Improving Intershift Handoffs in a Multihospital Setting
نویسنده
چکیده
Ineffective handoffs have been identified as a barrier to patient safety and quality and as a key area for improvement. Handoffs require a process for effective transfer of critical information. A redesigned nurse-to-nurse intershift handoff was implemented in 7 hospitals of a multisite system. The redesign included combining evidence and an innovative approach developed by nurse managers to improve intershift report. Results included an increase in nurse and patient satisfaction.
منابع مشابه
Improving resident handoffs for children transitioning from the intensive care unit.
BACKGROUND AND OBJECTIVE Handoffs ensure patient safety during patient care transitions in the hospital setting. At our institution, verbal handoffs communicated by resident physicians are suggested practice for patients transferring from the PICU to the hospital medicine (HM) service. Despite their importance, these verbal handoffs occurred only 76% of the time before patient arrival on HM uni...
متن کاملEmergency physician intershift handover - can a dINAMO checklist speed it up and improve quality?
BACKGROUND Physician intershift handover has been identified as an area of high risk for adverse events, representing a critical step in patient care transition. Due to frequent shift changes and high patient numbers, emergency departments offer an ideal study setting. AIM OF THE STUDY At a tertiary care hospital emergency department we aimed to reduce the time needed for patient handover whi...
متن کاملTeaching and Assessing ED Handoffs: A Qualitative Study Exploring Resident, Attending, and Nurse Perceptions
INTRODUCTION The Accreditation Council for Graduate Medical Education requires that residency programs ensure resident competency in performing safe, effective handoffs. Understanding resident, attending, and nurse perceptions of the key elements of a safe and effective emergency department (ED) handoff is a crucial step to developing feasible, acceptable educational interventions to teach and ...
متن کاملLost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs.
Handoffs involve the transfer of rights, duties, and obligations from one person or team to another. In many high-precision, high-risk contexts such as a relay race or handling air traffic, handoff skills are practiced repetitively to optimize precision and anticipate errors. In medicine, wide variation exists in handoffs of hospitalized patients from one physician or team to another. Effective...
متن کاملDecreasing handoff-related care failures in children's hospitals.
BACKGROUND AND OBJECTIVE Patient handoffs in health care require transfer of information, responsibility, and authority between providers. Suboptimal patient handoffs pose a serious safety risk. Studies demonstrating the impact of improved patient handoffs on care failures are lacking. The primary objective of this study was to evaluate the effect of a multihospital collaborative designed to de...
متن کامل