In study involving 23 children's hospitals, use of a structured handoff tool was associated with decrease in handoff-related failures and increase in provider satisfaction.Pediatrics. 2014;134:e572-e579.
Decreasing handoff-related care failures in children's hospitals.
Bigham MT, Logsdon TR, Manicone PE, et al. Pediatrics. 2014;134:e572-e579.
Discontinuity between providers is a well-known source of errors, with problems arising from handoffs and signouts both in hospital and at hospital discharge. This quality improvement initiative aimed to enhance handoffs in 23 children's hospitals over a 12-month period. Following introduction of a structured handoff tool, handoff-related care failures declined and provider satisfaction with handoffs increased. Handoff-related care failures were defined as insufficient information transfer that affected the patient, such as reporting inaccurate test results or miscommunication that led to duplicated medications. This study is the largest to date of a standardized handoff approach, and these results are consistent with prior smaller studies. A past AHRQ WebM&M commentary describes pitfalls of handoffs.
I-PASS, a mnemonic to standardize verbal handoffs.
Starmer AJ, Spector ND, Srivastava R, Allen AD, Landrigan CP, Sectish TC; I-PASS Study Group. Pediatrics. 2012;129:201-204.
Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project.
Moy NY, Lee SJ, Chan T, et al. Jt Comm J Qual Patient Saf. 2014;40:219-227.
Hospital admission medication reconciliation in medically complex children: an observational study.
Stone BL, Boehme S, Mundorff MB, Maloney CG, Srivastava R. Arch Dis Child. 2010;95:250-255.
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The Preventable Harm Index: an effective motivator to facilitate the drive to zero.
Brilli RJ, McClead RE Jr, Davis T, Stoverock L, Rayburn A, Berry JC. J Pediatr. 2010;157:681-683.