Improving interunit transitions of care between emergency physicians and hospital medicine physicians: A conceptual approach

Academic Emergency Medicine

Volumn 19, Issue 10, 2012, Pages 1188-1195

  Beach, Christopher ^a   Cheung, Dickson S ^a,b   Apker, Julie ^c   Horwitz, Leora I ^d   Howell, Eric E ^e   O'Leary, Kevin J ^a   Patterson, Emily S ^f   Schuur, Jeremiah D ^g   Wears, Robert ^h   Williams, Mark ^a  

^a NORTHWESTERN UNIVERSITY   (United States)

^b Sky Ridge Medical Center   (United States)

^c WESTERN MICHIGAN UNIVERSITY   (United States)

^d YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e DEPARTMENT OF PATHOLOGY   (United States)

^f THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE   (United States)

^g BRIGHAM AND WOMEN S HOSPITAL   (United States)

^h UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL DECISION MAKING; EMERGENCY PHYSICIAN; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HOSPITAL MEDICINE PHYSICIAN; HUMAN; INTERPERSONAL COMMUNICATION; INTERUNIT TRANSITIONS OF CARE; MEDICAL CARE; PATIENT CARE; PHYSICIAN; PRIORITY JOURNAL; PROFESSIONALISM; TREATMENT PLANNING;

DELIVERY OF HEALTH CARE; EMERGENCY SERVICE, HOSPITAL; HOSPITAL COMMUNICATION SYSTEMS; HUMANS; INTERDISCIPLINARY COMMUNICATION; PHYSICIANS;

EID: 84867581686     PISSN: 10696563     EISSN: 15532712     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2012.01448.x     Document Type: Article

References (58)

1. Pitts SR, Niska RW, Xu J, Burt CW,. National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary. Natl Health Stat Rep. 2008; 7: 1-39.
2. United States General Accounting Office. Report to the Ranking Minority Member, Committee on Finance, US Senate. Hospital Emergency Departments: Crowded Conditions Vary Among Hospitals and Communities. GAO-03-460. March 2003, p. 29. Available at: http://www.gao.gov/assets/290/289048.pdf. Accessed Jul 27, 2012.
3. Behara R, Wears RL, Perry SJ, et al., A conceptual framework for studying the safety of transitions in emergency care. In: Agency for Healthcare Research and Quality (Ed.). Advances in Patient Safety: From Research to Implementation. Vol 2. Rockville, MD: AHRQ, 2005, pp 309-21.
4. Arora V, Johnson J, Lovinger D, Humphrey HJ, Meltzer DO,. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Qual Saf Health Care. 2005; 14: 401-7. (Pubitemid 41820063)
5. Horwitz LI, Krumholz HM, Green ML, Huot SJ,. Transfers of patient care between house staff on internal medicine wards: a national survey. Arch Intern Med. 2006; 166: 1173-7. (Pubitemid 43877624)
6. Beach C, Croskerry P, Shapiro M,. Profiles in patient safety: emergency care transitions. Acad Emerg Med. 2003; 10: 364-7. (Pubitemid 36437795)
7. Sinha M, Shriki J, Salness R, Blackburn PA,. Need for standardized sign-out in the emergency department: a survey of emergency medicine residency and pediatric emergency medicine fellowship program directors. Acad Emerg Med. 2007; 14: 192-6. (Pubitemid 46157189)
8. Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH,. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008; 168: 1755-10.
9. Maughan BC, Lei L, Cydulka RK,. ED handoffs: observed practices and communication errors. Am J Emerg Med. 201; 29: 502-11.
10. Horwitz LI, Parwani V, Shah N, Schuur JD, Jenq GY, Kulkarni RG,. Evaluation of an asynchronized physician voice mail sign-out for emergency department admissions. Ann Emerg Med. 2009; 54: 368-78.
11. Cook RI, Render M, Woods DD,. Gaps in the continuity of care and progress on patient safety. BMJ. 2000; 320: 791-4. (Pubitemid 30179436)
12. Coleman E,. The care transitions program. Available at: http://www.caretransitions.org/. Accessed July 27, 2012.
13. Horwitz LI, Moin T, Green M,. Development and implementation of an oral sign-out skills curriculum. J Gen Intern Med. 2007; 22: 1470-4. (Pubitemid 47476705)
14. Arora V, Johnson J,. A model for building a standardized hand-off protocol. Jt Comm J Qual Patient Saf. 2006; 32: 646-55.
15. Cheung DS, Kelly JJ, Beach C, et al., Improving handoffs in the emergency department. Ann Emerg Med. 2010; 55: 171-80.
16. Patterson ES,. Structuring flexibility: the potential good, bad and ugly in standardization of handovers. Qual Saf Health Care. 2008; 17: 4-5. (Pubitemid 351262946)
17. Patterson ES, Wears RL,. Beyond "communication failure." Ann Emerg Med. 2009; 53: 711-2.
18. Snow V, Beck D, Budnitz T, et al., Transitions of care consensus policy statement: American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. J Gen Intern Med. 2009; 24: 971-6.
19. Hilligoss B, Cohen MD,. The unappreciated challenges of between-unit handoffs: negotiating and coordinating across boundaries. Ann Emerg Med. 2012.Epub ahead of print
20. Horwitz LI, Meredith T, Schuur JD, Shah NR, Kulkarni RG, Jeng GY,. Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Ann Emerg Med. 2009; 53: 701-10.
21. Apker J, Mallak LA, Gibson SC,. Communicating in the "Gray Zone": perceptions about emergency physician-hospitalist handoffs and patient safety. Acad Emerg Med. 2007; 14: 884-94. (Pubitemid 47432753)
22. Bainbridge L,. The change in concepts needed to account for human behavior in complex dynamic tasks. IEEE Transactions Systems Man Cybernetics. 1997; 27: 351-9. (Pubitemid 127775091)
23. Xiao Y, Hunter WA, Mackenzie C, Jefferies NJ, Horst RL,. Task complexity in emergency medical care and its implications for team coordination. Hum Factors. 1996; 38: 636-45. (Pubitemid 26427585)
24. Patterson ES, Roth EM, Woods DD, Chow R, Gomes JO,. Handoff strategies in settings with high consequences for failure: lessons for healthcare operations. Int J Qual Health Care. 2004; 16: 125-32. (Pubitemid 38489473)
25. Hartnett T,. The CODM Model for Facilitating Groups to Widespread Agreement. New York, NY: New Society Publishers, 2011.
26. Patterson ES, Wears RL,. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010; 36: 52-61.
27. Dekker S,. Patient Safety: A Human Factors Approach. New York, NY: CRC Press, 2011.
28. Eisenberg EM, Murphy AG, Sutcliffe KM, et al., Communication in emergency medicine: implications for patient safety. Comm Monographs. 2005; 72: 390-413. (Pubitemid 41711551)
29. Poulsen D, Kintsch E, Kintsch W, Premack D,. Children's comprehension and memory for stories. J Exp Child Psych. 1979; 28: 379-403.
30. Charon R,. Narrative medicine: a model for empathy, reflection, profession, and trust. JAMA. 2001; 286: 1897-902. (Pubitemid 33010245)
31. Talbot R, Bleetman A,. Retention of information by emergency department staff at ambulance handover: do standardized approaches work? Emerg Med J. 2007; 24: 539-42. (Pubitemid 47193720)
32. Weick K,. Sensemaking in Organisations. Thousand Oaks, CA: Sage Publications, 1995.
33. Simon HA,. Designing organizations for an information-rich world. In:, Greenberger M, ed. Computers, Communications and the Public Interest. Baltimore, MD: The Johns Hopkins University Press; 1971, pp 37-72.
34. Asplin BR,. Value-based purchasing and hospital admissions: doing the right thing isn't easy. Ann Emerg Med. 2010; 56: 258-60.
35. Carrier E, Yee T, Holzwart RA,. Coordination Between Emergency and Primary Care Physicians. NIHCR: Research Brief. 2011; 3: 1-11.
36. Chiu HS, Chan KF, Chung CH, Ma K, Au KW,. A comparison of emergency department admission diagnoses and discharge diagnoses: retrospective study. Hong Kong J Emerg Med. 2003; 10: 70-75.
37. Croskerry P,. The cognitive imperative: thinking about how we think. Acad Emerg Med. 2000; 7: 1223-31.
38. Croskerry P,. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Emerg Med. 2003; 78: 775-80. (Pubitemid 36993075)
39. Putnam LL,. Formal negotiations: the productive side of organizational conflict. In:, Nicotera AM, ed. Conflict and Organizations: Communication Processes. Albany, NY: State University Press of New York, 1995, pp 183-200.
40. Mohr JJ, Batalden PB,. Improving safety on the front lines: the role of clinical microsystems. Qual Saf Health Care. 2002; 11: 45-50. (Pubitemid 35265302)
41. Nelson EC, Godfrey MM, Batalden PB, et al., Clinical microsystems, part 1. The building blocks of health systems. Jt Comm J Qual Patient Saf. 2008; 34: 367-78.
42. Hicks CM, Bandiera GW, Denny CJ,. Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey. Acad Emerg Med. 2008; 15: 1136-43.
43. SM. Available at: http://www.himssanalytics.org/emram/index.aspx. Accessed Jul 27, 2012.
44. Resnik P, Niv M, Nossal M, Kapit A, Toren R,. Communication of clinically relevant information in electronic health records: a comparison between structured data and unrestricted physician language. Persp Health Inform Manag, CAC Proceedings; Fall 2008.
45. Collins SA, Stein DM, Vawdrey DK, Stetson PD, Bakkan S,. Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. J Biomed Inform. 2011; 44: 704-12.
46. Behnam-Hutchins MM, Effken JA,. Multi-professional patterns and methods of communication during patient handoffs. Int J Med Inform. 2010; 79: 252-67.
47. Flanagan ME, Patterson ES, Frankel RM, Doebbeling BN,. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009; 16: 509-16.
48. Daft RL, Lengel RH,. Organizational information requirements, media richness, and structural design. Manag Sci. 1986; 32: 554-71.
49. Mehrabian A, Wiener M,. Decoding of inconsistent communications of personality and social psychology. J Pers Soc Psychol. 1967; 6: 109-14.
50. Kline JA, Courtney DM, Kabrhel C, et al., Prospective multicenter evaluation of the pulmonary embolism rule-out criteria. J Thromb Haemost. 2008; 6: 772-84.
51. Apker J, Mallak LA, Applegate EB, et al., Exploring emergency physician-hospitalist handoff interactions: development of the handoff communication assessment. Ann Emerg Med. 2010; 55: 161-70.
52. Chalfin DB, Trzeciak S, Likourezos A, Baumann BM, Dellinger RP,. Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Crit Care Med. 2007; 35: 1477-83. (Pubitemid 46809310)
53. Beach C,. Lost in transition. AHRQ Web M&M Feb, 2006. Available at: http://webmm.ahrq.gov/case.aspx?caseID=116. Accessed Jul 27, 2012.
54. Trzeciak S, Rivers EP,. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg Med J. 2003; 20: 402-5. (Pubitemid 37168210)
55. Institute of Medicine (IOM). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press, 2001.
56. Lee TH,. Putting the value framework to work. N Engl J Med. 2010; 363: 2481-3.
57. American College of Graduate Medical Education. Approved Standards. Common Program Requirements Effective: July 1, 2011. VI.B Transitions in Care. Available at: http://acgme-2010standards.org/pdf/Common-Program-Requirements- 07012011.pdf. Accessed Jul 27, 2012.
58. Pawson R, Tilley N,. Realistic Evaluation. London, UK: Sage, 1997.