EMR-based handoff tool improves completeness of internal medicine residents' handoffs

BMJ Open Quality
Rebecca L TisdaleLisa Shieh

Abstract

The majority of adverse events in healthcare involve communication breakdown. Physician-to-physician handoffs are particularly prone to communication errors, yet have been shown to be more complete when systematised according to a standardised bundle. Interventions that improve thoroughness of handoffs have not been widely studied. To measure the effect of an electronic medical record (EMR)-based handoff tool on handoff completeness. This EMR-based handoff tool included a radio button prompting users to classify patients as stable, a 'watcher' or unstable. It automatically pulled in EMR data on the patient's 24-hour vitals, common lab tests and code status. Finally, it provided text boxes labelled 'Active Issues', 'Action List (To-Dos)' and 'If/Then' to fill in. Written handoffs from general and specialty (haematology, oncology, cardiology) Internal Medicine resident-run inpatient wards were evaluated on a randomly chosen representative sample of days in April and May 2015 at Stanford University Medical Center, focusing on a predefined set of content elements. The intervention was then implemented in June 2015 with postintervention data collected in an identical fashion in August to September 2016. Handoff completeness improved...Continue Reading

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Citations

Jan 24, 2020·Journal of Nursing Care Quality·Jennifer O'RourkeJoanna Abraham
Jun 25, 2020·Clinical Journal of the American Society of Nephrology : CJASN·Andrew P J Olson, Mark E Rosenberg
Nov 15, 2019·International Journal of Medical Informatics·Joanna AbrahamHoward S Gordon
May 11, 2021·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Michael J DavisMelanie C Wright

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