Electronic handoff instruments: a truly multidisciplinary tool?

@article{Schuster2014ElectronicHI,
  title={Electronic handoff instruments: a truly multidisciplinary tool?},
  author={Kevin M. Schuster and Grace Jenq and Stephen F. Thung and David C. Hersh and Judy Nunes and David G. Silverman and Leora I. Horwitz},
  journal={Journal of the American Medical Informatics Association : JAMIA},
  year={2014},
  volume={21 e2},
  pages={
          e352-7
        }
}
The objective was to assess use of a physician handoff tool embedded in the electronic medical record by nurses and other non-physicians. We administered a survey to nurses, physical therapists, discharge planners, social workers, and others to assess integration into daily practice, usefulness, and accuracy of the handoff tool. 231 individuals (61% response) participated. 60% used the tool often or usually/always during a shift. Nurses (46%) used the tool for shift transitions and found it… 

Figures and Tables from this paper

EVALUATION OF A PERIOPERATIVE NURSING EHR-BASED SBAR HANDOFF TOOL by

TLDR
A needs assessment was conducted at one of its hospitals in the inpatient surgery department to determine handoff tool completeness, which yielded incomplete handoff tools, suggesting that a comprehensive audit is needed.

Characterization of a Handoff Documentation Tool Through Usage Log Data

TLDR
Investigation of patterns of edits of an electronic handoff tool in a large teaching hospital through examination of its usage log data showed that despite its primary focus on facilitating transitions of care, information in the handoff documentation tool was updated throughout the day.

Using mobile devices for inpatient rounding and handoffs: an innovative application developed and rapidly adopted by clinicians in a pediatric hospital

TLDR
Interestingly, even if not supported by the nursing administrative authorities, the level of use for data entry among nurses and doctors was similar in all units, indicating close collaboration in documentation practices in these ICUs.

Implementing an electronic patient handover system.

TLDR
Through modifying existing information technology infrastructure, a centrally maintained, widely accessible electronic handover system was introduced that reduced the workload associated with maintaining handover lists and the rate of errors.

Improving Patient Throughput With an Electronic Nursing Handoff Process in an Academic Medical Center

TLDR
Key success strategies included engaging stakeholders during the rapid improvement event, imploring frontline nurses to create and promote the revised process to facilitate staff engagement, and leveraging electronic health records.

What is the effect of electronic clinical handovers on patient outcomes? A systematic review

TLDR
It is suggested that e-handover may improve the handover completeness; however, it is unclear at this time if that translates to an improvement in patient care.

Program Evaluation of a Bundled Educational Intervention to Enhance Implementation of Professional Exchange Report

TLDR
A large West Michigan Regional Health System implemented a new EHR containing an embedded tool for communication handover called Professional Exchange Report (PER), and there was inconsistency in the practice of bedside report by nurses.

In Search of Social Translucence: An Audit Log Analysis of Handoff Documentation Views and Update

TLDR
The study found that notes that were frequently updated were viewed significantly more frequently than notes updated less often and the considerable percentage (56%) of mismatched note utilization suggests an opportunity for improvement.

References

SHOWING 1-10 OF 19 REFERENCES

Using a computerized sign-out system to improve physician-nurse communication.

I-PASS, a Mnemonic to Standardize Verbal Handoffs

TLDR
The importance of structured communication strategies to enhance patient safety is emphasized, literature pertinent to the handoff process is reviewed, including the use of verbal mnemonics, and the creation of individual elements of the I-PASS mnemonic are defined.

Nursing Handoffs: A Systematic Review of the Literature

TLDR
A systematic review of English-language articles published between January 1, 1987, and August 4, 2008 that focused on nursing handoffs in the United States called for high-quality studies of handoff outcomes that focus on systems factors, human performance, and the effectiveness of structured protocols and interventions.

An institution-wide handoff task force to standardise and improve physician handoffs

TLDR
The handoff task force infrastructure has enabled the authors to take an institution-wide approach to improving handoffs and has helped create new strategies for minimising risk in handoffs.

Doctors' handovers in hospitals: a literature review

TLDR
The handover literature does not fully identify where communication failures typically occur or influencing conditions, thus hampering the design of effective handover training and tools.

Research Paper: Impacts of Computerized Physician Documentation in a Teaching Hospital: Perceptions of Faculty and Resident Physicians

TLDR
Computerized physician documentation is perceived to have substantial positive and negative impacts on clinical and educational activities and environments, and care should be taken when designing, implementing, and using such systems to avoid or minimize any harmful impacts.

The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity of care.

TLDR
The authors' blueprint was developed to guide educators in customizing handoff education programs to fit their specific, local needs and will provide a starting point for future research into improving the patient handoff.

Physicians’ Attitudes Towards Copy and Pasting in Electronic Note Writing

TLDR
Although recognizing deficits in notes written using CPF, the majority of physicians used CPF to write notes and did not perceive an overall negative impact on physician documentation or patient care.