Assessing the quality of patient handoffs at care transitions

Quality and Safety in Health Care

Volumn 19, Issue 6, 2010, Pages

  Manser, Tanja ^a   Foster, Simon ^b   Gisin, Stefan ^c   Jaeckel, Dalit ^d   Ummenhofer, Wolfgang ^c  

^a UNIVERSITY OF ABERDEEN   (United Kingdom)

^b ETH Zurich   (Switzerland)

^c UNIVERSITY HOSPITAL BASEL   (Switzerland)

^d UNIVERSITY OF BASEL   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHECKLIST; HEALTH CARE QUALITY; HOSPITAL; HUMAN; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PATIENT TRANSPORT;

CHECKLIST; CONTINUITY OF PATIENT CARE; HOSPITALS; HUMANS; PATIENT TRANSFER; QUALITY INDICATORS, HEALTH CARE;

EID: 78650346526     PISSN: 14753898     EISSN: 14753901     Source Type: Journal    
DOI: 10.1136/qshc.2009.038430     Document Type: Article

References (44)

1. Perry S. Transitions in care: Studying safety in emergency department signovers. Focus on Patient Safety 2004;7:1-3.
2. Haggerty JL, Reid RJ, Freeman GK, et al. Continuity of care: A multidisciplinary review. BMJ 2003;327:1219-21.
3. Beach C. Lost in transition. AHRQ morbidity & mortality rounds on the web. http:// www.webmm.ahrq.gov/case.aspx?caseID=116 (accessed 20 Apr 2010).
4. Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg 2007;204:533-40.
5. Pronovost P, Thompson D, Holzmueller CG, et al. Toward learning from patient safety reporting systems. J Crit Care 2006;12:305-15.
6. Harvey CM, Schuster RJ, Durso FT, et al. Human factors of transition of care. In: Carayon P, ed. Handbook of human factors and ergonomics in health care and patient safety. Mahwah, NJ: Lawrence Erlbaum Associates, 2007: 233-48.
7. British Medical Association, National Patient Safety Agency, NHS Modernisation Agency. Safe handover: Safe patients. Guidance on clinical handover for clinicians and managers. http://www.saferhealthcare.org.uk/IHI/ Products/Publications/safehandoversafepatients.htm2005 (accessed 5 Nov 2009).
8. Alvarado K, Lee R, Christoffersen E, et al. Transfer of accountability: Transforming shift handover to enhance patient safety. Healthcare Quarterly 2006;9:75-9.
9. Behara R, Wears RL, Perry S, et al. A conceptual framework for studying the safety of transitions in emergency care. Advances in patient safety: From research to implementation. www.ahrq.gov/downloads/pub/advances/vol2/Behara.pdf (accessed 20 Apr 2010).
10. Patterson ES, Roth EM, Woods DD, et al. Handoff strategies in settings with high consequences for failure: Lessons for health care operations. Int J Qual Health Care 2004;16:125-32.
11. Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: Utilizing simulation-based training toward process improvement in managing patient risk. Chest 2008;134:158-62.
12. Bhabra G, Mackeith S, Monteiro P, et al. An experimental comparison of handover methods. Ann R Coll Surg Engl 2007;89:298-300.
13. Catchpole KR, De Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: Using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr Anaesth 2007;17:470-8.
14. Talbot R, Bleetman A. Retention of information by emergency department staff at ambulance handover: Do standardised approaches work? Emerg Med J 2007;24: 539-42.
15. Mathieu J-E, Heffner T-S, Goodwin G-F, et al. The influence of shared mental models on team process and performance. J Appl Psychol 2000;85:273-83.
16. Cooper JB, Long CD, Newbower RS, et al. Critical incidents associated with intraoperative exchanges of anesthesia personnel. Anesthesiology 1982;56: 456-61.
17. Cooper JB. Do short breaks increase or decrease anesthetic risk? J Clin Anesth 1989;1:228-31.
18. Wears RL, Perry SJ, Shapiro M, et al. Shift changes among emergency physicians: Best of times, worst of times. In: Proceedings of the Human Factors and Ergonomics Society 47th Meeting. Denver: Human Factors and Ergonomics Society, 2003: 1420-3.
19. Clancy CM. Care transitions: A threat and an opportunity for patient safety. Am J Med Qual 2006;21:415-17.
20. Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia: Observational study of handovers in the recovery room. Br J Anaesth 2008;101:332-7.
21. Jeffcott SA, Ibrahim JE, Cameron PA. Resilience in healthcare and clinical handover. Qual Saf Health Care 2009;18:256-60.
22. Gaba DM, Howard SK, Flanagan B, et al. Assessment of clinical performance during simulated crises using both technical and behavioral ratings. Anesthesiology 1998;89:8-18.
23. Flin R, Maran N. Identifying and training non-technical skills for teams in acute medicine. Qual Saf Health Care 2004;13:i80-4.
24. Borowitz SM, Waggoner-Fountain LA, Bass EJ, et al. Adequacy of information transferred at resident sign-out (in-hospital handover of care): A prospective survey. Qual Saf Health Care 2008;17:6-10.
25. Jenkin A, Abelson-Mitchell N, Cooper S. Patient handover: Time for a change? Accid Emerg Nurs 2007;15:141-7.
26. Fletcher G, Flin R, McGeorge P, et al. Anaesthetists' Non-Technical Skills (ANTS): Evaluation of a behavioural marker system. Br J Anaesth 2003;90:580-8.
27. Yong G, Dent AW, Weiland TJ. Handover from paramedics: Observations and emergency department clinician perceptions. Emerg Med Australas 2008;20:149-55.
28. Meissner A, Hasselhorn H-M, Estryn-Behar M, et al. Nurses' perception of shift handovers in Europe: Results from the European Nurses' Early Exit Study. J Adv Nurs 2007;57:535-42.
29. Thakore S, Morrison W. A survey of the perceived quality of patient handover by ambulance staff in the resuscitation room. Emerg Med J 2001;18:293-6.
30. Arora V, Johnson J, Lovinger D, et al. Communication failures in patient sign-out and suggestions for improvement: A critical incident analysis. Qual Saf Health Care 2005;14:401-7.
31. Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: A survey of medical and surgical house staff. Jt Comm J Qual Patient Saf 2008;34: 563-70.
32. Matthews AL, Harvey CM, Schuster RJ, et al. Emergency physician to admitting physician handovers: An exploratory study. In: Proceedings of the Human Factors and Ergonomics Society 46th Meeting. Baltimore: Human Factors and Ergonomics Society, 2002:1511-15.
33. Slagle JM, Kuntz A, France D, et al. Simulation training for rapid assessment and improved teamwork: Lessons learned from a project evaluating clinical handoffs. In: Proceedings of the Human Factors and Ergonomics Society 51st Meeting. Baltimore: Human Factors and Ergonomics Society, 2007:668-72.
34. Anwari JS. Quality of handover to the postanaesthesia care unit nurse. Anaesthesia 2002;57:484-500.
35. von Wyl T, Zuercher M, Amsler F, et al. Technical and non-technical skills can be reliably assessed during paramedic simulation training. Acta Anaesthesiol Scand 2009;53:121-7.
36. Kerlinger FN. Foundations of behavioral research. Austin, TX: Holt, Reinhart and Winston Publishing, 1986.
37. Nunnally JC, Bernstein IH. Psychometric theory. New York: McGraw-Hill Publishing, 1994.
38. Hurley AE, Scandura TA, Schriesheim CA, et al. Exploratory and confirmatory factor analysis: Guidelines, issues, and alternatives. J Organiz Behav 1997;18:667-83.
39. Field A. Discovering statistics using SPSS. London: Sage Publications, 2005.
40. Crocker L, Algina J. Introduction to classical and modern test theory. New York: CBS College Publishing, 1986.
41. Cheung DS, Kelly JJ, Beach C, et al. Improving handoffs in the emergency department. Ann Emerg Med 2010;55:171-80.
42. Apker J, Mallak LA, Applegate EB 3rd, et al. Exploring emergency physicianhospitalist handoff interactions: Development of the Handoff Communication Assessment. Ann Emerg Med 2010;55:161-70.
43. Amalberti R. Risk management by regulation. 19th Myron B Laver International Postgraduate Course 'Risk Management.' Switzerland: Dept. of Anesthesia, University of Basel, 1999.
44. Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competencybased approach to improving handoffs. Qual Saf Health Care 2008;17:11-14.