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 language | English (US) |
|---|---|
| Pages (from-to) | 17-26 |
| Number of pages | 10 |
| Journal | AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium |
| Volume | 2012 |
| State | Published - Dec 1 2012 |
Fingerprint
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 journal › Article
}
TY - JOUR
T1 - Ensuring patient safety in care transitions
T2 - an empirical evaluation of a Handoff Intervention Tool.
AU - Abraham, Joanna
AU - Kannampallil, Thomas
AU - Patel, Bela
AU - Almoosa, Khalid
AU - Patel, Vimla
PY - 2012/12/1
Y1 - 2012/12/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84880726941&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84880726941&partnerID=8YFLogxK
M3 - Article
C2 - 23304268
AN - SCOPUS:84880726941
VL - 2012
SP - 17
EP - 26
JO - AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
JF - AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
SN - 1559-4076
ER -