• Toolkit
  • Published December 2017

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.

Transitions are known to be vulnerable to communication errors. This toolkit focuses on patient transitions between ambulatory care environments and encourages staff to engage patients and families in their care to prevent errors during care transitions.

Available at Free full text (PDF)

Related Resources

Journal Article › Study

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].

Journal Article › Commentary

Implementing bedside handoff in the emergency department: a practice improvement project.

Campbell D, Dontje K. J Emerg Nurs. 2018 Oct 24; [Epub ahead of print].

Journal Article › Study

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.

Newspaper/Magazine Article

I-PASS checklist: a powerful tool for patient handoffs.

Peeples L. Pharmacy Practice News. October 10, 2018.

Journal Article › Review

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.

Journal Article › Study

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.

Journal Article › Study

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.

Journal Article › Study

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.

Journal Article › Commentary

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].

Journal Article › Study

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.

Journal Article › Commentary

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.

Journal Article › Study

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.

Journal Article › Study

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.

Journal Article › Commentary

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.

Journal Article › Study

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.

Journal Article › Study

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.

Journal Article › Review

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.

Journal Article › Commentary

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.

Journal Article › Commentary

Safe handover.

Merten H, van Galen LS, Wagner C. BMJ. 2017;359:j4328.

Journal Article › Commentary

Saying goodbye.

DeFilippis EM. JAMA Intern Med. 2017;177:1565.

Newspaper/Magazine Article

Care transitions know-how not just for clinicians.

Ready T. HealthLeaders Media. September 26, 2017.

Legislation/Regulation › Sentinel Event Alerts

Inadequate hand-off communication.

Sentinel Event Alert. September 11, 2017;(58):1-6.

Journal Article › Study

Controlled trial to improve resident sign-out in a medical intensive care unit.

Nanchal R, Aebly B, Graves G, et al. BMJ Qual Saf. 2017;26:987-992.

Newspaper/Magazine Article

Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit.

Hamilton WL. Patient Saf Qual Healthc. July 31, 2017.

Journal Article › Study

Effects of the I-PASS nursing handoff bundle on communication quality and workflow.

Starmer AJ, Schnock KO, Lyons A, et al. BMJ Qual Saf. 2017;26:949-957.

View More
Back to Top