ArticleQuality & safety in health care2009
Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications.
Article in Quality & safety in health care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program.Journal of general internal medicine · 2013Trial
- The portfolio effect: an opportunity for improving handoffs quality in ICU.BMC health services research · 2024Article
- Handoff Policy Among Psychiatric Residents in an Inpatient Psychiatric Setting.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2024Article
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- Improving handover competency in preclinical medical and health professions students: establishing the reliability and construct validity of an assessment instrument.BMC medical education · 2021Article
- Safe medication management in specialized home healthcare - an observational study.BMC health services research · 2017Observational
- Impact of the 2003 ACGME Resident Duty Hour Reform on Hospital-Acquired Conditions: A National Retrospective Analysis.Journal of graduate medical education · 2017Article
- Teaching Patient Handoffs to Medical Students in Obstetrics and Gynecology: Simulation Curriculum and Assessment Tool.MedEdPORTAL : the journal of teaching and learning resources · 2016Article
- Within-team Patterns of Communication and Referral in Multimodal Treatment of Chronic Low Back Pain Patients by an Integrative Care Team.Global advances in health and medicine · 2015Article
- Medical handovers across shifts within a five-day-working model: results from an electronic handover system in an acute NHS trust.Future hospital journal · 2014Article
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- Development of an orthopedic surgery trauma patient handover checklist.Canadian journal of surgery. Journal canadien de chirurgie · 2014Article
- Duty hour restrictions: organizational dynamics, systems issues, and the impact on faculty.BMC medical education · 2014Review
- Utilization of morning report by acute care surgery teams: results from a qualitative study.American journal of surgery · 2013Article
- Training on handover of patient care within UK medical schools.Medical education online · 2013Article
- Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers.BMJ quality & safety · 2012Article
- The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity of care.Academic medicine : journal of the Association of American Medical Colleges · 2012Article
- A handoff is not a telegram: an understanding of the patient is co-constructed.Critical care (London, England) · 2012Review
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Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLimits on resident hours increase the frequency of patient hand-offs and may contribute to information transfer problems that contribute to adverse outcomes. This study analysed attributes that affect hand-off accuracy, including use of data summaries and end-of-shift transfer strategies from high-reliability organisations.
methodMixed-method study combining qualitative interviews and surveys of residents in internal medicine, surgery, paediatrics and ob-gynaecology.
findingsStrategies in resident hand-offs mirrored the intent of end-off-shift transfers in high-reliability organisations, but approaches differed, reflecting the fluid nature of residents' work and focusing on multiple patients with differing needs. Clinical skills were relevant to hand-off quality for both participants. Cross-coverage, more common duty hour limits, had a negative effect on hand-off accuracy. It significantly increased the likelihood of unplanned changes in care and errors attributed to the hand-off. For surgery residents, asynchronous hand-offs without true interactions increased. Data summaries contributed to efficiency, but were associated with greater incidence of surprises and errors, even when they did not replace verbal hand-offs. Third parties, particularly nursing, functioned as redundant systems that prevented or trapped many hand-off errors.
conclusionsHand-offs depended on residents' clinical skills, suggesting a need for education and supervision of junior residents' transfers. Research is needed to explore how to conduct effective hand-offs under shortened duty periods. This should assess how transfer strategies and data summaries could enhance efficiency and effectiveness, and how they could substitute when a verbal interactive hand-off is not feasible.
Indexed as
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19651928What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.