344: Impact of the Implementation of an Electronic Hand-Off Tool on Patient Safety and Clinician Satisfaction in an Academic Emergency Department

Little, Jessica; Higgins, George L.; Strout, Tania D.

doi:10.1016/j.annemergmed.2009.06.375

Cited by 1 publication

(2 citation statements)

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“…This panel represented approximately 60 years of combined experience in clinical process improvement. We extensively reviewed the available literature and focused narrowly on relevant studies 2,6,11‐21 . We convened a workgroup to discuss the elements.…”

Section: Methodsmentioning

confidence: 99%

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Standardized evaluation of hand‐off documentation of ICU boarders in the emergency department

Kolikof,

Shaw,

Stenson

et al. 2023

JACEP Open

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ObjectiveThe boarding of ICU patients in the emergency department (ED) represents a considerable risk to patient safety. This study aims to describe the generation of a rubric to ensure the fidelity of vital, written hand‐off between ED teams.MethodsWe performed a mixed methods design to develop a scoring rubric to evaluate written hand‐off communication of medical ICU boarders between ED teams during the COVID‐19 pandemic. The primary outcome was the quality of the written hand‐off as agreed upon by the inter‐user agreement. Our secondary outcome included variability in written quality as a function of the number of separate and distinct ED teams at the point of the transition of care.ResultsThere was a moderate inter‐user agreement with rubric scoring (κ = 0.70 [95% confidence interval, 0.66–0.75]). The overall trend noted that several key elements, including code status, performed interventions, and contingency planning, were infrequently documented.ConclusionsWe effectively created a quality assurance tool for ED ICU boarders that ensures relevant and vital information is relayed between ED teams. Our analysis demonstrated that all relevant information is only sometimes present in the hand‐off.

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Section: Methodsmentioning

confidence: 99%

“…We extensively reviewed the available literature and focused narrowly on relevant studies. 2 , 6 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 We convened a workgroup to discuss the elements. After 2 iterative rounds, we obtained consensus by unanimous vote.…”

Section: Methodsmentioning

confidence: 99%