A variety of organizational factors, including perceptions of teamwork, staffing adequacy, and management support for safety were associated with successful handoffs.Health Care Manage Rev. 2014 Jul 15; [Epub ahead of print].
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The influence of organizational factors on patient safety: examining successful handoffs in health care.
Richter JP, McAlearney AS, Pennell ML. Health Care Manage Rev. 2014 Jul 15; [Epub ahead of print].
Incomplete handoffs and insufficient communication regarding key clinical information may lead to adverse events or missed or delayed diagnoses. This analysis of data from the AHRQ Hospital Survey of Patient Safety Culture sought to determine how perceptions of organizational factors that affect safety can contribute to optimal handoffs. Perceived teamwork across units was a significant predictor for successful handoffs. Perceptions of staffing adequacy and management support for patient safety efforts were also related to good handoffs. Among frontline staff, open communication was associated with optimal handoffs, while among management safe handoffs were linked to a continuous learning culture. These findings add to existing studies which underscore the need for high-reliability organizations to promote safety efforts. The authors advocate for hospital leadership to promote teamwork and open communication to augment handoffs in their facilities. Dr. Vineet Arora discussed the challenges of handoffs in a prior AHRQ WebM&Minterview.
Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties.
Schoenfeld AR, Salim Al-Damluji M, Horwitz LI. BMJ Qual Saf. 2014;23:66-72.
Do Not Disturb!
Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.
BOOSTing Care Transitions Resource Room.
Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.
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