Improving the Patient Handoff Process in the Intensive Care Unit: Keys to Reducing Errors and Improving Outcomes

Seminars in Respiratory and Critical Care Medicine
Mai O ColvinMichelle Ng Gong

Abstract

Patient handoffs are highly variable and error prone. They have been recognized as a major health care challenge. Patients in the intensive care unit are particularly vulnerable due to their complex clinical history and the critical nature of their condition. Given a general movement from traditional long call to shift schedules, the number of patient handoffs will likely continue to increase. Optimization of the handoff process has become even more critical to ensure patient safety. In this review, we reflect on the importance of the handoff process, review common errors, identify barriers and challenges, and propose different methods to improving the handoff process. The purpose of this article is to examine the overall scope of the problem; provide the most up-to-date evidence on the handoff process; and identify ways to perform handoffs in an accurate, safe, and efficient manner to provide high-quality patient care. The direction of future research is also proposed.

Citations

May 29, 2007·Journal of Pain and Symptom Management·Richard A MularskiRobert S Krouse
Feb 23, 2017·World Journal of Critical Care Medicine·Maurice F JoyceEdward A Bittner
Jul 7, 2017·BMJ Quality & Safety·Amy J StarmerChristopher P Landrigan
Dec 10, 2019·Journal of Advanced Nursing·Valentina BressanAlvisa Palese
Nov 7, 2018·BMJ Open Quality·Jessica Caroline RobertsJames Bickley
Sep 23, 2016·Critical Care Medicine·Kathryn A ArtisJeffrey A Gold
Sep 21, 2020·Journal of Advanced Nursing·Xiuzhu Gu, Kenji Itoh
Mar 11, 2017·BMJ Quality & Safety·David M ShahianElizabeth Mort
May 26, 2018·Journal of Evaluation in Clinical Practice·Pooja V SelvamSammy Zakaria
Jul 22, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Noura NickelJoana Machry
Mar 2, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Vashisht PersadHoward Minkoff

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