Bridging Gaps in Handoff Communication: A Comparative Evaluation of Information Organization Tools

Handoffs permeate the healthcare system at all levels, from the individual to the organizational level. A recent study estimated that approximately 1.6 million handoffs occur per year in a typical teaching hospital [1]. This number is likely to increase given the current ACGME (Accreditation Council on Graduate Medical Education) restrictions on resident work hours [2].

[1]  David A K Watters,et al.  Electronic medical handover : towards safer medical care , 2022 .

[2]  S. Lally An investigation into the functions of nurses' communication at the inter-shift handover. , 1999, Journal of nursing management.

[3]  Carl Fernandes,et al.  Electronic software significantly improves quality of handover in a London teaching hospital , 2009, Health Informatics J..

[4]  Gary Frank,et al.  Improving physician communication through an automated, integrated sign-out system. , 2005, Journal of healthcare information management : JHIM.

[5]  Pascale Carayon,et al.  Handbook of human factors and ergonomics in health care and patient safety , 2006 .

[6]  L. Baldwin,et al.  A computer-generated shift report. , 1994, Nursing management.

[7]  Mary Roberts,et al.  The Interdepartmental Ticket (IT) Factor: Enhancing Communication to Improve Quality , 2012, Journal of nursing care quality.

[8]  Chauniqua Kiffin,et al.  Enhancing patient safety in the trauma/surgical intensive care unit. , 2009, The Journal of trauma.

[9]  J. Kane,et al.  Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit* , 2011, Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

[10]  Philip D Lumb,et al.  Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. , 2002, Critical care medicine.

[11]  Lemuel R Waitman,et al.  Evaluation of Computerized Free Text Sign-Out Notes , 2010, Applied Clinical Informatics.

[12]  José Orlando Gomes,et al.  Handoff strategies in settings with high consequences for failure: lessons for health care operations. , 2004, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[13]  Simon Foster,et al.  Effective handover communication: an overview of research and improvement efforts. , 2011, Best practice & research. Clinical anaesthesiology.

[14]  Yan Xiao,et al.  Review Paper: A Systematic Review of the Literature on Multidisciplinary Rounds to Design Information Technology , 2006, J. Am. Medical Informatics Assoc..

[15]  Emily S. Patterson,et al.  Evaluation of a physician informatics tool to improve patient handoffs. , 2009, Journal of the American Medical Informatics Association : JAMIA.

[16]  L. Weed Medical records that guide and teach. , 1968, The New England journal of medicine.

[17]  S. Salerno,et al.  Standardized Sign-Out Reduces Intern Perception of Medical Errors on the General Internal Medicine Ward , 2009, Teaching and learning in medicine.

[18]  P. Medcalf,et al.  Living for the weekend: electronic documentation improves patient handover. , 2012, Clinical medicine.

[19]  Vimla L. Patel,et al.  A systematic review of the literature on the evaluation of handoff tools: implications for research and practice , 2014, J. Am. Medical Informatics Assoc..

[20]  R Ram,et al.  Signing out patients for off-hours coverage: comparison of manual and computer-aided methods. , 1992, Proceedings. Symposium on Computer Applications in Medical Care.

[21]  Rachel Davis,et al.  Communication patterns in a UK emergency department. , 2007, Annals of emergency medicine.

[22]  Robert Massey,et al.  Implementing an Electronic Change-of-Shift Report Using Transforming Care at the Bedside Processes and Methods , 2010, The Journal of nursing administration.

[23]  Paul Sharek,et al.  Improved physician work flow after integrating sign-out notes into the electronic medical record. , 2010, Joint Commission journal on quality and patient safety.

[24]  M. Leonard,et al.  The human factor: the critical importance of effective teamwork and communication in providing safe care , 2004, Quality and Safety in Health Care.

[25]  Pascale Carayon,et al.  Human Factors of Transition of Care , 2006 .

[26]  Lee Ann Riesenberg,et al.  Systematic Review of Handoff Mnemonics Literature , 2009, American journal of medical quality : the official journal of the American College of Medical Quality.

[27]  Joseph Varon,et al.  Comprar Handbook of Critical and Intensive Care Medicine | Varon, Joseph | 9780387928500 | Springer , 2010 .

[28]  Anna Gawlinski,et al.  Use of an evidence-based shift report tool to improve nurses' communication. , 2011, Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses.

[29]  Joseph Varon,et al.  Handbook of Critical and Intensive Care Medicine , 2009 .

[30]  Herb Stanley Their fair share. An academic medical group recovers $1.7 million with an automated contract-management solution. , 2008, Health management technology.

[31]  A. Azuero,et al.  Developing a Standardized Tool to Improve Nurse Communication During Shift Report , 2012, Journal of nursing care quality.

[32]  Vimla L. Patel,et al.  Diagnostic Reasoning and Medical Expertise , 1994 .

[33]  Marty Raines,et al.  Give it to me: the development of a tool for shift change report in a level I trauma center. , 2007, Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.

[34]  William B Lober,et al.  A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. , 2005, Journal of the American College of Surgeons.

[35]  Vimla L. Patel,et al.  Ensuring Patient Safety in Care Transitions: An Empirical Evaluation of a Handoff Intervention Tool , 2012, AMIA.

[36]  Vickie Nguyen,et al.  Falling through the cracks: information breakdowns in critical care handoff communication. , 2011, AMIA ... Annual Symposium proceedings. AMIA Symposium.

[37]  Brian McFetridge,et al.  An exploration of the handover process of critically ill patients between nursing staff from the emergency department and the intensive care unit. , 2007, Nursing in critical care.

[38]  Peter Kaboli,et al.  The Veterans Affairs shift change physician-to-physician handoff project. , 2010, Joint Commission journal on quality and patient safety.

[39]  Sara L Barnes,et al.  From theory to practice of electronic handover. , 2011, Australian health review : a publication of the Australian Hospital Association.

[40]  A. McEwan,et al.  Patient handover from surgery to intensive care: using Formula 1 pit‐stop and aviation models to improve safety and quality , 2007, Paediatric anaesthesia.

[41]  Erik G. Van Eaton,et al.  Handoff improvement: we need to understand what we are trying to fix. , 2010 .

[42]  Nicholas A Ferran,et al.  Standardised proformas improve patient handover: Audit of trauma handover practice , 2008, Patient safety in surgery.

[43]  Kim Gaines,et al.  SBAR: Electronic Handoff Tool for Noncomplicated Procedural Patients , 2012, Journal of nursing care quality.

[44]  Debbie Sandlin,et al.  Improving patient safety by implementing a standardized and consistent approach to hand-off communication. , 2007, Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses.

[45]  Nancy Fernandes,et al.  Onsite handover of clinical care: implementing modified CHAPS , 2011 .

[46]  Christopher Beach,et al.  Improving handoffs in the emergency department. , 2010, Annals of emergency medicine.

[47]  Brenda D Braun,et al.  Evaluating and improving the handoff process. , 2012, Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.

[48]  Mark Bernstein,et al.  Nurse Practitioner-Based Sign-Out System to Facilitate Patient Communication on a Neurosurgical Service: A Pilot Study With Recommendations , 2009, The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses.

[49]  Mary Jane Wilson,et al.  A template for safe and concise handovers. , 2007, Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses.

[50]  Rhona Flin,et al.  Doctors' handovers in hospitals: a literature review , 2011, Quality and Safety in Health Care.

[51]  Jonathan Pell,et al.  The computerized rounding report: implementation of a model system to support transitions of care. , 2012, The Journal of surgical research.

[52]  R. Katz-Sidlow,et al.  Using a computerized sign-out system to improve physician-nurse communication. , 2006, Joint Commission journal on quality and patient safety.

[53]  Michael D Cohen,et al.  The published literature on handoffs in hospitals: deficiencies identified in an extensive review , 2010, Quality and Safety in Health Care.

[54]  Simon Cooper,et al.  Patient handover: time for a change? , 2007, Accident and emergency nursing.

[55]  B. Kalisch,et al.  PI tool patches broken communication. , 2007, Nursing management.

[56]  Jeremiah D Schuur,et al.  Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. , 2009, Annals of emergency medicine.

[57]  Robert S White,et al.  The Bermuda Triangle healthcare. An Illinois healthcare system closes the gaps in patient handoff communication. , 2008, Health management technology.

[58]  C. Pellegrini,et al.  Safety of Using a Computerized Rounding and Sign-Out System to Reduce Resident Duty Hours , 2010, Academic medicine : journal of the Association of American Medical Colleges.

[59]  James A. Levine,et al.  Utility of a standardized sign-out card for new medical interns , 2007, Journal of General Internal Medicine.

[60]  K. Conlon,et al.  Impact of a new electronic handover system in surgery. , 2011, International journal of surgery.

[61]  E. Petrie,et al.  The PACT Project: improving communication at handover , 2009, The Medical journal of Australia.

[62]  Gilles Reinhardt,et al.  Simple standardized patient handoff system that increases accuracy and completeness. , 2008, Journal of surgical education.

[63]  C. Longhurst,et al.  Impact of electronic medical record integration of a handoff tool on sign-out in a newborn intensive care unit , 2011, Journal of Perinatology.

[64]  Katherine B Ardoin,et al.  Implementing Handoff Communication , 2011, Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization.

[65]  K. Streitenberger,et al.  Handoffs in care--can we make them safer? , 2006, Pediatric clinics of North America.

[66]  Joshua C. Denny,et al.  Analysis of a Computerized Sign-out Tool: Identification of Unanticipated Uses and Contradictory Content , 2007, AMIA.