Systematic Review of Handoff Mnemonics Literature

Riesenberg, Lee Ann; Leitzsch, Jessica; Little, Brian W.

doi:10.1177/1062860609332512

Cited by 306 publications

(208 citation statements)

References 31 publications

(21 reference statements)

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“…However, a systematic review conducted between 1987 and 2008 identified 24 mnemonics reported in the literature and found that more than half of the studies used "SBAR" (situa tion, background, assessment, recommendations). 12 This clearly indicates that there is no single mnemonic that can fit each situation and specialty. Moreover, these mnemonics were not validated on a larger scale.…”

Section: Discussionmentioning

confidence: 99%

Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey

Saleem

Paulus

Vassiliou

et al. 2015

cjs

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Background: Communication errors are considered one of the major causes of senti nel events. Our aim was to assess the process of patient handoff among junior surgical residents and to determine ways in which to improve the handoff process. Methods:We conducted nationwide surveys that included all accredited general surgery residency programs in the United States and Canada.Results: Of the 244 American and 17 Canadian accredited surgical residency pro grams contacted, 65 (27%) and 12 (71%), respectively, participated in the survey. Of the American and Canadian respondents, 66% and 69%, respectively, were from post graduate year (PGY) 1, and 32% and 29%, respectively, were from PGY 2; 85 (77%) and 50 (96%), respectively, had not received any training about patient handoff before their surgical residency, and 27% and 64%, respectively, reported that the existing handoff system at their institutions did not adequately protect patient safety. More over, 29% of American respondents and 37% of Canadian respondents thought that the existing handoffs did not support continuity of patient care. Of the American resi dents, 67% and 6% reported receiving an incomplete handoff that resulted in minor and major patient harm, respectively. These results mirrored those from Canadian resi dents (63% minor and 7% major harm). The most frequent factor reported to improve the patient handoff process was standardization of the verbal handoff. Conclusion:Our survey results indicate that the current patient handoff system con tributes to patient harm. More efforts are needed to establish standardized forms of verbal and written handoff to ensure patient safety and continuity of care.Contexte : Les erreurs de communication sont considérées comme l'une des causes majeures des événements sentinelles. Notre but était d'évaluer le processus de trans fert des patients chez les résidents junior en chirurgie et de trouver des façons de l'améliorer.Méthodes : Nous avons procédé à des sondages nationaux qui ont inclus tous les programmes agréés de résidence en chirurgie générale aux États Unis et au Canada.Résultats : Sur les 244 programmes agréés de résidence en chirurgie américains et les 17 canadiens, 65 (27 %) et 12 (71 %), respectivement, ont participé au sondage. Parmi les participants américains et canadiens, 66 % et 69 %, respectivement, étaient en pre mière année de résidence (PGY 1) et 32 % et 29 %, respectivement, étaient en deux ième année de résidence (PGY 2); 85 (77 %) et 50 (96 %), respectivement, n'avaient reçu aucune formation sur le transfert des patients avant leur résidence en chirurgie et 27 % et 64 %, respectivement, ont déclaré que le système actuel de transfert de leur établissement n'assurait pas adéquatement la sécurité des patients. De plus, 29 % des participants américains et 37 % des participants canadiens ont dit estimer que le mode actuel de transfert ne favorisait pas la continuité des soins. Chez les résidents américains, 67 % et 6 % ont déclaré recevoir un rapport de transfert incomplet susceptible d'entraîner u...

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Section: Discussionmentioning

confidence: 99%

Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey

Saleem

Paulus

Vassiliou

et al. 2015

cjs

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“…78 Despite the recognized need for standardized tools and procedures at each site, the ACGME recognizes that each site may have different needs and will not use the same templates or tools. 68 ToC concepts apply to practitioners beyond the training period. With the use of learner-identified ToC milestones, a longitudinal education and evaluation curriculum that uses tool-and simulation-based education modules has been developed for all levels of learners, from medical student through faculty.…”

Section: Teaching Tocsmentioning

confidence: 99%

Handoffs: Transitions of Care for Children in the Emergency Department

Shook¹,

Chun²,

Conners³

et al. 2016

Pediatrics

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Transitions of care (ToCs), also referred to as handoffs or sign-outs, occur when the responsibility for a patient's care transfers from 1 health care provider to another. Transitions are common in the acute care setting and have been noted to be vulnerable events with opportunities for error. Health care is taking ideas from other high-risk industries, such as aerospace and nuclear power, to create models of structured transition processes. Although little literature currently exists to establish 1 model as superior, multiorganizational consensus groups agree that standardization is warranted and that additional work is needed to establish characteristics of ToCs that are associated with clinical or practice outcomes. The rationale for structuring ToCs, specifi cally those related to the care of children in the emergency setting, and a description of identifi ed strategies are presented, along with resources for educating health care providers on ToCs. Recommendations for development, education, and implementation of transition models are included.

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“…The SBAR (situation, background, assessment, recommendations) is the most commonly mentioned in the bibliography, but no robust studies have demonstrated the usefulness of any of the currently used rules. 18 In some fields requiring a high precision, such as air traffic control, strict and systematic rules are followed in each change of shift. 19 One study analyzed the change of shift in relation to tasks where failure could lead to severe consequences.…”

Section: Discusssionmentioning

confidence: 99%

Communication during patient handoff in the areas of intensive care of a university hospital. A cross-sectional study

2014

Arch Argent Pediat

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Objective. To assess how the quality of communication is perceived during patient handoff in areas of intensive care. Materials and Methods. Cross-sectional study conducted at a university hospital. The study assessed the perception of the quality of information received during patient handoff and the chance of physicians working on-call shifts in intensive care areas mistaking the information of one patient with that of another one. Results. Information was perceived as being "good" quality when patient handoff took place in pediatric areas (85.7%), it was conducted in a calm environment (74.4%), it was performed according to a case presentation system (82.9%), the physician was responsible for less than 17 patients (91%), and training on handoff communication had been provided (87.5%). No significant association with the rest of the analyzed outcome measures was observed. The chance of mistaking information of one patient with that of another one was perceived as "low" when handoff took place in pediatric areas (95.2%), it was performed according to a case presentation system (80%), there were not more than three interruptions (84.6%), the physician was responsible for less than 17 patients (90.9%), training on handoff communication had been provided (91.7%), and the physician was a staff doctor (77.1%).Conclusions. The quality of information received during patient handoff and the chance of mistaking the information of one patient with that of another one were associated with environmental, organizational and educational aspects that can potentially be improved.

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Systematic Review of Handoff Mnemonics Literature

Cited by 306 publications

References 31 publications

Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey

Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey

Handoffs: Transitions of Care for Children in the Emergency Department

Communication during patient handoff in the areas of intensive care of a university hospital. A cross-sectional study

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