Handoff Tool Enabling Standardized Transitions Between the Emergency Department and the Hospitalist Inpatient Service at a Major Cancer Center

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
Carmen E GonzalezCarmelita P Escalante

Abstract

Communication failures during patient handoff can lead to serious errors. A quality improvement team created a standardized handoff tool/process (DE-PASS: Decisive problem requiring admission, Evaluation time, Patient summary, Acute issues/action list, Situation unfinished/awareness, Signed out to) for admitting patients from the emergency department (ED) to the hospitalist inpatient service of a tertiary cancer center. DE-PASS mirrors the institution's ED workflow, stratifies patients as stable/urgent/emergent, and establishes requirements for verbal and email communications between providers. Comparison of preintervention and postintervention results from the 1-month pilot revealed that within a 24-hour period, DE-PASS reduced the number of intensive care unit transfers by 58% ( P = .393), the number of rapid-response team calls by 39% ( P = .637), and time to inpatient order by 31% ( P = .004). ED physicians' and hospitalists' satisfaction with DE-PASS increased. Reduction in intensive care unit transfers was sustained after the pilot ( P = .029). DE-PASS feasibility was evidenced by 100% uptake. By stratifying patients by risk level, DE-PASS reduced admission-to-evaluation times for unstable patients, potentially improving ...Continue Reading

References

Mar 17, 2000·BMJ : British Medical Journal·R I CookD D Woods
Dec 14, 2005·Archives of Internal Medicine·Reshma JagsiJoel S Weissman
Jun 15, 2006·Archives of Internal Medicine·Leora I HorwitzStephen J Huot
Oct 24, 2007·Archives of Internal Medicine·Hardeep SinghDavid M Studdert
Jun 25, 2010·The New England Journal of Medicine·Thomas J NascaUNKNOWN ACGME Duty Hour Task Force
Oct 6, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Christopher BeachMark Williams
Jul 19, 2013·Journal of Patient Safety·John T James
May 30, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Amy J StarmerUNKNOWN I-PASS Study Education Executive Committee
Nov 6, 2014·The New England Journal of Medicine·Amy J StarmerUNKNOWN I-PASS Study Group
Jul 23, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Christopher J SmithMichael C Wadman
Nov 12, 2016·The Western Journal of Emergency Medicine·James A HeilmanLalena M Yarris

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Citations

Feb 12, 2020·Journal of Clinical Nursing·Georgia TobianoAndrea P Marshall
Nov 15, 2019·International Journal of Medical Informatics·Joanna AbrahamHoward S Gordon

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Excel
DE
Minitab
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