Document Detail

Making good better: implementing a standardized handoff in pediatric transport.
MedLine Citation:
PMID:  23273309     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: Failures in communication lead to adverse events in healthcare. Handoffs, defined as the transfer of information, responsibility, and authority from one provider to another, have been identified as a cause of communication failure compromising patient safety. Locally, there was dissatisfaction among caregivers working on the general care and intensive care units regarding the quality of information received from the pediatric transport team for transferred patients.
METHODS: Using the Model for Improvement, a quality improvement team was engaged to lead this improvement effort. The team developed a standardized and scripted transport handoff process that incorporated parental input. The primary measure was provider satisfaction (reported as overall handoff score, OHS). Secondary outcomes included the use of components outlined by the Joint Commission's guidelines for safe handoff. Data were collected using a Likert-style survey and collated using Microsoft Excel.
RESULTS: Baseline measures of OHS were 81.5 ± 19.4 (mean±SD) with an interval analysis showing no improvement (81.6±17.4, P=0.99). Further modifications were made to both education and process with an improved OHS (88.8±11.1, P<0.05). Certain specific handoff components showed the greatest improvement according to caregivers.
CONCLUSION: This practical, low-cost quality-improvement project may help others improve handoff communication and provide safe, high-quality care.
Caroline Weingart; Tracey Herstich; Pam Baker; M Lynne Garrett; Michael Bird; James Billock; Hamilton P Schwartz; Michael T Bigham
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Air medical journal     Volume:  32     ISSN:  1532-6497     ISO Abbreviation:  Air Med. J.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9312325     Medline TA:  Air Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  40-6     Citation Subset:  H    
Copyright Information:
Copyright © 2013 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.
Department of Pediatrics, Akron Children's Hospital, Akron, OH.
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