Evidence map›Paper›PMID 27405226›Full record

ArticleBMC health services research2016

Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture.

Soo-Hoon Lee, Phillip H Phan, Todd Dorman, Sallie J Weaver, Peter J Pronovost

Abstract read
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Assessing Patient Safety Culture in Hospital Settings.International journal of environmental research and public health · 2021
    Pooled it
  2. Article
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  10. Review
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  12. OrthoPass: Long-term Outcomes following Implementation of an Orthopaedic Patient Handoff Template.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023
    Article
  13. Article
  14. Article
  15. Article
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  18. Attitudes of Clinicians and Patient Safety Culture Before and After the ARRIVE Trial.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2023
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Soo-Hoon LeeStrome College of Business, Old Dominion University, Norfolk, VA, USA.
Phillip H PhanCarey Business School, Johns Hopkins University, 100 International Drive, Baltimore, MD, 21202, USA. pphan@jhu.edu.
Todd DormanSchool of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Sallie J WeaverSchool of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Peter J PronovostSchool of Medicine, Johns Hopkins University, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe context of the study is the Agency for Healthcare Research and Quality's Hospital Survey on Patient Safety Culture (HSOPSC). The purpose of the study is to analyze how different elements of patient safety culture are associated with clinical handoffs and perceptions of patient safety.

methodsThe study was performed with hierarchical multiple linear regression on data from the 2010 Survey. We examine the statistical relationships between perceptions of handoffs and transitions practices, patient safety culture, and patient safety. We statistically controlled for the systematic effects of hospital size, type, ownership, and staffing levels on perceptions of patient safety.

resultsThe main findings were that the effective handoff of information, responsibility, and accountability were necessary to positive perceptions of patient safety. Feedback and communication about errors were positively related to the transfer of patient information; teamwork within units and the frequency of events reported were positively related to the transfer of personal responsibility during shift changes; and teamwork across units was positively related to the unit transfers of accountability for patients.

conclusionsIn summary, staff views on the behavioral dimensions of handoffs influenced their perceptions of the hospital's level of patient safety. Given the known psychological links between perception, attitude, and behavior, a potential implication is that better patient safety can be achieved by a tight focus on improving handoffs through training and monitoring.

Indexed as

Organizational CulturePatient HandoffPatient SafetySafety ManagementAdultAttitude of Health PersonnelCommunicationHealth Care SurveysHumansMaleMedical Staff, HospitalSurveys and QuestionnairesAccountabilityCommunicationHandoffsPatient safety culturePersonal responsibilityStaff attitudes

Identifiers

PMID27405226
PMCPMC4941024

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.