Patient Safety at Handoff in Rehabilitation Medicine

Pediatric Post-Acute Care Hospital Transitions: An Evaluation of Current Practice

“…The adjacent frequently and occasionally responses were combined into a "sometimes" category to reduce the low-frequency responses in the presentation of the results. Consistent with previous transitional literature, [4][5][6][7][8][9][10][11][12]14,[19][20][21][22][23][24][25] we present the clinical practices in 4 categories: assessment, communication, education, and logistics.…”

“…[16][17][18] Effective transition practices are needed to ensure patient safety [5][6][7][8][9]19 and patient/family readiness for admission to a postacute care hospital or discharge to the community from a post-acute care hospital. [9][10][11][12] Practices for transition include assessment, communication, education, and logistics.…”

“…[9][10][11][12] Practices for transition include assessment, communication, education, and logistics. [4][5][6][7][8][9][10][11][12]14,[19][20][21][22][23][24][25] Reports of transition practices for adults transferring to inpatient rehabilitation programs 7 and for infants being discharged after care in a NICU are available. 20,21 In addition, recommendations have been made for discharge planning for children who require mechanical ventilation.…”

Reducing Errors in Transition from Acute Stroke Hospitalization to Inpatient Rehabilitation

“…While many aspects of stroke care have been extensively studied and protocolized, handoff of stroke patients has been largely neglected despite evidence that a substantial proportion of preventable adverse events in this population are attributable to errors in communication between providers ( 21 ). Transition to rehabilitation is especially high risk for communication failure ( 22 ). This study demonstrates that this risk can be modified, and the observed improvements are similar to other recently published data supporting a decrease in medical error rates with implementation of a formal verbal handoff program ( 23 ).…”

Rehabilitation Barriers Recognized in a Geriatric Patient after Cardiac Revascularization Procedure

“…Studies to date have predominantly focused on intershift hand-offs, with relatively little attention given to intrahospital transfers (Joint Commission, 2013). Hand-off communication for an admission to a rehabilitation facility is at a particularly high risk for communication failure, potentially affecting patient safety (Siefferman, 2012). The patient described in this case study was transferred between two institutions that implemented new Electronic Health Record systems in 2013.…”