Evidence map›Paper›PMID 37457856›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2023

Improving Communication in the Medical Intensive Care Unit Through Standardization of Handoff Format: A Quality Improvement Project.

Lindsey A Wallace, Kelsey K Schuder, Vicki Loeslie, Andrew C Hanson, Clifford Ongubo, Elaine Chiarelly, Gregory Schalla, Kathleen Hinson Meek, Donald Springer

Abstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Lindsey A WallaceCritical Care Medicine Independent Multidisciplinary Program, Mayo Clinic, Rochester, MN.
Kelsey K SchuderCritical Care Medicine Independent Multidisciplinary Program, Mayo Clinic, Rochester, MN.
Vicki LoeslieCritical Care Medicine Independent Multidisciplinary Program, Mayo Clinic, Rochester, MN.
Andrew C HansonQuantitative Health Sciences: Division of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN.
Clifford OnguboCritical Care Medicine Independent Multidisciplinary Program, Mayo Clinic, Rochester, MN.
Elaine ChiarellyCritical Care Medicine Independent Multidisciplinary Program, Mayo Clinic, Rochester, MN.
Gregory SchallaCritical Care Medicine Independent Multidisciplinary Program, Mayo Clinic, Rochester, MN.
Kathleen Hinson MeekCardiovascular and Thoracic Surgery, Mercy Heart Hospital, St. Louis, MO.
Donald SpringerCritical Care Medicine Independent Multidisciplinary Program, Mayo Clinic, Rochester, MN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To decrease interruptions in handoff, increase compliance with a structured verbal handoff format, and increase compliance with handoff template completion in electronic medical records without increasing the length of handoff time. Patients and Methods: The project timeline was from April 1, 2019, to February 1, 2020. Define phase data were obtained through a survey of stakeholders to identify the gap in needs. The baseline data included components from the illness severity, patient summary, action list, situational awareness and contingency plans, and synthesis by receiver (IPASS) handoff tool because this tool best aligned with information identified in the define phase. Observational data were collected in person and reviewed via audio recording for accuracy. Results were analyzed to determine adherence to the chosen intervention, the IPASS handoff tool, on which the stakeholders were educated and assessed prior to implementation. Five plan-do-study-act cycles were completed over 3 months to optimize the intervention. Final data were collected and analyzed using the same method as baseline data. Results: After implementation of the IPASS handoff tool, there were more care plan components mentioned in the provider handoffs across all unique IPASS components, there were fewer observed distracting events, and there was increased compliance with electronic medical record handoff completion. The time of handover increased by 3 minutes. Conclusion: A standardized handoff tool improved communication during provider handoffs by increasing the mention of pertinent details and reducing distracting events during handoff.

Identifiers

PMID37457856
PMCPMC10345749

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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.