 2022

Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education.

March 18, 2020

Applying lessons from social psychology to transform the culture of error disclosure.

June 7, 2017

Person-first treatment strategies: weight bias and impact on mental health of people living with obesity.

April 19, 2023

'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy.

March 10, 2021

Interventions targeted at reducing diagnostic error: systematic review.

September 8, 2021

Communication between primary and secondary care: deficits and danger.

August 21, 2019

Clinical reasoning as a core competency.

October 30, 2019

SAFER Care: improving caregiver comprehension of discharge instructions.

March 31, 2021

Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE.

July 15, 2020

Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017.

March 24, 2021

Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change.

November 11, 2015

How to induce an error management climate: experimental evidence from newly formed teams.

November 2, 2022

Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle.

September 29, 2021

Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed-methods evaluation.

March 20, 2024

US emergency department visits for outpatient adverse drug events, 2013–2014.

November 23, 2016

High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing?

February 1, 2017

US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019.

December 15, 2021

Emergency department visits for adverse events related to dietary supplements.

November 4, 2015

Circumstances involved in unsupervised solid dose medication exposures among young children.

April 22, 2020

Read-back improves information transfer in simulated clinical crises.

September 17, 2014

Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic.

November 10, 2021

Cost–benefit analysis of a support program for nursing staff.

May 24, 2017

A clinical reasoning curriculum for medical students: an interim analysis.

June 22, 2022

COVID-19: peer support and crisis communication strategies to promote institutional resilience.

April 22, 2020

Five strategies for clinicians to advance diagnostic excellence.

March 2, 2022

Inattentional blindness in medicine.

April 17, 2024

Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment.

December 6, 2017

Exploring how nursing schools handle student errors and near misses.

December 13, 2017

Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices.

August 24, 2022

Multidisciplinary approaches to reducing error and risk in a patient care setting.

March 6, 2005

An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection.

March 6, 2005

The relationship between safety culture and voluntary event reporting in a large regional ambulatory care group.

March 22, 2017

Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA.

January 18, 2023

A safety culture transformation: its effects at a children's hospital.

September 12, 2012

RISE: exploring volunteer retention and sustainability of a second victim support program.

February 3, 2021

Changes in the diagnostic process during 40 years of clinicopathologic conferences.

March 27, 2005

Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting.

October 11, 2017

Reduction in pediatric identification band errors: a quality collaborative.

August 22, 2012

'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety.

September 28, 2011

"Going solid": a model of system dynamics and consequences for patient safety.

April 21, 2005

Standards for patient monitoring during general anesthesia at Harvard Medical School.

March 6, 2005

Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis.

September 29, 2021

Medication safety in the operating room: literature and expert-based recommendations.

February 22, 2017

Adverse drug event trigger tool: a practical methodology for measuring medication related harm.

March 6, 2005

Decision support for sensible dosing in electronic prescribing systems.

November 30, 2011

Diagnostic heuristics in dermatology—part 1 and part 2.

February 6, 2019

Organisational culture: variation across hospitals and connection to patient safety climate.

January 5, 2011

Discrepant perceptions of communication, teamwork and situation awareness among surgical team members.

March 23, 2011

Patient safety indicators during the initial COVID-19 pandemic surge in the United States.

March 27, 2024

Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system.

May 6, 2015

A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional.

December 20, 2006

Human factor in cardiac surgery: errors and near misses in a high technology medical domain.

March 27, 2005

Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center.

March 6, 2005

Peer support for nurses as second victims: resilience, burnout, and job satisfaction.

November 20, 2019

Structured communication for patient safety in emergency medical services: a legal case report.

May 19, 2010

A new frontier in healthcare risk management: working to reduce avoidable patient suffering.

February 24, 2016

Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010.

May 2, 2012

Simulation training in obstetrics.

October 11, 2017

Related Resources

Annual Perspective

Communication During Transitions of Care

March 27, 2024

Patient safety in palliative care at the end of life from the perspective of complex thinking.

August 16, 2023

Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success.

July 19, 2023

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

June 21, 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

Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project.

January 25, 2023

Interview

In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD

November 16, 2022

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

November 16, 2022

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

Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals.

July 20, 2022

WebM&M Cases

Preventable Transfer to the Hospital

July 8, 2022

TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care?

September 15, 2021

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.

July 21, 2021

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

June 16, 2021

Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services.

March 3, 2021

The critical need for nursing education to address the diagnostic process.

February 17, 2021

Safety in pediatric hospice and palliative care: a qualitative study.

September 23, 2020

Longitudinal medication reconciliation at hospital admission, discharge and post-discharge.

August 26, 2020

Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error.

August 12, 2020

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

July 8, 2020

Hidden in plain sight — reconsidering the use of race correction in clinical algorithms.

July 8, 2020

Care Compare.

July 1, 2020

Information transfer at hospital discharge: a systematic review.

April 15, 2020

Implementing a warm handoff between hospital and skilled nursing facility clinicians.

September 18, 2019

A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety.

April 24, 2019

I-PASS mentored implementation handoff curriculum: champion training materials.

March 13, 2019

I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources.

March 10, 2019

Performing an inadvertent procedure.

January 30, 2019

Preparing clinicians for transitioning patients across care settings and into the home through simulation.

July 25, 2018

See More About The Topic

Hospitals

Long-Term Care

Home Care

Quality and Safety Professionals

Educators

Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs.

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

Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs.

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