Patient Handoff

Proper handoff2

• Given the emphasis placed on teaching reliable communication to trainees, many residency programs are developing curricula on proper handoff practices. (the-hospitalist.org)
• You're right--you have to accept an assignment and then leave without a proper handoff. (allnurses.com)

Implementation9

• Conclusions Implementation of a receiver-driven intervention to standardise clinic-to-ED handoffs was associated with improved communication quality. (bmj.com)
• These findings suggest that expanded implementation of similar programmes may significantly improve the care of patients transferred to the paediatric ED. (bmj.com)
• Competing interests NS, AJS and DCW have consulted with and hold equity in the I-PASS Patient Safety Institute, which seeks to train institutions in best handoff practices and aid in their implementation. (bmj.com)
• Implementation of I-PASS has been associated with substantial improvements in patient safety and can beapplied to a variety of disciplines and types of patient handoffs. (harvard.edu)
• Widespread implementation of I-PASS has the potential tosubstantially improve patient safety in the United States and beyond. (harvard.edu)
• There are a number of considerations when creating the implementation of a handoff protocol (see Table 1). (apsf.org)
• Does the implementation of a handoff program lead to improved patient safety? (the-hospitalist.org)
• Changes in medical errors after implementation of a handoff program. (the-hospitalist.org)
• Implementation of evidence-based work -hour limits, scientifically designed work schedules, and infrastructural changes, such as the development of standardized handoff systems, are urgently needed. (cdc.gov)

Ineffective4

• Ineffective handoffs can be deadly. (healthworkscollective.com)
• Up to 80% of medical errors involve ineffective communication at clinical transfers of care 7 , 8 and standardizing handoffs can reduce potential errors. (neurology.org)
• and today handoffs are being performed in less than optimal fashion, with ineffective communications accounting for 80% of the handoff errors. (sbir.gov)
• Common reasons for ineffective handoff communication include length of report (too long or short), lack of policy and direction in reporting, little to no nurse education in regards to effective handoff (both in school and nurse orientation), variability in individual nurse's abilities to accurately give handoff, and most importantly, lack of a standardized format (or tool) in place that would promote consistency throughout the unit. (nursingcenter.com)

Anesthesia3

• Systematic review of intraoperative anesthesia handoffs and handoff tools. (ahrq.gov)
• Several well-designed studies have shown their positive effect on postoperative handoffs by anesthesia professionals to PACU nurses, 6-8 but the intraoperative period has received much less attention. (apsf.org)
• The increasing use of Electronic Medical Records (EMRs) and Automated Anesthesia Information Systems (AIMS) may make it necessary to contact the local vendor via the hospital administration to explore options for integration of the handoff tool in the available EMR/AIMS (or at the very least, to ensure appropriate documentation of its use). (apsf.org)

Transitions3

• A segment of these communication opportunities involve hospital handoffs during a hospitalization and when a patient transitions out of the hospital to home or another care facility. (medpagetoday.com)
• Such leadership transitions are especially important when the handoff is from the founding generation to that of a succeeding generation. (chausa.org)
• 95% confidence interval [CI], 95% - 100%) agreed that "end-of-rotation transitions were a vulnerable time for patients. (medscape.com)

Urgently needed1

• Strategies that improve end-of-rotation handoffs are urgently needed to address this potentially serious gap in clinical care. (medscape.com)

Checklists4

• Already some EMR systems include checklists for patient handoffs which include offering patients and their family an opportunity to ask questions. (healthworkscollective.com)
• Handoff checklists are an easy way to standardize oral communication and to reduce the loss of information. (apsf.org)
• Standardized communication tools such as checklists may play a useful role in reducing medical errors related to communication between patient care teams. (neurology.org)
• While checklists have been in wide use as an aide to performing routine nursing tasks (like getting patients ready for the operating room), their routine use in the operating room itself is a relatively new phenomenon. (harvard.edu)

Intraoperative1

• found a 43% increase in in-hospital mortality and a 27% increase in major morbidity associated with intraoperative handoffs between anaesthetists in cardiac surgery. (apsf.org)

Care65

• The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. (ahrq.gov)
• Higher quality of care and patient safety associated with better NICU work environments. (ahrq.gov)
• Nurse managers' leadership, patient safety, and quality of care: a systematic review. (ahrq.gov)
• Ensure a mechanism to advise clinical care teams of changes in clinical condition that may warrant a change in PPE ensemble, ambulance vehicle configuration, equipment carried, or number of providers required to manage patient at point-of-transfer. (cdc.gov)
• Confirm and communicate location for transition of patient care at air field. (cdc.gov)
• A recent study followed patients from the initial call through handoff at the hospital and beyond, looking for gaps in care. (ems1.com)
• Standardized handoff tools are increasingly implemented to improve communication between health care providers. (ahrq.gov)
• Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses. (ahrq.gov)
• Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. (ahrq.gov)
• Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs. (ahrq.gov)
• Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral impact of in situ simulation. (ahrq.gov)
• It's tough at the end of a shift - the outgoing staff is exhausted, and it can be tricky to get the allotted time free from patient care. (healthworkscollective.com)
• Patient handoffs at the end of a shift, when you just want to get home and take a bath or go straight to bed, can sometimes feel like an extra burden, but don't let that impact this essential part of providing good patient care. (healthworkscollective.com)
• Your bath and bed will still be waiting for you, and will be even more relaxing if enjoyed along with the peace of mind that comes with providing excellent patient care. (healthworkscollective.com)
• We used multiple methods of inquiry to study the information needs of trauma care and handoff, and the context of medical work in the field. (nih.gov)
• Recognizing the need for a tool to assess the culture of patient safety in health care organizations, AHRQ developed the Hospital Survey on Patient Safety Culture , which was released in November 2004. (ahrq.gov)
• Patient safety is a critical component of health care quality. (ahrq.gov)
• Hospital staff who may not have direct contact or interaction with patients but whose work directly affects patient care (staff in units such as pharmacy, laboratory/pathology). (ahrq.gov)
• 4 This could be in part the result of a reduction in resident duty hours, resulting in increasing numbers of providers taking care of patients in any given time period5 coupled with a perceived lack of education and the known risks of communication errors. (apsf.org)
• Reporting to the Research and Development Directorate of the Defense Health Agency and the Office of Patient Care Services within the VA, VCE integrates DOD and VA-funded research related to vision health with a strong focus on ocular blast injury and traumatic brain injury (TBI) to improve operational readiness. (health.mil)
• Communication failure at the time of handoff of patient care from one resident to another is a significant cause of medical errors. (the-hospitalist.org)
• We prospectively examined the effect of a standardized handoff checklist on clinical outcomes for patients dismissed from the neurointensive care unit. (neurology.org)
• Improving transfers of care between clinical providers is an increasing priority of patients, policymakers, and regulatory agencies, 1 yet much of the systematic study of clinical handoffs has emphasized communication at the same level of care, such as during shift changes. (neurology.org)
• 2 , 3 Comparatively few studies have examined handoffs between the intensive care unit (ICU) and hospital floor services, 4 and most studies have relied on practitioner interviews or surveys rather than on clinical measures or outcomes. (neurology.org)
• ED boarding compromises the quality, safety , and experience of patient care . (bvsalud.org)
• Care patterns for pediatric asthma can help identify differences between types of patients - and possible ways to reduce avoidable hospitalizations. (rand.org)
• Organizations have created standard practices and training materials to encourage teamwork communication for handoffs, however these do not necessarily capture the needs of military medicine of combat casualty care. (sbir.gov)
• This proposal is to develop a Handoff Training for Combat Casualty Care (HTC3) Framework.Training is the crux of the handoff problem today. (sbir.gov)
• These actions involved leadership in supporting the patient care teams' goal to prevent falls for their patients. (ahrq.gov)
• Using gap analysis, determine whether any areas of the fall prevention process can be streamlined to make patient care easier for staff. (ahrq.gov)
• Adaptive, interactive virtual simulations with integrated curriculum resources and personalized feedback provide a full simulation learning experience for every student to promote confidence and competence in patient-centered care. (laerdal.com)
• By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. (laerdal.com)
• Even though we have the best of intentions, we often fail to provide the best care for every patient every time. (harvard.edu)
• Integrated primary care, a health care delivery model that combines medical and behavioral health services, provides better patient access to care at a lower cost, with better outcomes compared with usual nonintegrated care models. (jabfm.org)
• Most patients with mental health and substance use disorders (jointly referred to as behavioral health conditions) are initially evaluated and subsequently receive the majority of treatment for these conditions in the primary care setting. (jabfm.org)
• 1 , 2 Patients strongly prefer to receive behavioral health care within the primary care setting. (jabfm.org)
• It "combines medical and behavioral health services to more fully address the spectrum of problems that patients bring to their primary medical care providers. (jabfm.org)
• 11 The idea is to improve patient outcomes by encouraging collaboration between primary care physicians (PCPs) and behavioral health providers (BHPs) in the diagnosis and comanagement of behavioral health conditions. (jabfm.org)
• Assist with phone triage, medical refills, patient calls and clinical care as required. (simplyhired.com)
• The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. (collegerecruiter.com)
• E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. (collegerecruiter.com)
• 2) Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. (collegerecruiter.com)
• A)Identifies short and long term goals based on patient care needs. (collegerecruiter.com)
• 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. (collegerecruiter.com)
• A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. (collegerecruiter.com)
• B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. (collegerecruiter.com)
• 4) Documents and or communicates nursing care and or changes in patient condition. (collegerecruiter.com)
• A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. (collegerecruiter.com)
• My experience in health care to date has taught me a lot about the importance of handoffs. (chausa.org)
• Many experts working to eliminate medical errors and preventable deaths identify the integrity of the chain of care as crucial to patient safety. (chausa.org)
• Here comes the 10th patient of the day, out of the operating room and into the postanesthesia care unit (PACU). (ormanager.com)
• If our goal is to provide the appropriate medical care to each patient, alternative destinations and treatment options will be required other than transport. (zolldata.com)
• 1 Change-of-shift reporting and patient information handoff is a vital part of patient care, particularly in CCUs where nurses are frequently responsible for one to two critically ill patients at any given time. (nursingcenter.com)
• Postreport, nurses must immediately begin assessing and using their critical thinking skills to care for their patients. (nursingcenter.com)
• Not only does the report provide nurses with an effective and meaningful way to transfer responsibility and accountability of patient care, it helps build team cohesion, enhances shared values, and supports ritualistic functions. (nursingcenter.com)
• To provide proper transfer of responsibility and meaningful patient care, the report must be accurate, clear, concise, complete, and timely and cost-effective for both offgoing and oncoming nurses. (nursingcenter.com)
• a 350-bed facility providing tertiary care in a community setting, set out to develop an ICU-specific, standardized, change-of-shift tool that would be beneficial to the nursing staff and ultimately their patients. (nursingcenter.com)
• If there were no patients assigned to your care at the time you left the position, it cannot be considered patient abandonment. (allnurses.com)
• Primary care physicians are ideally positioned to prescribe PrEP for their patients because they have longitudinal relationships: they get to know their patients, and hopefully their patients feel comfortable talking with them about their sexual health," said Brandon Pollak, MD, a primary care physician and HIV specialist at The Ohio State University College of Medicine in Columbus. (medscape.com)
• The effect on patient outcomes is still uncertain, but "it is clear that residents perceive warm handoffs as a safer way to transition care at the time of service change and rate the exercise as a valuable use of their time," the authors explain. (medscape.com)
• The transferring of patient care responsibility from one health-care professional to another. (bvsalud.org)
• ABSTRACT A previous study in Cairo, Egypt highlighted the need to improve the patient safety culture among health-care providers at Ain Shams University hospitals. (who.int)
• This descriptive cross-sectional study assessed health- care providers' perceptions of patient safety culture within the organization and determined factors that played a role in patient safety culture. (who.int)
• Patient safety culture still has many areas for improvement that need continuous evaluation and monitoring to attain a safe environment both for patients and health-care providers. (who.int)
• The The aims of this study were to as- and Quality's hospital survey on patient safety culture of an organization acts as sess their perceptions of patient safety safety culture [7], pilot tested, revised a guide as to how employees will behave culture dimensions among health-care and then released in November 2004. (who.int)

Clinicians5

• Often, the best outcomes for patients are determined by what comes next: how well they are able to comply with clinicians' recommendations or get answers to questions. (ringcentral.com)
• Clinicians should consider PrEP for all patients who have sex with someone who has HIV, do not use condoms, or have had a sexually transmitted infection within the previous 6 months. (medscape.com)
• Clinicians should consider medication adherence and whether a patient is likely to take a pill once a day or could benefit from receiving an injection every 2 months. (medscape.com)
• Three similarly effective forms of PrEP approved by the US Food and Drug Administration (FDA) enable clinicians to tailor the medications to the specific needs and preferences of each patient. (medscape.com)
• A "warm handoff" protocol consisting of in-person meetings between incoming and outgoing residents, shared rounds, and use of a bedside rounding checklist improved the incoming clinicians' comfort level with patients and was perceived by the overwhelming majority of participating residents to be safer for patients, researchers report. (medscape.com)

Hospitals6

• Joshua Denson, MD, at the University of Colorado and his colleagues conducted a retrospective multicenter analysis of more than 230,000 patient discharges from internal medicine units at 10 university-affiliated VA hospitals and found "Adjusted hospital mortality was significantly greater in transition vs control patients for the intern-only and intern + resident groups, but not for the resident-only group. (medpagetoday.com)
• Hospitals seeking to understand patient safety strengths and vulnerabilities in the context of mergers/acquisitions benefit more from a third-party perspective than from a limited internal process. (harvard.edu)
• Following Medicaid expansion, non safety-net hospitals experienced a greater percentage increase in Medicaid stays than did safety-net hospitals, which may reflect patient choice or a crowd-out of private insurance. (rand.org)
• The study was a pre/post experimental design and did not involve randomization of patients, surgical services or hospitals. (harvard.edu)
• Hospitals have launched programs most often focusing on three patient populations: Congestive Heart Failure, Diabetes, and Asthma/COPD. (zolldata.com)
• Of course their behav- providers in different departments at It was designed to assess hospital staff iour will be influenced or determined Ain Shams University hospitals and to opinions about patient safety issues, by what behaviours are rewarded and determine which factors played a role in medical error and event reporting and acceptable within the workplace [2]. (who.int)

Outcomes for patients1

• Basic things such as filling their prescriptions at their local pharmacy, and following up with their physician as scheduled become essential in positive outcomes for patients. (zolldata.com)

Military and civilian1

• Comparing military and civilian trauma documentation and handoff, we found similarities in the types of data collected and the prioritization of information. (nih.gov)

Physician6

• Mortality rates are higher among hospitalized patients who are transitioned when a physician in training is rotated to another specialty. (medpagetoday.com)
• 2 Transition patients were defined as those who were admitted to the hospital before a physician in training was rotated to another specialty and who expired or discharged within 7 days following the transition. (medpagetoday.com)
• Extensive work evaluating the risks associated with hospital handoffs and the link to death rates has been outlined in the literature, with the most recent work being reported from the University of Colorado linking higher death rates associated with routine handoffs between physician residents during a hospitalization. (medpagetoday.com)
• The earlier the longer: Disproportionate time allocated to patients discussed early in attending physician handoff sessions. (utoronto.ca)
• For example, an after-visit clinical summary given to a patient summarizes the content of the patient visit to a physician. (amazon.com)
• Often this chain consists of a series of small but important communications, be it reading a physician's written order, transferring medical information from one physician or hospital department to another or any of a long list of handoffs within our complex organizations where things may go right or wrong, depending on who is paying attention to the details. (chausa.org)

Systematic9

• Nursing handoffs: a systematic review of the literature. (ahrq.gov)
• Anesthesiology patient handoff education interventions: a systematic review. (ahrq.gov)
• Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. (ahrq.gov)
• Interventions to engage patients and families in patient safety: a systematic review. (ahrq.gov)
• Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. (ahrq.gov)
• Although this systematic review identified several studies supporting the use of SBAR as a communication tool to improve patient safety, the authors suggest the evidence is moderate and that further research is needed. (ahrq.gov)
• Patient safety in inpatient mental health settings: a systematic review. (ahrq.gov)
• Patient engagement in the inpatient setting: a systematic review. (ahrq.gov)
• Latif A, Lateef N, Ahsan MJ, Kapoor V, Usman RM, Cooper S, Andukuri V, Mirza M, Ashfaq MZ, Khouzam R. Transcatheter Versus Surgical Aortic Valve Replacement in Patients with Cardiac Surgery: Meta-Analysis and Systematic Review of the Literature. (creighton.edu)

Broader2

• Air and ground ambulance agencies have procedures for the management of patients with serious communicable diseases - this guidance is aimed at facilitating the patient handoff, not broader air or ground ambulance operations. (cdc.gov)
• This dynamic is lived out within organizations at a broader level when the time comes for a handoff from one generation of leadership to another. (chausa.org)

Handovers2

• In verbal handovers, departing physicians have the opportunity to share their clinical judgements, as well as identifying their most in-need patients. (wikipedia.org)
• The intervention is to train nurses to do their handovers at the patient s bed. (who.int)

Communication13

• In response to a MedPage Today query about the danger of patient handoffs in general, William Maples, MD, chief medical officer for the Institute of Healthcare Excellence, offered this perspective: "Communication breakdowns have been one of the top 3 root causes for sentinel events based on Joint Commission data over the past several years. (medpagetoday.com)
• 0.001), and a significant increase in the inclusion of all key elements of handoff communication. (the-hospitalist.org)
• Lack of standardized and transparent handoff communication contributes to boarding time . (bvsalud.org)
• The use of an electronic , standardized handoff communication process resulted in decreased boarding time and increased bed flow efficiency . (bvsalud.org)
• Combat casualty handoffs are critical communication moments during which responsibility for the patient and important casualty information is transferred between providers. (sbir.gov)
• Research has identified that handoffs are particularly important communication processes, during which communication error can lead to patient safety situations. (sbir.gov)
• We used a quality improvement methodology to standardise an existing and validated handoff tool within our HM team to improve handoff communication among providers and improve patient safety. (bmj.com)
• Methods A quality improvement team was charged with studying handoff communication among HM teams and between day and night shift providers at a tertiary oncology hospital. (bmj.com)
• Provider perceptions of handoff quality, efficiency, communication errors and the I-PASS tool's effectiveness were satisfactory. (bmj.com)
• Adherence to the standardised handoff tool significantly improved workflows and facilitated communication between the day and night shift teams. (bmj.com)
• emphasising the need for effective communication, making it clear who the most ill patient is, the development of standardised strategies and improve written and verbal handoffs. (wikipedia.org)
• Being well prepared at providing effective communication handoff at change of shift is critical. (nursingcenter.com)
• The researchers developed a protocol to test the idea that "unambiguous, face-to-face communication between providers" would improve the handoff process. (medscape.com)

Practices4

• To analyze curricular integration between teaching of patient safety and good infection prevention and control practices. (bvs.br)
• Integrative review, designed to answer the question: "How does curricular integration of content about 'patient safety teaching' and content about 'infection prevention and control practices' occur in undergraduate courses in the health field? (bvs.br)
• Patient safety related to infection prevention and control practices is present in the curriculum of health undergraduate courses, but is not coordinated with other themes, is taught sporadically, and focuses mainly on hand hygiene. (bvs.br)
• Undergraduate courses in the health field play an important role in the promotion of knowledge, skills and attitudes associated with patient safety and contribute to safe practices and actions to deal with situations of risk. (bvs.br)

Healthcare15

• All involved healthcare workers (air and ground) have received education and training and demonstrated the necessary competencies for management of patients with serious communicable diseases. (cdc.gov)
• Adverse event reviews in healthcare: what matters to patients and their family? (ahrq.gov)
• Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial. (ahrq.gov)
• Timely access to appointments, helpful information, multidisciplinary teams that work well together-there are many things that together make for a great healthcare experience for patients. (ringcentral.com)
• But between a high volume of patients trying to make appointments to more admins and call center reps working remotely, it's also the first place a healthcare organization can fall short of providing the ideal experience. (ringcentral.com)
• Providing 24/7 patient treatment requires collaboration between mobile healthcare providers who may be on another floor or in another patient room when a question arises. (ringcentral.com)
• This document provides information about the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (SOPS ® ) to help translation team members develop a translation that conveys the same meaning as the original U.S. English version. (ahrq.gov)
• Healthcare organisations need help standardising handoffs to comply with accrediting bodies' regulations. (bmj.com)
• In this post, we focus on a use case within the healthcare field to help determine the accuracy of information regarding patient health. (amazon.com)
• In 2006, The Joint Commission required that all information handoffs at change of shift be part of a standardized process across the healthcare community. (nursingcenter.com)
• Also, most patient abandonment laws are geared toward licensed healthcare providers such as nurses and physicians. (allnurses.com)
• A representative sample of 510 physicians, nurses, pharmacists, technicians and labourers in different departments answered an Arabic version of the Agency of Healthcare Research and Quality hospital survey for patient safety culture. (who.int)
• Un échantillon représentatif de 510 médecins, personnels infirmiers, pharmaciens, techniciens et autres agents dans différents services a répondu à l'enquête hospitalière sur la culture de la sécurité des patients de l' Agency of Healthcare Research and Quality [Agence pour la recherche et la qualité des soins de santé] dans sa version arabe. (who.int)
• Healthcare-associated infections (HAIs) stand out among the factors that represent threats to patient safety, both because of their high frequency and the high morbimortality that they cause. (bvs.br)
• Faced with this issue, the Brazilian Ministry of Health instituted the National Patient Safety Program in 2013, based on international guidelines, to prevent and/or reduce the incidence of adverse effects related to healthcare services. (bvs.br)

SBAR1

• Other attempts were made in the past to incorporate an SBAR handoff sheet at each change of shift, but were rejected by the nursing staff at Forbes. (nursingcenter.com)

Joint Commission1

• In recent years, there has been an increasing focus by The Joint Commission on improving handoffs. (apsf.org)

Residency programs1

• That led to more handoffs in residency programs. (medpagetoday.com)

Nurse3

• Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. (ahrq.gov)
• This work uses Unity and an HMD to create a VR environment to display a 360◦video of a pre-recorded patient handoff be- tween a nurse and doctor. (easychair.org)
• What to cover in your nurse-to-nurse handoff report The patient's name and age. (uslegalforms.com)

Verbal1

• It is a record of both verbal and written data about a patient, their information, their treatment, their health, and of course the results. (uslegalforms.com)

20201

• In May 2020 it emerged that Vitamin D can reduce complications amongst patients with coronavirus disease. (wikipedia.org)

Cause of patient harm2

• Incoming interns recognize inadequate physical examination as a cause of patient harm. (ahrq.gov)
• Background Lack of consistent and standardised handoffs is a leading cause of patient harm. (bmj.com)

Safety31

• This article highlights several techniques to improve the safety of patient transfers. (ahrq.gov)
• Health literacy and patient safety events. (ahrq.gov)
• What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. (ahrq.gov)
• Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety. (ahrq.gov)
• Patient safety answers require outreach, in-reach, and partnerships. (ahrq.gov)
• Learning from no-fault treatment injury claims to improve the safety of older patients. (ahrq.gov)
• On patient safety: when are we too old to operate? (ahrq.gov)
• The rotation-associated increase in mortality rate worsened after the Accreditation Council for Graduate Medical Education instituted stricter duty hour regulations in the hope of improving patient safety. (medpagetoday.com)
• Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. (ahrq.gov)
• Effects of interorganisational information technology networks on patient safety: a realist synthesis. (ahrq.gov)
• Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. (ahrq.gov)
• Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review. (ahrq.gov)
• Patients' perceptions of safety in emergency medical services: an interview study. (ahrq.gov)
• We surveyed key stakeholders pre-intervention and post-intervention to assess perceptions of quality, safety and efficiency of the handoff process. (bmj.com)
• Funding This study was funded by Program for Patient Safety & Quality, Boston Children's Hospital. (bmj.com)
• NS, AJS and DCW also reported receiving honoraria and travel reimbursement from multiple academic and professional organisations for delivering lectures on handoffs and patient safety. (bmj.com)
• Get all your medmal and patient safety news here. (harvard.edu)
• Next, we group the survey items according to the patient safety culture dimensions they assess and provide more information about the intended meaning of the items. (ahrq.gov)
• Achieving a culture of safety requires an understanding of the values, beliefs, and norms about what is important in an organization and what attitudes and behaviors related to patient safety are expected and appropriate. (ahrq.gov)
• In the U.S. we recommend using the title "Hospital Survey on Patient Safety" and not including the word "Culture. (ahrq.gov)
• The reason is that in the U.S. some respondents do not know what patient safety culture means-they tend to confuse the word "culture" with ethnicity and race. (ahrq.gov)
• If you think respondents in your country understand the term "patient safety culture," you may leave the word "culture" in the title. (ahrq.gov)
• The Hospital Survey on Patient Safety Culture examines patient safety culture from a hospital staff perspective. (ahrq.gov)
• No related patient safety or quality issues were identified. (bvsalud.org)
• After the I-PASS interventions, HM providers were surveyed twice to evaluate the secondary outcomes: the tool's impact on workflow, perceptions of patient safety, ease of use and satisfaction with I-PASS. (bmj.com)
• She was chief medical resident when the Accreditation Council for Graduate Medical Education announced duty hours in 2003, and became interested in patient safety. (wikipedia.org)
• Patient Safety in Emergency Medicine. (utoronto.ca)
• Patient safety is defined as avoidance providers at Ain Shams University hos- view by the researcher. (who.int)
• better patient safety culture. (who.int)
• Patient safety is a widely discussed subject worldwide, especially because of the high incidence of adverse events in health institutions. (bvs.br)
• This program ensured the inclusion of the topic of 'patient safety' in the curriculum of health undergraduate courses ( 5 ) , but did not specify the mechanisms that should be used to evaluate the insertion of this subject. (bvs.br)

Improving2

• Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. (ahrq.gov)
• Improving Patient Flow From the Emergency Department Utilizing a Standardized Electronic Nursing Handoff Process. (bvsalud.org)

Transfers1

• This may occur when an air ambulance agency transfers the patient to a ground ambulance agency or when a ground ambulance agency transfers a patient to an air ambulance agency. (cdc.gov)

Hospital12

• For instance, before interns' hours were shortened, the all-cause hospital mortality was 3.8% for patients who were handed off as a result of clinical rotations, versus 2.4% for control patients, which was statistically insignificant ( P = .47). (medpagetoday.com)
• In one handoff study, Dr. Michael Cohen of the University of Michigan, studied the handoffs of 262 patients at a hospital in Ontario, Canada. (healthworkscollective.com)
• Hospital staff who have direct contact or interaction with patients (clinical staff, such as nurses, or nonclinical staff, such as unit clerks). (ahrq.gov)
• Measuring inpatient readmissions without accounting for observation stays and ED visits underestimates the rate at which patients return to the hospital following an inpatient hospitalization. (rand.org)
• Policies to improve patient experience may be more effective if tailored to the patient population at a given practice or hospital. (rand.org)
• With increased census in our hospital medicine (HM) service, failure to handoff using a standardised method has the potential to cause significant patient harm. (bmj.com)
• She has studied the sleep that patients get in hospital, and showed that hospitalised patients receive two hours less sleep a night than they would in the outside world. (wikipedia.org)
• Jackson I, Pajjuru V, Varghese M, Nayfeh A, Millner P, Landeen C, Walters R, Andukuri V. In-Hospital Outcomes of Acute COPD Exacerbation in Elderly Patients with Demetia: A Nationwide Analysis. (creighton.edu)
• Nearly one in five Medicare patients returned to the hospital within a month of discharge in 2010, costing the government an extra $17.5 billion. (zolldata.com)
• During this available time, it would be conceivable that EMS could stop by to visit a patient recently discharged from the hospital to assure they are following their discharge instructions, have filled their medications, etc. (zolldata.com)
• Everything that happens in an ambulance has a huge impact on what happens to a patient in a hospital. (zolldata.com)
• Starting in July, 2015, postgraduate year (PGY) 2 and PGY 3 residents at three training sites began using a "warm handoff" process in which outgoing and incoming residents met the day before the switch to discuss each patient's medical history, hospital course, and plan, and jointly rounded on the sickest patients. (medscape.com)

Nursing5

• This process improvement initiative implemented a standardized electronic situation, background, assessment, and recommendation (eSBAR) format-based nursing handoff process from the ED to a medical unit. (bvsalud.org)
• vSim for Nursing allows each student to have a different experience with the patient. (laerdal.com)
• B)Formulates nursing interventions to achieve desired patient outcome. (collegerecruiter.com)
• How do you write a nursing patient report? (uslegalforms.com)
• Patient transfer within nursing staff of one facility. (bvsalud.org)

Preventable1

• The I-PASS Handoff Bundle might reduce preventable adverse events and medical errors without significant impact on handoff duration or resident workflow. (the-hospitalist.org)

Retrospective1

• Study limitations included the inability to survey all of the eligible residents, no monitoring or supervision of the warm handoffs, and the retrospective nature of the study, plus its focus on a single residency program. (medscape.com)

Illness3

• The study team evaluated the impact of the I-PASS Handoff Bundle (illness severity, patient summary, action items, situation awareness and contingency planning, and synthesis by receiver) from January 2011 through May 2013. (the-hospitalist.org)
• The quality improvement team developed a plan to implement I-PASS (Illness severity, Patient summary, Action list, Situation awareness and contingency plan, and Synthesis by receiver) as the standardised handoff tool to be used among the providers in HM at the end of shift and for handoff to the nocturnal covering service. (bmj.com)
• I-PASS (Illness severity, Patient summary, Action list, Situation awareness and contingency plan, and Synthesis by receiver) is a validated methodology that reduces medical errors and patient harm. (bmj.com)

Nurses2

• It also requires the seamless handoff of information between shift workers such as nurses and ER doctors. (ringcentral.com)
• The qualitative phase consists of semi-structured post-intervention interviews with nurses and patients. (who.int)

Risks1

• O) Recognizes risks for patient and takes appropriate action. (collegerecruiter.com)

Medical5

• We assessed a random sample of audio-recorded handoffs and associated medical records to measure rates of inclusion of standardised elements and rate of miscommunications. (bmj.com)
• when a patient falls, he or she needs to be evaluated by a medical provider. (ahrq.gov)
• This activity describes the assessment and medical management of headaches in the emergency department and highlights the role of the interprofessional team in assessing and appropriately treating patients with this chief complaint, with specific emphasis on differentiating benign from concerning presentations. (nih.gov)
• This allows for exposure to a diversity of patients, variety of medical conditions, and a different management/operating styles of attendings. (hopkinsmedicine.org)
• End-of-rotation handoffs are associated with even greater dangers, including possibly higher patient mortality, as reported by Medscape Medical News . (medscape.com)

Protocol1

• G) Provides patient/family education and discharge planning per documentation guidelines and protocol. (collegerecruiter.com)

Strategies1

• Summarize interprofessional team strategies for the identification of life-threatening versus benign causes of headaches to improve patient outcomes. (nih.gov)

Evaluation1

• See also Evaluation of the Patient With Joint Symptoms. (msdmanuals.com)

Quality2

• Programs to improve the quality of handoffs have been created to reduce such errors, but few have been rigorously evaluated. (the-hospitalist.org)
• Conclusion We used a quality improvement methodology to encourage the HM team's adoption of a validated handoff tool. (bmj.com)

Study2

• A qualitative study exploring the perspective of patients and family. (ahrq.gov)
• Although the pre-post nature of this study prevents a causal relationship from being established, the outcomes provide evidence in support of this particular handoff improvement program. (the-hospitalist.org)

Hospitalization1

• D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. (collegerecruiter.com)

Disorders1

• In addition to diagnosing and managing life-threatening causes of headaches, the EP must be well versed in treating common primary headache disorders, as proper management of the natural course of the disease may improve patient outcomes. (nih.gov)

Workflow1

• There were no significant changes in duration of handoffs or resident workflow. (the-hospitalist.org)

Harm3

• A risk-based approach that considers both the potential harm and the probability of its impact on a patient is preferable over one that looks solely at harm. (hanover.com)
• A proactive approach focuses on what will achieve the the greatest benefit possible for the patient population and allows learning and preventive action to be taken without actual harm occurring. (hanover.com)
• and prevention of patient injuries or pitals and to develop their willingness to The questionnaire was adapted from adverse events resulting from the pro- act to reduce patient harm [5]. (who.int)

Time6

• Staff spent more time on patients at the beginning of the list than those at the end of the list, regardless of how ill the patients were at the end of the list. (healthworkscollective.com)
• This practice also present positively impacts the time spent with people who find themselves at the end of that patient list. (healthworkscollective.com)
• Disadvantages can be that patients and family members start asking lots of questions, and it becomes more time-intensive than you can manage. (healthworkscollective.com)
• The goal of this project was to decrease handoff delays from the emergency department (ED) as measured by ready to move (RTM)-to-occupied time . (bvsalud.org)
• After the intervention, 55 (92%) reported participation in warm handoffs "half the time" or "almost always. (medscape.com)
• Disadvantages included time limitations and interruptions during the handoffs, which occurred during their shift. (medscape.com)

Patient's1

• And depending on the patient's clinical status, the nurse's knowledge of these patients must be detailed. (nursingcenter.com)

Involve1

• Commonly noted blameworthy events may include those that involve criminal acts, substance abuse, patient abuse or acts defined by the organization as being intentionally or deliberately unsafe. (hanover.com)

Medication1

• We found that the checklist resulted in significant reductions in patients transferred with inaccurate medication reconciliation and unnecessary urinary catheters. (neurology.org)

Context1

• Using a multi-method approach including video review and focus groups, we developed an understanding of the information needs of trauma handoffs and the context of field documentation to inform the design of an automated sensing documentation system that uses wearables, cameras, and environmental sensors to passively infer clinical activity and automatically produce documentation. (nih.gov)

Report3

• Some major advantages are that patients and family members can hear the report and ask questions. (healthworkscollective.com)
• Kousa O, Awad DH, Hydoub YM, Awawdeh R, Andukuri V. Intracerebral Hemorrhage in a Patient with Untreated Rheumatoid Arthritis: Case Report and Literature Review. (creighton.edu)
• If you quit after your shift, or before your next shift starts and your report for duty and receive report, you have not abandoned any patient. (allnurses.com)

Work3

• By explaining to the patient that their insurance will not pay on the crown unless you give a date of the initial crown, the patient is more likely to work with you. (dentistryiq.com)
• Patients will potentially display poor school or work performance, deterioration of hygiene and appearance, decreasing emotional connections with others, and/or behaviors that would have been atypical or strange for the individual in the past. (medscape.com)
• I Left Work Sick- Can I be Charged With Patient Abandonment? (allnurses.com)

Process1

• This process would identify documenting deficiencies, obtain support, and begin the planning process for developing a handoff tool. (apsf.org)

Assessment1

• C) Performs assessment of post-op/post-invasive procedure patients. (collegerecruiter.com)

Publication1

• Patient consent for publication Not required. (bmj.com)