A Systematic Review of Failures in Handoff Communication During Intrahospital Transfers

Ong, Mei‐Sing; BiomedE, M.; Coiera, Enrico W.

doi:10.1016/s1553-7250(11)37035-3

Cited by 148 publications

(127 citation statements)

References 54 publications

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“…Studies of patient hand-over were excluded since recent reviews on this topic have been published. [29][30][31] Title and Abstract ReviewThe search yielded 12,922 citations (Fig. 1).…”

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confidence: 99%

Teamwork Assessment in Internal Medicine: A Systematic Review of Validity Evidence and Outcomes

et al. 2013

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OBJECTIVE: Valid teamwork assessment is imperative to determine physician competency and optimize patient outcomes. We systematically reviewed published instruments assessing teamwork in undergraduate, graduate, and continuing medical education in general internal medicine and all medical subspecialties. DATA SOURCES: We searched MEDLINE, MEDLINE In-process, CINAHL and PsycINFO from January 1979 through October 2012, references of included articles, and abstracts from four professional meetings. Two content experts were queried for additional studies. STUDY ELIGIBILITY: Included studies described quantitative tools measuring teamwork among medical students, residents, fellows, and practicing physicians on single or multi-professional (interprofessional) teams. STUDY APPRAISAL AND SYNTHESIS METHODS:Instrument validity and study quality were extracted using established frameworks with existing validity evidence. Two authors independently abstracted 30 % of articles and agreement was calculated. RESULTS: Of 12,922 citations, 178 articles describing 73 unique teamwork assessment tools met inclusion criteria. Interrater agreement was intraclass correlation coefficient 0.73 (95 % CI 0.63-0.81). Studies involved practicing physicians (142, 80 %), residents/fellows (70, 39 %), and medical students (11, 6 %). The majority (152, 85 %) assessed interprofessional teams. Studies were conducted in inpatient (77, 43 %), outpatient (42, 24 %), simulation (37, 21 %), and classroom (13, 7 %) settings. Validity evidence for the 73 tools included content (54, 74 %), internal structure (51, 70 %), relationships to other variables (25, 34 %), and response process (12, 16 %). Attitudes and opinions were the most frequently assessed outcomes. Relationships between teamwork scores and patient outcomes were directly examined for 13 (18 %) of tools. Scores from the Safety Attitudes Questionnaire and Team Climate Inventory have substantial validity evidence and have been associated with improved patient outcomes. LIMITATIONS: Review is limited to quantitative assessments of teamwork in internal medicine. CONCLUSIONS:There is strong validity evidence for several published tools assessing teamwork in internal medicine. However, few teamwork assessments have been directly linked to patient outcomes. 3,4 Recognizing this, the Institute of Medicine, the Joint Commission, the Agency for Healthcare Research and Quality (AHRQ), and others have made teamwork a top priority in their recommendations for improving healthcare. [5][6][7][8][9] Teamwork is also prominently positioned within the American Board of Internal Medicine (ABIM) requirements for maintenance of certification for internists, 10 as well as the Accreditation Council for Graduate Medical Education's core competencies, 11 milestones, 12 and medical student competencies. 13 As such, every physician at the undergraduate, graduate, and continuing professional level must demonstrate competency in teamwork.While there is broad agreement on the imperative to improve teamwork, there is littl...

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“…Studies of patient hand-over were excluded since recent reviews on this topic have been published. [29][30][31] Title and Abstract ReviewThe search yielded 12,922 citations (Fig. 1).…”

mentioning

confidence: 99%

Teamwork Assessment in Internal Medicine: A Systematic Review of Validity Evidence and Outcomes

et al. 2013

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“…To transfer essential information and responsibility for patient care from one health care provider to another (a practice commonly referred as handover) is an integral component of communication in healthcare setting (ACSQHC, 2005;Ong & Coiera, 2011;Mardis et al, 2015). Clinical handover is the transfer of professional responsibility and accountability for some or all aspects of care for a patient, or group of patients, to another person or professional group on a temporary or permanent basis (ACSQHC, 2009;ACSQHC, 2011).…”

Section: Introductionmentioning

confidence: 99%

Clinical Handover among Physicians: A Survey in a North Eastern Italian Academic Hospital

Quattrin¹,

Menegazzi²,

Moccia³

et al. 2017

JSS

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Transferring essential information and responsibility for patient care from one health care provider to another is an integral component of patient safety in a hospital. This study aims to collect physician interests and needs about handover before introduction of a standardized tool in a North Eastern Italian Academic Hospital (AH). From October 2014 to December 2014 all physicians working in the AH were asked to fill a web-based questionnaire concerning currently adopted methods to clinical handover and their perception on its. Response rate was 10.5% (90/853). 63.3% (57/90) of physicians showed maximal agreement with the statement "communication failures are related to adverse events" and 40% (36/90) of them completely agreed that "improving handover makes work safer". Among actually used handover methods (total answers: 157), verbal communication was referred 45.2% times, written notes 26.1%, electronic supports 21.7%. The most frequently reported obstacles to an effective handover (107 answers) were interruptions (27.1%), absence of hospital written protocols (25.2%) and colleague's inability to provide further information when required (17.7%). Respondents interested to test a new handover procedure were 48.9% (44/90). The low response rate and the fact that only half of respondents were interested in experimenting a new procedure stress the little relevance given by physicians to handover as a key process for patient safety. Furthermore, hazardous methods of transferring information such as verbal communication and non-structured text, combined with referred handover obstacles, suggest the necessity of developing a hospital policy for clinical handover among physicians.

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“…To transfer essential information and responsibility for patient care from one health care provider to another is an integral component of communication in health care and it is known as a handoff [3][4][5] . An effective handoff supports transition of critical information and continuity of care and treatment.…”

Section: Introductionmentioning

confidence: 99%

Shift-to-shift handoff: A comparison between two methods of conveying essential information in a University Hospital in North-eastern Italy

Quattrin

Calligaris

Londero³

et al. 2014

JHA

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A Systematic Review of Failures in Handoff Communication During Intrahospital Transfers

Cited by 148 publications

References 54 publications

Teamwork Assessment in Internal Medicine: A Systematic Review of Validity Evidence and Outcomes

Teamwork Assessment in Internal Medicine: A Systematic Review of Validity Evidence and Outcomes

Clinical Handover among Physicians: A Survey in a North Eastern Italian Academic Hospital

Shift-to-shift handoff: A comparison between two methods of conveying essential information in a University Hospital in North-eastern Italy

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