Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods

Payne, Christina; Stein, Jason; Leong, Traci; Dressler, Daniel D.

doi:10.1136/bmjqs-2011-000308

Cited by 48 publications

(50 citation statements)

References 23 publications

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“…In 22% of the included studies, respondents reported increased or improved handoff content, 22,[29][30][31][32][33][34][35] and 22% of studies also reported high provider satisfaction with use of an electronic handoff system. [22][23][24][25][26][27]31,32 However, in 1 of these studies, 22.6% of respondents reported there was information they did not receive at handoff that would have helped them care for patients.…”

Section: Self-reported Measuresmentioning

confidence: 99%

Evaluating Outcomes of Electronic Tools Supporting Physician Shift-to-Shift Handoffs: A Systematic Review

Davis¹,

Riesenberg²,

Mardis³

et al. 2015

Journal of Graduate Medical Education

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Background Multiple organizations have recognized that handoffs are prone to errors, and there has been an increase in the use of electronic health records and computerized tools in health care. Objective This systematic review evaluates the current evidence on the effectiveness of electronic solutions used to support shift-to-shift handoffs. Methods We searched the English-language literature for research studies published between January 1, 2008, and September 19, 2014, using National Library of Medicine PubMed, EBSCO CINAHL, OvidSP All Journals, and ProQuest PsycINFO. Included studies focused on the evaluation of physician shift-to-shift handoffs and an electronic solution designed to support handoffs. We assessed articles using a quality scoring system, conducted a review of barriers and strategies, and categorized study outcomes into self-report, process, and outcome measures. Results Thirty-seven articles met inclusion criteria, including 20 single group pre- and posttest studies; 8 posttest only or cross-sectional studies; 4 nonrandomized controlled trials; 1 cohort study; 1 randomized crossover study; and 3 qualitative studies. Quality scores ranged from 3.5 to 14 of a possible 16. Most articles documented some positive outcomes, with 2 of the 3 studies evaluating patient outcomes yielding statistically significant improvements. The only other study that analyzed patient outcomes showed that interventions other than the electronic tool were responsible for most of the significant improvements. Conclusions The majority of studies supported using an electronic tool, yet few measured patient outcomes, and numerous studies suffered from methodology issues. Future studies should evaluate patient outcomes, improve study design, assess the role of faculty oversight, and broaden the focus to recognize the role of human factors.

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Section: Self-reported Measuresmentioning

confidence: 99%

Evaluating Outcomes of Electronic Tools Supporting Physician Shift-to-Shift Handoffs: A Systematic Review

Davis¹,

Riesenberg²,

Mardis³

et al. 2015

Journal of Graduate Medical Education

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“…Hampir 1,3 juta kasus pada timbang terima pukul 21.00. Masing-masing kesalahan medis terjadi setiap tahunnya, dengan 48.000 observasi dilakukan pada hari yang berbeda untuk sampai 98.000 dari kasus tersebut mengakibatkan mendapatkan gambaran timbang terima dari 6 dokter full kematian pasien (4 (5). Komunikasi selama proses timbang terima yang khusus digunakan dalam proses tersebut, sehingga pasien merupakan periode kritis terhadap kontinuitas dan terjadi ketidakseragaman informasi yang disampaikan keberhasilan perawatan pasien (6).…”

Section: Pendahuluanunclassified

“…Hal tersebut akan rekaman proses timbang terima yang dapat dijadikan memperlama waktu penanganan pasien di UGD. (5). Tujuan dari timbang terima pasien adalah proses timbang terima selanjutnya dituangkan dalam terjadikomunikasi yang akuratdan dapat diandalkan bentuk lembar timbang terima.…”

Section: Pendahuluanunclassified

Pengembangan Lembar Timbang Terima Dokter di Unit Gawat Darurat untuk Membangun Komunikasi Efektif

Harjayanti¹,

Rahmi²,

Wiyanto

2014

JKB

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ABSTRAKKomunikasi pada masa transisi pelayanan di rumah sakit merupakan titik kritis dalam manajemen keselamatan pasien. Unit Gawat Darurat rumah sakit merupakan ujung tombak dan pintu masuk pelayanan dengan intensitas pelayanan yang tinggi, sehingga mempunyai potensi insiden yang tinggi pula. Penelitian ini dilakukan untuk mengeksplorasi proses timbang terima untuk mengembangkan model form timbang terima sehingga meningkatkan kualitas komunikasi. Penelitian ini menggunakan metode kualitatif dengan cara melakukan observasi, membagikan kuisioner, dan diskusi dengan subjek penelitian. Observasi dilakukan pada tiga setting transisi pelayanan yaitu UGD, Kamar Bersalin dan Rawat Inap. Wawancara dan diskusi dilakukan responden Dokter UGD. Hasil observasi menunjukkan proses timbang terima yang belum baku terutama komponen informasi yang disampaikan sehingga mengakibatkan potensi insiden keselamatan pasien. Hasil diskusi kelompok mengidentifikasi komponen atau aspek penting yang harus dikomunikasikan pada proses timbang terima yang meliputi laporan kondisi dan perkembangan keseluruhan pasien, peralatan penunjang (inventaris peralatan) termasuk stok obat, serta kondisi pada unit terkait yang juga merupakan bagian dari tanggung jawab Dokter Jaga IGD. Format timbang terima yang dikembangkan merupakan timbang terima pada tingkat unit, sesuai dengan tanggungjawab Dokter Jaga. Kata Kunci: Keselamatan pasien, komunikasi, timbang terima ABSTRACT Communication on the transition services in hospital is

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“…10 Web-based applications have been used to decrease variability. 11 22,23 A mechanism to electronically attach contingency plans for clinical deterioration, pending studies needing review, and tasks requiring completion (without incorporating these into the permanent medical record) further enhances the handoff communication. 14,22 Some of the content standardization may be possible with existing technology, but others may require novel features developed in conjunction with electronic medical record companies, information technology leaders, and hospital administrators; for instance, an organization may construct a sign-out template in a given format for use throughout the institution.…”

Section: Role Of Technologymentioning

confidence: 99%

“…In addition, maintaining a sign-out environment free of distractions and using available information technology tools can improve the efficiency and quality of information transfer. 5,10,11 As The Joint Commission, regulators, public and private payers, physician professional organizations, and hospitals attempt to curb medical errors, there is an intense focus on handoff communication. Studies have challenged the typical belief that handoffs between physicians are efficient and effective 12 and that handoffs between experienced providers are better than between trainees.…”

Section: Introductionmentioning

confidence: 99%

Standardization of Inpatient Handoff Communication

Jewell¹,

Percelay²,

Hill³

et al. 2016

Pediatrics

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Handoff communication is identified as an integral part of hospital care. Throughout medical communities, inadequate handoff communication is being highlighted as a significant risk to patients. The complexity of hospitals and the number of providers involved in the care of hospitalized patients place inpatients at high risk of communication lapses. This miscommunication and the potential resulting harm make effective handoffs more critical than ever. Although hospitalized patients are being exposed to many handoffs each day, this report is limited to describing the best handoff practices between providers at the time of shift change.

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Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods

Abstract: Standardisation of information transmitted during patient handovers through the use of a structured, web-based application led to consistent transfer of vital patient information and was associated with improved resident confidence and fewer perceived near-miss events on call.

Cited by 48 publications

References 23 publications

Evaluating Outcomes of Electronic Tools Supporting Physician Shift-to-Shift Handoffs: A Systematic Review

Evaluating Outcomes of Electronic Tools Supporting Physician Shift-to-Shift Handoffs: A Systematic Review

Pengembangan Lembar Timbang Terima Dokter di Unit Gawat Darurat untuk Membangun Komunikasi Efektif

Standardization of Inpatient Handoff Communication

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