AHRQ Patient Safety Network ► Development and validation of a taxonomy of adverse handover events in hospital settings.

AHRQ Patient Safety Network



Development and validation of a taxonomy of adverse handover events in hospital settings.

Andersen HB, Siemsen IMD, Petersen LF, Nielsen J, Østergaard D. Cogn Technol Work. 2015;17:79-87.

Patient handoffs are a common source of adverse events, often due to communication failures, particularly for tests that are pending at discharge. This research group used incident reports, interviews, and root cause analysis reports to create and validate a taxonomy for classifying adverse events related to patient handovers.

Free full text 

Related Resources

REVIEW

Drug-related problems in older people after hospital discharge and interventions to reduce them.

Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, Bueno-Cavanillas A. Age Ageing. 2010;39:430-438.

STUDY

Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers.

Yao GL, Novielli N, Manaseki-Holland S, et al; European HANDOVER Research Collaborative. BMJ Qual Saf. 2012;21(suppl 1):i29-i38.

REVIEW

The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research.

Foster S, Manser T. Acad Med. 2012;87:1105-1124.

STUDY

"It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital.

Groene RO, Orrego C, Suñol R, Barach P, Groene O. BMJ Qual Saf. 2012;21:i67-i75.

View all related resources...