Evidence map›Paper›PMID 34320682›Full record

ArticleApplied clinical informatics2021

A Collaborative Partnership between the Multicenter Handoff Collaborative and an Electronic Health Record Vendor.

Bommy Hong Mershon, Andrea Vannucci, Trent Bryson, Felix Lin, Philip E Greilich, Guy Dear, Patrick Guffey, Aalok Agarwala

Abstract readMulticenter Study
In one paragraph

Article in Applied clinical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Effect of standardized EHR-integrated handoff report on intraoperative communication outcomes.Journal of the American Medical Informatics Association : JAMIA · 2024
    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.

Bommy Hong MershonDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.
Andrea VannucciDepartment of Anesthesiology, University of Mississippi Medical Center, Jackson, Mississippi, United States.
Trent BrysonDepartment of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas, United States.
Felix LinTechnical Services, Epic Systems Corporation, Verona, Wisconsin, United States.
Philip E GreilichDepartment of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas, United States.
Guy DearDepartment of Anesthesiology and Pediatrics, Duke University, Durham, North Carolina, United States.
Patrick GuffeyDepartment of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado, United States.
Aalok AgarwalaDepartment of Anesthesiology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe operating room is a specialized, complex environment with many factors that can impede effective communication during transitions of care between anesthesia clinicians. We postulated that an efficient, accessible, standardized tool for intraoperative handoffs built into standard workflow would improve communication and handoff safety. Most institutions now use an electronic health record (EHR) system for patient care and have independently designed intraoperative handoff tools, but these home-grown tools are not scalable to other organizations and lack vendor-supported features. The goal of this project was to create a standardized, intraoperative handoff tool supported by EHR functionality.

methodsThe Multicenter Handoff Collaborative, with support from the Anesthesia Patient Safety Foundation, created a working group of frontline anesthesia experts to collaborate with a development team from the EHR vendor (Epic Systems) to design a standardized intraoperative handoff tool. Over 2 years, the working group identified the critical elements for the tool and software usability, and the EHR team designed a standardized intraoperative handoff tool that is accessible to any institution using this EHR.

resultsThe first iteration of the intraoperative handoff tool was released in August 2019, with a second version in February 2020. The tool is standardized but customizable by individual institutions.

conclusionWe demonstrate that work on complex health care processes critical to patient safety, such as handoffs, can be performed on a national scale through cross-industry collaboration. Frontline experts can partner with health care industry vendors to design, build, and release a product on an accelerated timeline.

Indexed as

Patient HandoffCommunicationElectronic Health RecordsHumansOperating RoomsWorkflow

Identifiers

PMID34320682
PMCPMC8318701

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.