Abstract:
BACKGROUND:Transfers of care have become increasingly frequent and complex with shorter inpatient stays and changes in work hour regulations. Potential hazards exist with transfers. There are few reports of institution-wide efforts to improve handoffs. METHODS:An institution-wide physician handoff task force was developed to proactively address issues surrounding handoffs and to ensure a consistent approach to handoffs across the institution. RESULTS:This report discusses the authors' experiences with handoff standardisation, provider utilisation of a new electronic medical record-based handoff tool, and implementation of an educational curriculum; future work in developing hospital-wide policies and procedures for transfers; and the authors' consensus on the best methods for monitoring and evaluation of trainee handoffs. CONCLUSION:The handoff task force infrastructure has enabled the authors to take an institution-wide approach to improving handoffs. The task force has improved patient care by addressing handoffs systematically and consistently and has helped create new strategies for minimising risk in handoffs.
journal_name
BMJ Qual Safjournal_title
BMJ quality & safetyauthors
Horwitz LI,Schuster KM,Thung SF,Hersh DC,Fisher RL,Shah N,Cushing W,Nunes J,Silverman DG,Jenq GYdoi
10.1136/bmjqs-2011-000658subject
Has Abstractpub_date
2012-10-01 00:00:00pages
863-71issue
10eissn
2044-5415issn
2044-5423pii
bmjqs-2011-000658journal_volume
21pub_type
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