Ensuring patient safety in care transitions: an empirical evaluation of a Handoff Intervention Tool.

Joanna Abraham, Thomas Kannampallil, Bela Patel, Khalid Almoosa, Vimla Patel

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Successful handoffs ensure smooth, efficient and safe patient care transitions. Tools and systems designed for standardization of clinician handoffs often focuses on ensuring the communication activity during transitions, with limited support for preparatory activities such as information seeking and organization. We designed and evaluated a Handoff Intervention Tool (HAND-IT) based on a checklist-inspired, body system format allowing structured information organization, and a problem-case narrative format allowing temporal description of patient care events. Based on a pre-post prospective study using a multi-method analysis we evaluated the effectiveness of HAND-IT as a documentation tool. We found that the use of HAND-IT led to fewer transition breakdowns, greater tool resilience, and likely led to better learning outcomes for less-experienced clinicians when compared to the current tool. We discuss the implications of our results for improving patient safety with a continuity of care-based approach.

Original languageEnglish (US)
Pages (from-to)17-26
Number of pages10
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
Volume2012
StatePublished - Dec 1 2012

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Patient Transfer
Patient Safety
Patient Care
Continuity of Patient Care
Checklist
Documentation
Communication
Learning
Prospective Studies

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ensuring patient safety in care transitions : an empirical evaluation of a Handoff Intervention Tool. / Abraham, Joanna; Kannampallil, Thomas; Patel, Bela; Almoosa, Khalid; Patel, Vimla.

In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, Vol. 2012, 01.12.2012, p. 17-26.

Research output: Contribution to journalArticle

Abraham, Joanna ; Kannampallil, Thomas ; Patel, Bela ; Almoosa, Khalid ; Patel, Vimla. / Ensuring patient safety in care transitions : an empirical evaluation of a Handoff Intervention Tool. In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium. 2012 ; Vol. 2012. pp. 17-26.
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