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
DeFilippis EM. JAMA Intern Med. 2017;177:1565.
DeFilippis EM.Saying goodbye. JAMA Intern Med. 2017; 177: 1565
Handoffs can result in miscommunications and gaps in continuity, which can have adverse consequences on patient care. This commentary describes one physician's discomfort with the resident rotation process and its potential impact on patient safety.
Does a unit shift report "blackout" period improve patient safety?
Olmstead J. Nurs Manage. 2019;50:8-10.
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.
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].
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.
I-PASS checklist: a powerful tool for patient handoffs.
Peeples L. Pharmacy Practice News. October 10, 2018.
Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.
Müller M, Jürgens J, Redaèlli M, Klingberg K, Hautz WE, Stock S. BMJ Open. 2018;8:e022202.
Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment.
Huth K, Stack AM, Chi G, et al. Jt Comm J Qual Patient Saf. 2018;44:719-730.
Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals.
Sullivan JL, Shin MH, Engle RL, et al. Jt Comm J Qual Patient Saf. 2018;44:663-673.
Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition.
Triller D, Myrka A, Gassler J, et al. Jt Comm J Qual Patient Saf. 2018;44:630-640.
Ssssh for handover: protected medical handover; optimising quality and prioritising safety—a regional initiative.
Mallett P, Thompson A, Bourke T, Shah S. Arch Dis Child Educ Pract Ed. 2018 Jun 9; [Epub ahead of print].
Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study.
Usher M, Sahni N, Herrigel D, et al. J Gen Intern Med. 2018;33:1447-1453.
Preparing clinicians for transitioning patients across care settings and into the home through simulation.
Molloy MA, Cary MP Jr, Brennan-Cook J, et al. Home Healthc Now. 2018;36:225-231.
A standardized handoff simulation promotes recovery from auditory distractions in resident physicians.
Matern LH, Farnan JM, Hirsch KW, Cappaert M, Byrne ES, Arora VM. Simul Healthc. 2018;13:233-238.
Structured patient handoff on an internal medicine ward: a cluster randomized control trial.
Tam P, Nijjar AP, Fok M, et al. PLoS One. 2018;13:e0195216.
Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients.
Anthony MK, Kloos J, Beam P, Vidal K. J Nurs Care Qual. 2018;33:128-134.
Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery.
Jones PM, Cherry RA, Allen BN, et al. JAMA. 2018;319:143-153.
Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial.
Parent B, LaGrone LN, Albirair MT, et al. JAMA Surg. 2018;153:464-470.
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings.
Davis K, Collier S, Situ J, Coe M, Cleary-Fishman M. Rockville, MD: Agency for Healthcare Research and Quality; December 2017. AHRQ Publication No. 1800051EF.
Identifying what is known about improving operating room to intensive care handovers: a scoping review.
Zjadewicz K, Deemer KS, Coulthard J, Doig CJ, Boiteau PJ. Am J Med Qual. 2018;33:540-548.
A novel process audit for standardized perioperative handoff protocols.
Pallekonda V, Scholl AT, McKelvey GM, et al. Jt Comm J Qual Patient Saf. 2017;43:611-618.
Merten H, van Galen LS, Wagner C. BMJ. 2017;359:j4328.
Care transitions know-how not just for clinicians.
Ready T. HealthLeaders Media. September 26, 2017.
Inadequate hand-off communication.
Sentinel Event Alert. September 11, 2017;(58):1-6.
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