Abstract
Improving physician handoffs is a patient safety priority. The authors hypothesize that standardized handoff interventions during care transitions improve patient-related outcome measures. PubMed, Cochrane, PsycINFO, CINAHL, Embase, and Web of Science were searched for publications from 2000 to May 2016. Eligible studies compared standardized handoff intervention(s) with no standardized handoff intervention and measured patient-related outcomes. Studies were evaluated independently for eligibility for inclusion by at least 2 authors in a 2-stage process; 14 articles met inclusion criteria. Only 1 study examined inter-facility transfers. Five categories of patient-related outcomes were identified: clinical complications, length of stay, processes of care, adverse events and errors, and family satisfaction. Interventions consistently improved processes of care; interventions consistently did not affect mortality. The other outcomes demonstrated mixed results. Inconsistent results, heterogeneity of the outcome measures, and limited quality studies limit the ability to draw definitive conclusions about best practices for standardized handoffs during care transitions.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 193-206 |
| Number of pages | 14 |
| Journal | American Journal of Medical Quality |
| Volume | 33 |
| Issue number | 2 |
| DOIs | |
| State | Published - Mar 1 2018 |
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Keywords
- health care transitions
- patient handoff
- patient sign-out
- patient transfer
ASJC Scopus subject areas
- Health Policy
Cite this
The Effectiveness of Standardized Handoff Tool Interventions During Inter- and Intra-facility Care Transitions on Patient-Related Outcomes : A Systematic Review. / Rosenthal, Jennifer; Doiron, Robert; Haynes, Sarah C.; Daniels, Brock; Li, Su-Ting Terry.
In: American Journal of Medical Quality, Vol. 33, No. 2, 01.03.2018, p. 193-206.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - The Effectiveness of Standardized Handoff Tool Interventions During Inter- and Intra-facility Care Transitions on Patient-Related Outcomes
T2 - A Systematic Review
AU - Rosenthal, Jennifer
AU - Doiron, Robert
AU - Haynes, Sarah C.
AU - Daniels, Brock
AU - Li, Su-Ting Terry
PY - 2018/3/1
Y1 - 2018/3/1
N2 - Improving physician handoffs is a patient safety priority. The authors hypothesize that standardized handoff interventions during care transitions improve patient-related outcome measures. PubMed, Cochrane, PsycINFO, CINAHL, Embase, and Web of Science were searched for publications from 2000 to May 2016. Eligible studies compared standardized handoff intervention(s) with no standardized handoff intervention and measured patient-related outcomes. Studies were evaluated independently for eligibility for inclusion by at least 2 authors in a 2-stage process; 14 articles met inclusion criteria. Only 1 study examined inter-facility transfers. Five categories of patient-related outcomes were identified: clinical complications, length of stay, processes of care, adverse events and errors, and family satisfaction. Interventions consistently improved processes of care; interventions consistently did not affect mortality. The other outcomes demonstrated mixed results. Inconsistent results, heterogeneity of the outcome measures, and limited quality studies limit the ability to draw definitive conclusions about best practices for standardized handoffs during care transitions.
AB - Improving physician handoffs is a patient safety priority. The authors hypothesize that standardized handoff interventions during care transitions improve patient-related outcome measures. PubMed, Cochrane, PsycINFO, CINAHL, Embase, and Web of Science were searched for publications from 2000 to May 2016. Eligible studies compared standardized handoff intervention(s) with no standardized handoff intervention and measured patient-related outcomes. Studies were evaluated independently for eligibility for inclusion by at least 2 authors in a 2-stage process; 14 articles met inclusion criteria. Only 1 study examined inter-facility transfers. Five categories of patient-related outcomes were identified: clinical complications, length of stay, processes of care, adverse events and errors, and family satisfaction. Interventions consistently improved processes of care; interventions consistently did not affect mortality. The other outcomes demonstrated mixed results. Inconsistent results, heterogeneity of the outcome measures, and limited quality studies limit the ability to draw definitive conclusions about best practices for standardized handoffs during care transitions.
KW - health care transitions
KW - patient handoff
KW - patient sign-out
KW - patient transfer
UR - http://www.scopus.com/inward/record.url?scp=85044454033&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85044454033&partnerID=8YFLogxK
U2 - 10.1177/1062860617708244
DO - 10.1177/1062860617708244
M3 - Review article
C2 - 28467104
AN - SCOPUS:85044454033
VL - 33
SP - 193
EP - 206
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
SN - 1062-8606
IS - 2
ER -