![]() A process for guiding the handoff process should include the following:Īn opportunity to review any relevant historical data 4 Consideration should be given to the implementation of a standardized approach for handoff communication. As part of its standard of provision of care, treatment, and services, The Joint Commission requires that the “process for hand-off communication provides for the opportunity for discussion between the giver and the receiver of patient information” 3. It should include an opportunity to ask questions, clarify, and confirm the information being transmitted. A handoff may be described as the transfer of patient information and knowledge, along with authority and responsibility, from one clinician or team of clinicians to another clinician or team of clinicians during transitions of care across the continuum. One predictable and critical communication event is the patient handoff. Barriers to effective communication include factors such as lack of time, hierarchies, defensiveness, varying communication styles, distraction, fatigue, conflict, and workload. In order to be effective, communication should be complete, clear, concise, and timely. In the era of collaborative care, effective clinician-to-clinician communication is important to facilitate continuity of care, eliminate preventable errors, and provide a safe patient environment.Ĭommunication is the process by which information is exchanged between individuals, groups, and organizations. Communication failures also have been found to be a leading cause of preventable error in studies of closed malpractice claims 1 2. This breakdown may occur between clinicians at any level of the health care system. One of the leading causes of medical errors is a breakdown in communication. Accurate communication of information about a patient from one member of the health care team to another is a critical element of patient care and safety it is also one of the least studied and taught elements of daily patient care. ![]() ![]() Patient handoffs are a necessary component of current medical care. It requires a process for verification of the received information, including read-back or other methods, as appropriate. The patient population was narrowed to only patients hospitalized on a teaching internal medicine service, so results may differ for other clinical services.ABSTRACT: Handoff communication, which includes up-to-date information regarding patient care, treatment and service, condition, and any recent or anticipated changes, should be interactive to allow for discussion between those who give and receive patient information. Third, the study did not account for overnight escalation of care through ICU transfers or code blue events in the absence of an RRT activation. Second, this study focused on overnight RRT activations so extrapolation of risk predictability to daytime activations is limited. Training in how to categorize patients is very important, and this study demonstrated some variability in how this may be interpreted by different residents. With variability in the implementation of RRT across hospitals, general applicability may be limited. First, it was conducted at a single institution with residents from a single internal medicine residency program. Chirayu Shah, MD, MEd, is Associate Professor, Department of Medicine, Baylor College of Medicine, and Clinical Faculty, Harris Health System Khaled Sanber, MD, is Internal Medicine Resident, Department of Medicine, Baylor College of Medicine Rachael Jacobson, MD, is Internal Medicine Resident, Department of Medicine, Baylor College of Medicine Bhavika Kaul, MD, is Chief Internal Medicine Resident, Department of Medicine, Baylor College of Medicine, and Chief Resident, Harris Health System Sarah Tuthill, MD, is Internal Medicine Resident, Department of Medicine, Baylor College of Medicine Vagish Hemmige, MD, is Associate Professor, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center Elizabeth Guy, MD, is Assistant Professor, Department of Medicine, Baylor College of Medicine, and Clinical Faculty, Harris Health System and Stephen Greenberg, MD, is Distinguished Service Professor, Departments of Medicine, Microbiology, and Immunology, Baylor College of Medicine, and Chief of Medicine Service and Vice Chief of Staff for Academic and Educational Affairs, Harris Health System.
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