Effect of Audit and Feedback on Improving Handovers: A Nonrandomized Comparative Study

O’Horo, John C.; Omballi, Mohammed; Tran, Tony; Jordan, Jeffrey P.; Baumgardner, Dennis J; Gennis, Mark A.

doi:10.4300/jgme-d-11-00181.1

Cited by 7 publications

(17 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…21,28,30,38 A recent editorial notes that ''randomization is not the 'gold standard' for medical education research,'' 55 but it emphasizes that use of ''. .…”

Section: Discussionmentioning

confidence: 99%

“…32 Another study found conflicting results, with 37% of respondents reporting the electronic system was faster, and 57% reporting the card-based system (control) was faster to use. 21 Yet another study found no significant difference between the number of patients handed off and the time spent during handoff; however, the respondents reported an increase in perceived efficiency and ease of use. 22 In other studies questioning about use of the electronic system, 82% of respondents in 1 study 39 reported using the electronic system, and 84% of respondents in a second study 27 reported they would use the electronic system over other systems.…”

Section: Self-reported Measuresmentioning

confidence: 99%

“…In 1 study, residents used 3 different handoff protocols (written, electronic, and face-to-face), with reports of protocol deviations lowest in the face-to-face phase (28%), highest with written handoffs (67%), and electronic handoffs falling in the middle (50%). 38 In 9 studies (24%), perception of patient safety and/or quality of care improved 22,27,31,36,39 ; better patient management 21,25 or fewer near misses 30 were reported; and there was a reduction in missed patients. 34 However, a randomized crossover study found no statistically significant differences in resident-reported unexpected events, medical errors, or adverse drug events when comparing the electronic handoff system to the standard systems used (ie, written lists, card based, or a team-developed spreadsheet), 40 and another study found no difference in reported unexpected events pre-to postimplementation of a new electronic handoff system.…”

Section: Self-reported Measuresmentioning

confidence: 99%

“…27 A nonrandomized control study found that by providing ongoing feedback on allergy and code status errors and omissions, there was a sharp decline in these errors, with the electronic group outperforming a cardbased handoff system. 21 …”

Section: Process Measuresmentioning

confidence: 99%

See 3 more Smart Citations

Evaluating Outcomes of Electronic Tools Supporting Physician Shift-to-Shift Handoffs: A Systematic Review

Davis¹,

Riesenberg²,

Mardis³

et al. 2015

Journal of Graduate Medical Education

View full text Add to dashboard Cite

Background Multiple organizations have recognized that handoffs are prone to errors, and there has been an increase in the use of electronic health records and computerized tools in health care. Objective This systematic review evaluates the current evidence on the effectiveness of electronic solutions used to support shift-to-shift handoffs. Methods We searched the English-language literature for research studies published between January 1, 2008, and September 19, 2014, using National Library of Medicine PubMed, EBSCO CINAHL, OvidSP All Journals, and ProQuest PsycINFO. Included studies focused on the evaluation of physician shift-to-shift handoffs and an electronic solution designed to support handoffs. We assessed articles using a quality scoring system, conducted a review of barriers and strategies, and categorized study outcomes into self-report, process, and outcome measures. Results Thirty-seven articles met inclusion criteria, including 20 single group pre- and posttest studies; 8 posttest only or cross-sectional studies; 4 nonrandomized controlled trials; 1 cohort study; 1 randomized crossover study; and 3 qualitative studies. Quality scores ranged from 3.5 to 14 of a possible 16. Most articles documented some positive outcomes, with 2 of the 3 studies evaluating patient outcomes yielding statistically significant improvements. The only other study that analyzed patient outcomes showed that interventions other than the electronic tool were responsible for most of the significant improvements. Conclusions The majority of studies supported using an electronic tool, yet few measured patient outcomes, and numerous studies suffered from methodology issues. Future studies should evaluate patient outcomes, improve study design, assess the role of faculty oversight, and broaden the focus to recognize the role of human factors.

show abstract

“…21,28,30,38 A recent editorial notes that ''randomization is not the 'gold standard' for medical education research,'' 55 but it emphasizes that use of ''. .…”

Section: Discussionmentioning

confidence: 99%

Section: Self-reported Measuresmentioning

confidence: 99%

Section: Self-reported Measuresmentioning

confidence: 99%

Section: Process Measuresmentioning

confidence: 99%

See 2 more Smart Citations

Evaluating Outcomes of Electronic Tools Supporting Physician Shift-to-Shift Handoffs: A Systematic Review

Davis¹,

Riesenberg²,

Mardis³

et al. 2015

Journal of Graduate Medical Education

View full text Add to dashboard Cite

show abstract

“…Although the reasons differ between the American and Canadian surgical residents, feedback should be part of the daily patient handoff to improve the process. 19 We asked the surgical residents about how to improve the patient handoff at their institutions. We divided their responses into 2 categories: programrelated and resident related (Table 7).…”

Section: Discussionmentioning

confidence: 99%

Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey

Saleem

Paulus

Vassiliou

et al. 2015

cjs

View full text Add to dashboard Cite

Background: Communication errors are considered one of the major causes of senti nel events. Our aim was to assess the process of patient handoff among junior surgical residents and to determine ways in which to improve the handoff process. Methods:We conducted nationwide surveys that included all accredited general surgery residency programs in the United States and Canada.Results: Of the 244 American and 17 Canadian accredited surgical residency pro grams contacted, 65 (27%) and 12 (71%), respectively, participated in the survey. Of the American and Canadian respondents, 66% and 69%, respectively, were from post graduate year (PGY) 1, and 32% and 29%, respectively, were from PGY 2; 85 (77%) and 50 (96%), respectively, had not received any training about patient handoff before their surgical residency, and 27% and 64%, respectively, reported that the existing handoff system at their institutions did not adequately protect patient safety. More over, 29% of American respondents and 37% of Canadian respondents thought that the existing handoffs did not support continuity of patient care. Of the American resi dents, 67% and 6% reported receiving an incomplete handoff that resulted in minor and major patient harm, respectively. These results mirrored those from Canadian resi dents (63% minor and 7% major harm). The most frequent factor reported to improve the patient handoff process was standardization of the verbal handoff. Conclusion:Our survey results indicate that the current patient handoff system con tributes to patient harm. More efforts are needed to establish standardized forms of verbal and written handoff to ensure patient safety and continuity of care.Contexte : Les erreurs de communication sont considérées comme l'une des causes majeures des événements sentinelles. Notre but était d'évaluer le processus de trans fert des patients chez les résidents junior en chirurgie et de trouver des façons de l'améliorer.Méthodes : Nous avons procédé à des sondages nationaux qui ont inclus tous les programmes agréés de résidence en chirurgie générale aux États Unis et au Canada.Résultats : Sur les 244 programmes agréés de résidence en chirurgie américains et les 17 canadiens, 65 (27 %) et 12 (71 %), respectivement, ont participé au sondage. Parmi les participants américains et canadiens, 66 % et 69 %, respectivement, étaient en pre mière année de résidence (PGY 1) et 32 % et 29 %, respectivement, étaient en deux ième année de résidence (PGY 2); 85 (77 %) et 50 (96 %), respectivement, n'avaient reçu aucune formation sur le transfert des patients avant leur résidence en chirurgie et 27 % et 64 %, respectivement, ont déclaré que le système actuel de transfert de leur établissement n'assurait pas adéquatement la sécurité des patients. De plus, 29 % des participants américains et 37 % des participants canadiens ont dit estimer que le mode actuel de transfert ne favorisait pas la continuité des soins. Chez les résidents américains, 67 % et 6 % ont déclaré recevoir un rapport de transfert incomplet susceptible d'entraîner u...

show abstract

Perceptions and Experiences of Hospital Nurses During Transition to an Electronic Handover Informatics System

Lee

Lin

2019

CIN: Computers, Informatics, Nursing

View full text Add to dashboard Cite

An effective patient transfer, or handover, among healthcare professionals can help prevent communication-related medical errors, and a reliable electronic handover informatics system can standardize the handoff process. Adapting to a new handover system may cause stress for nurses. This descriptive qualitative study aimed to explore the perceptions and transition experiences of hospital nurses in adopting and adapting to a new handover informatics system. Thirty-eight nurses at a medical center in Taiwan participated in the study from December 2016 to January 2017. The researcher conducted five focus group interviews and analyzed all responses using content analysis. Results showed three major themes: “Perceptions of challenges and barriers related to the transition to a new handover informatics system,” “Perceptions of benefits and strategies to the transition to a new handover informatics system,” and “Suggestions for successful implementation of a new handover informatics system.” Five subthemes emerged from the first theme, and six subthemes emerged from the second theme. The results of this study could enhance our understanding of nurses' perceptions and experiences with transition to a new handover informatics system and could provide a reference for hospitals to develop individualized strategies to facilitate the implementation of a handover informatics system.

show abstract

Effect of Audit and Feedback on Improving Handovers: A Nonrandomized Comparative Study

Abstract: Regular, real-time feedback through an electronic handover system can improve the accuracy and completeness of handovers in patient care.

Cited by 7 publications

References 11 publications

Evaluating Outcomes of Electronic Tools Supporting Physician Shift-to-Shift Handoffs: A Systematic Review

Evaluating Outcomes of Electronic Tools Supporting Physician Shift-to-Shift Handoffs: A Systematic Review

Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey

Perceptions and Experiences of Hospital Nurses During Transition to an Electronic Handover Informatics System

Contact Info

Product

Resources

About