Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program

Journal of General Internal Medicine

Volumn 28, Issue 8, 2013, Pages 986-993

  Graham, Kelly L ^a,b   Marcantonio, Edward R ^a   Huang, Grace C ^a,b   Yang, Julius ^a   Davis, Roger B ^a   Smith, C Christopher ^a  

^a HARVARD MEDICAL SCHOOL   (United States)

^b BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

Author keywords

communication; continuity of care; graduate medical education; hand off; patient safety; quality improvement; systems based practice; transitions in care

Indexed keywords

ADULT; ARTICLE; CLINICAL HANDOVER; FEMALE; HEALTH CARE QUALITY; HUMAN; INTERNAL MEDICINE; INTERPERSONAL COMMUNICATION; JOB SATISFACTION; MALE; MEDICAL DOCUMENTATION; NORMAL HUMAN; PATIENT SAFETY; RESIDENCY EDUCATION; VALIDATION PROCESS;

ADULT; DATA COLLECTION; FEMALE; HUMANS; INTERNAL MEDICINE; INTERNSHIP AND RESIDENCY; MALE; PATIENT HANDOFF; PATIENT SAFETY; PROGRAM EVALUATION; QUALITY OF HEALTH CARE;

EID: 84880506326     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-013-2391-7     Document Type: Article

References (20)

1. Vidyarthi AR, Arora V, Schnipper JL, Wall SD, Wachter RM. Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. J Hosp Med. 2006;1(4):257-66.
2. 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(6):401-7.
3. Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60.
4. Lofgren RP, Gottlieb D, Williams RA, Rich EC. Post-call transfer of resident responsibility: its effect on patient care. J Gen Intern Med. 1990;5(6):501-5.
5. Johnson JK, Arora VM. Improving clinical handovers: creating local solutions for a global problem. Qual Saf Health Care. 2009;18(4):244-5.
6. Arora VM, Johnson JK, Meltzer DO, Humphrey HJ. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4.
7. Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Qual Saf Health Care. 2009;18(4):248-55.
8. 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(11):1173-7.
9. Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qual Saf Health Care. 2009;18(4):261-6.
10. Wayne JD, Tyagi R, Reinhardt G, Rooney D, Makoul G, Chopra S, et al. Simple standardized patient handoff system that increases accuracy and completeness. J Surg Educ. 2008;65(6):476-85.
11. Van Eaton EG, Horvath KD, Lober WB, Rossini AJ, Pellegrini CA. A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. J Am Coll Surg. 2005;200(4):538-45.
12. Horwitz LI, Moin T, Green ML. Development and implementation of an oral sign-out skills curriculum. J Gen Intern Med. 2007;22(10):1470-4.
13. Arora V, Johnson J. A model for building a standardized hand-off protocol. Jt Comm J Qual Patient Saf. 2006;32(11):646-55.
14. Solet DJ, Norvell JM, Rutan GH, Frankel RM. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9.
15. Cohen MD, Hilligoss PB. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19(6):493-7.
16. Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010;36(2):52-61.
17. Patterson ES, Roth EM, Woods DD, Chow R, Gomes JO. Handoff strategies in settings with high consequences for failure: lessons for health care operations. Int J Qual Health Care. 2004;16(2):125-32.
18. Jeffcott SA, Evans SM, Cameron PA, Chin GS, Ibrahim JE. Improving measurement in clinical handover. Qual Saf Health Care. 2009;18(4):272-7.
19. Petersen LA, Brennan TA, O'Neil AC, Cook EF, Lee TH. Does housestaff discontinuity of care increase the risk for preventable adverse events? Ann Intern Med. 1994;121(11):866-72.
20. Petersen LA, Orav EJ, Teich JM, O'Neil AC, Brennan TA. Using a computerized sign-out program to improve continuity of inpatient care and prevent adverse events. Jt Comm J Qual Improv. 1998;24(2):77-87.