Investigators from landmark I-PASS study find that written signout documents aren't standardized, often lack key elements.J Hosp Med. 2015 May 26; [Epub ahead of print].
Variation in printed handoff documents: results and recommendations from a multicenter needs assessment.
Rosenbluth G, Bale JF, Starmer AJ, et al; I-PASS Study Education Executive Committee. J Hosp Med. 2015 May 26; [Epub ahead of print].
Significant progress has been made in preventing errors at the time of handoffs between clinicians. As demonstrated in the landmark I-PASS study, patient safety can be improved by implementation of a standard format for verbal handoffs. This study—performed by the I-PASS study investigators—examined the quality of written signout documents, which are used by overnight covering physicians to complement the verbal signout. Written signouts were not standardized in either structure or content, and they frequently lacked information elements (such as illness severity) that are considered essential for a high-quality signout. Based on these findings, the authors make recommendations for the core data elements for written signouts. A case of a delayed diagnosis due to inadequate signout is discussed in a previous AHRQ WebM&Mcommentary.
Lack of standard dosing methods contributes to IV errors.
ISMP Medication Safety Alert! Acute Care Edition. August 23, 2007;12:1-3.
Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.
Helms AS, Perez TE, Baltz J, et al. J Gen Intern Med. 2012;27:287-291.
Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods.
Payne CE, Stein JM, Leong T, Dressler DD. BMJ Qual Saf. 2012;21:925-932.
STUDYView all related resources...
Effectiveness of written hospitalist sign-outs in answering overnight inquiries.
Fogerty RL, Schoenfeld A, Al-Damluji MS, Horwitz LI. J Hosp Med. 2013;8:609-614.