Evidence map›Paper›PMID 27591388›Full record

Observational studyJournal of critical care2016

Information handoff and outcomes of critically ill patients transferred between hospitals.

Michael G Usher, Christine Fanning, Di Wu, Christine Muglia, Karen Balonze, Deborah Kim, Amay Parikh, Dana Herrigel

Abstract readObservational Study
In one paragraph

Observational study in Journal of critical care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Article
  2. Interfacility Transfer and Admission to PICUs in the United States: Survey of Referral Communications in 2023.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Telemedicine for Interfacility Nurse Handoffs.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2019
    Article
  9. A Qualitative Study of Risks Related to Interhospital Transfer of Patients with Nontraumatic Intracranial Hemorrhage.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2019
    Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Observational
  15. Developing and Validating a Pediatric Potentially Avoidable Transfer Quality Metric.American journal of medical quality : the official journal of the American College of Medical Quality
    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

8 authors.

Michael G UsherDepartment of Medicine, Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis, MN 55455. Electronic address: mgusher@umn.edu.
Christine FanningDepartment of Medicine, Division of General Internal Medicine, Rutgers, Robert Wood Johnson Medical School, New Brunswick, NJ 08901.
Di WuDepartment of Medicine, Division of General Internal Medicine, Rutgers, Robert Wood Johnson Medical School, New Brunswick, NJ 08901.
Christine MugliaDepartment of Medicine, Division of General Internal Medicine, Rutgers, Robert Wood Johnson Medical School, New Brunswick, NJ 08901.
Karen BalonzeDepartment of Medicine, Division of General Internal Medicine, Rutgers, Robert Wood Johnson Medical School, New Brunswick, NJ 08901.
Deborah KimDepartment of Medicine, Division of Pulmonary and Critical Care, Boston University School of Medicine, Boston, MA 02118.
Amay ParikhDepartment of Medicine, Divisions of Nephrology and Critical Care, Rutgers, Robert Wood Johnson Medical School, New Brunswick, NJ 08901.
Dana HerrigelDepartment of Medicine, Division of General Internal Medicine, Rutgers, Robert Wood Johnson Medical School, New Brunswick, NJ 08901.

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
NCATS NIH HHS UL1 TR000114
6 · The paper itself

Abstract

purposePatients transferred between hospitals are at high risk of adverse events and mortality. This study aims to identify which components of the transfer handoff process are important predictors of adverse events and mortality. MATERIALS AND

methodsWe conducted a retrospective, observational study of 335 consecutive patient transfers to 3 intensive care units at an academic tertiary referral center. We assessed the relationship between handoff documentation completeness and patient outcomes. The primary outcome was in-hospital mortality. Secondary outcomes included adverse events, duplication of labor, disposition error, and length of stay.

resultsTransfer documentation was frequently absent with overall completeness of 58.3%. Adverse events occurred in 42% of patients within 24 hours of arrival, with an overall in-hospital mortality of 17.3%. Higher documentation completeness was associated with reduced in-hospital mortality (odds ratio [OR], 0.07; 95% confidence interval [CI], 0.02 to 0.38; P = .002), reduced adverse events (coefficient, -2.08; 95% CI, -2.76 to -1.390; P < .001), and reduced duplication of labor (OR, 0.19; 95% CI, 0.04 to 0.88; P = .033) when controlling for severity of illness.

conclusionsDocumentation completeness is associated with improved outcomes and resource utilization in patients transferred between hospitals.

Indexed as

Hospital MortalityPatient TransferAgedCritical IllnessDocumentationFemaleHealth ResourcesHospitalsHumansIntensive Care UnitsLength of StayMaleMiddle AgedOdds RatioPatient HandoffPilot ProjectsHandoffICU mortalityInformationInterhospital transferTransitions of care

Identifiers

PMID27591388
PMCPMC5096986

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.