ArticleIrish journal of medical science2016
Implementation of a surgical handover tool in a busy tertiary referral centre: a complete audit cycle.
Article in Irish journal of medical science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Physician inpatient handoffs-Patient and physician outcomes: A systematic review.Journal of hospital medicine · 2025Pooled it
- Daily handover in surgery: systematic review and a novel taxonomy of interventions and outcomes.BJS open · 2024Pooled it
- Evaluation of a Novel Emergency General Surgery Handover: A Prospective Feasibility Study.The Journal of surgical research · 2024Article
- Handoff standardization in the neonatal intensive care unit with an EMR-based handoff tool.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Mortality rates of patients undergoing emergency laparotomy in an Irish university teaching hospital.Irish journal of medical science · 2018Article
- Weekend surgical handover enhances early management of acute clinical changes using a red flag system.Irish journal of medical science · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe implementation of the European work-time directive has created increased transitions of care during weekends as doctors adhere to a shift-work structure. This raises concerns over continuity of care and patient safety. To address this, doctors must develop a time efficient yet safe system of handover of patients to the team on-call. Intuitively weekend care provides the ideal setting to develop a handover tool.
aimTo develop and implement a process of surgical handover and to improve weekend discharge rate on a surgical service.
methodsData was collected at three time-points over a 6 months period (October 2013-March 2014) encompassing development, implementation, re-evaluation and modification of the handover process. The outcomes measured were: number of inpatients, number of weekend discharges, length of stay (LOS) of inpatients recorded for the four weekends within the month, and total emergency response team (ERT) calls each month.
resultsMean number of included patients each month was 294 (σ = 14). Following the introduction of weekend handover there was a 40 % increase in weekend discharges which was consistent for subsequent time-points (p < 0.05). Following the second intervention there was a statistically significant reduction in mean LOS from 13 to 5.4 days (p < 0.05) and the total number of ERT calls for the month reduced from 12 to 4 (p < 0.05).
conclusionsThe standardisation of weekend handover using a combination of an electronic tool supplemented with verbal handover is feasible. It resulted in a significant improvement in surrogate markers of patient care quality.
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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.