Hospitalist handoffs

A systematic review and task force recommendations

Vineet M. Arora, Efren Manjarrez, Daniel D. Dressler, Preetha Basaviah, Lakshmi Halasyamani, Sunil Kripalani

Research output: Contribution to journalArticle

157 Citations (Scopus)

Abstract

BACKGROUND: Handoffs are ubiquitous to Hospital Medicine and are considered a vulnerable time for patient safety. PURPOSE: To develop recommendations for hospitalist handoffs during shift change and service change. DATA SOURCES: PubMed (through January 2007), Agency for Healthcare Research and Quality (AHRQ) Patient Safety Network, white papers, and hand search of article bibliographies. STUDY SELECTION: Controlled studies evaluating interventions to improve in-hospital handoffs (n = 10). DATA EXTRACTION: Studies were abstracted for design, setting, target, outcomes (including patient-level, staff-level, or system-level outcomes), and relevance to hospitalists. DATA SYNTHESIS: Although there were no studies of hospitalist handoffs, the existing literature from related disciplines and expert opinion support the use of a verbal handoff supplemented with written documentation in a structured format or technology solution. Technology solutions were associated with a reduction in preventable adverse events, improved satisfaction with handoff quality, and improved provider identification. Nursing studies demonstrate that supplementing verbal exchange with a written medium leads to improved retention of information. White papers characterized effective verbal exchange, as focusing on ill patients and actions required, with time for questions and minimal interruptions. In addition, content should be updated daily to ensure communication of the latest clinical information. Using this literature, recommendations for hospitalist handoffs are presented with corresponding levels of evidence. Recommendations were reviewed by hospitalists at the Society of Hospital Medicine (SHM) Annual Meeting and by an interdisciplinary team of expert consultants and were endorsed by the SHM governing board. CONCLUSIONS: The systematic review and resulting recommendations provide hospitalists a starting point from which to improve in-hospital handoffs.

Original languageEnglish
Pages (from-to)433-440
Number of pages8
JournalJournal of Hospital Medicine
Volume4
Issue number7
DOIs
StatePublished - Sep 1 2009

Fingerprint

Hospitalists
Advisory Committees
Hospital Medicine
Patient Safety
Governing Board
Technology
Health Services Research
Expert Testimony
Bibliography
Consultants
PubMed
Documentation
Nursing
Communication

Keywords

  • Handoff
  • Service change
  • Shift change
  • Transition of care

ASJC Scopus subject areas

  • Health Policy
  • Assessment and Diagnosis
  • Care Planning
  • Fundamentals and skills
  • Leadership and Management

Cite this

Arora, V. M., Manjarrez, E., Dressler, D. D., Basaviah, P., Halasyamani, L., & Kripalani, S. (2009). Hospitalist handoffs: A systematic review and task force recommendations. Journal of Hospital Medicine, 4(7), 433-440. https://doi.org/10.1002/jhm.573

Hospitalist handoffs : A systematic review and task force recommendations. / Arora, Vineet M.; Manjarrez, Efren; Dressler, Daniel D.; Basaviah, Preetha; Halasyamani, Lakshmi; Kripalani, Sunil.

In: Journal of Hospital Medicine, Vol. 4, No. 7, 01.09.2009, p. 433-440.

Research output: Contribution to journalArticle

Arora, VM, Manjarrez, E, Dressler, DD, Basaviah, P, Halasyamani, L & Kripalani, S 2009, 'Hospitalist handoffs: A systematic review and task force recommendations', Journal of Hospital Medicine, vol. 4, no. 7, pp. 433-440. https://doi.org/10.1002/jhm.573
Arora, Vineet M. ; Manjarrez, Efren ; Dressler, Daniel D. ; Basaviah, Preetha ; Halasyamani, Lakshmi ; Kripalani, Sunil. / Hospitalist handoffs : A systematic review and task force recommendations. In: Journal of Hospital Medicine. 2009 ; Vol. 4, No. 7. pp. 433-440.
@article{db0b219e211641fe87e16ec295a431f8,
title = "Hospitalist handoffs: A systematic review and task force recommendations",
abstract = "BACKGROUND: Handoffs are ubiquitous to Hospital Medicine and are considered a vulnerable time for patient safety. PURPOSE: To develop recommendations for hospitalist handoffs during shift change and service change. DATA SOURCES: PubMed (through January 2007), Agency for Healthcare Research and Quality (AHRQ) Patient Safety Network, white papers, and hand search of article bibliographies. STUDY SELECTION: Controlled studies evaluating interventions to improve in-hospital handoffs (n = 10). DATA EXTRACTION: Studies were abstracted for design, setting, target, outcomes (including patient-level, staff-level, or system-level outcomes), and relevance to hospitalists. DATA SYNTHESIS: Although there were no studies of hospitalist handoffs, the existing literature from related disciplines and expert opinion support the use of a verbal handoff supplemented with written documentation in a structured format or technology solution. Technology solutions were associated with a reduction in preventable adverse events, improved satisfaction with handoff quality, and improved provider identification. Nursing studies demonstrate that supplementing verbal exchange with a written medium leads to improved retention of information. White papers characterized effective verbal exchange, as focusing on ill patients and actions required, with time for questions and minimal interruptions. In addition, content should be updated daily to ensure communication of the latest clinical information. Using this literature, recommendations for hospitalist handoffs are presented with corresponding levels of evidence. Recommendations were reviewed by hospitalists at the Society of Hospital Medicine (SHM) Annual Meeting and by an interdisciplinary team of expert consultants and were endorsed by the SHM governing board. CONCLUSIONS: The systematic review and resulting recommendations provide hospitalists a starting point from which to improve in-hospital handoffs.",
keywords = "Handoff, Service change, Shift change, Transition of care",
author = "Arora, {Vineet M.} and Efren Manjarrez and Dressler, {Daniel D.} and Preetha Basaviah and Lakshmi Halasyamani and Sunil Kripalani",
year = "2009",
month = "9",
day = "1",
doi = "10.1002/jhm.573",
language = "English",
volume = "4",
pages = "433--440",
journal = "Journal of hospital medicine (Online)",
issn = "1553-5606",
publisher = "John Wiley and Sons Inc.",
number = "7",

}

TY - JOUR

T1 - Hospitalist handoffs

T2 - A systematic review and task force recommendations

AU - Arora, Vineet M.

AU - Manjarrez, Efren

AU - Dressler, Daniel D.

AU - Basaviah, Preetha

AU - Halasyamani, Lakshmi

AU - Kripalani, Sunil

PY - 2009/9/1

Y1 - 2009/9/1

N2 - BACKGROUND: Handoffs are ubiquitous to Hospital Medicine and are considered a vulnerable time for patient safety. PURPOSE: To develop recommendations for hospitalist handoffs during shift change and service change. DATA SOURCES: PubMed (through January 2007), Agency for Healthcare Research and Quality (AHRQ) Patient Safety Network, white papers, and hand search of article bibliographies. STUDY SELECTION: Controlled studies evaluating interventions to improve in-hospital handoffs (n = 10). DATA EXTRACTION: Studies were abstracted for design, setting, target, outcomes (including patient-level, staff-level, or system-level outcomes), and relevance to hospitalists. DATA SYNTHESIS: Although there were no studies of hospitalist handoffs, the existing literature from related disciplines and expert opinion support the use of a verbal handoff supplemented with written documentation in a structured format or technology solution. Technology solutions were associated with a reduction in preventable adverse events, improved satisfaction with handoff quality, and improved provider identification. Nursing studies demonstrate that supplementing verbal exchange with a written medium leads to improved retention of information. White papers characterized effective verbal exchange, as focusing on ill patients and actions required, with time for questions and minimal interruptions. In addition, content should be updated daily to ensure communication of the latest clinical information. Using this literature, recommendations for hospitalist handoffs are presented with corresponding levels of evidence. Recommendations were reviewed by hospitalists at the Society of Hospital Medicine (SHM) Annual Meeting and by an interdisciplinary team of expert consultants and were endorsed by the SHM governing board. CONCLUSIONS: The systematic review and resulting recommendations provide hospitalists a starting point from which to improve in-hospital handoffs.

AB - BACKGROUND: Handoffs are ubiquitous to Hospital Medicine and are considered a vulnerable time for patient safety. PURPOSE: To develop recommendations for hospitalist handoffs during shift change and service change. DATA SOURCES: PubMed (through January 2007), Agency for Healthcare Research and Quality (AHRQ) Patient Safety Network, white papers, and hand search of article bibliographies. STUDY SELECTION: Controlled studies evaluating interventions to improve in-hospital handoffs (n = 10). DATA EXTRACTION: Studies were abstracted for design, setting, target, outcomes (including patient-level, staff-level, or system-level outcomes), and relevance to hospitalists. DATA SYNTHESIS: Although there were no studies of hospitalist handoffs, the existing literature from related disciplines and expert opinion support the use of a verbal handoff supplemented with written documentation in a structured format or technology solution. Technology solutions were associated with a reduction in preventable adverse events, improved satisfaction with handoff quality, and improved provider identification. Nursing studies demonstrate that supplementing verbal exchange with a written medium leads to improved retention of information. White papers characterized effective verbal exchange, as focusing on ill patients and actions required, with time for questions and minimal interruptions. In addition, content should be updated daily to ensure communication of the latest clinical information. Using this literature, recommendations for hospitalist handoffs are presented with corresponding levels of evidence. Recommendations were reviewed by hospitalists at the Society of Hospital Medicine (SHM) Annual Meeting and by an interdisciplinary team of expert consultants and were endorsed by the SHM governing board. CONCLUSIONS: The systematic review and resulting recommendations provide hospitalists a starting point from which to improve in-hospital handoffs.

KW - Handoff

KW - Service change

KW - Shift change

KW - Transition of care

UR - http://www.scopus.com/inward/record.url?scp=70449732216&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70449732216&partnerID=8YFLogxK

U2 - 10.1002/jhm.573

DO - 10.1002/jhm.573

M3 - Article

VL - 4

SP - 433

EP - 440

JO - Journal of hospital medicine (Online)

JF - Journal of hospital medicine (Online)

SN - 1553-5606

IS - 7

ER -