Improving Transfer of Care Between Psychiatrists and Residents: Participants’ Perspective on the Implementation of a Handover Protocol in a Psychiatric Emergency

Lafontaine, Jonathan; Casacalenda, Nicola; Perreault, Michel; Laliberté, Vincent; Milton, Diana

doi:10.1007/s40596-021-01472-5

Cited by 4 publications

(1 citation statement)

References 26 publications

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“…Over the last decade, the I-PASS group has facilitated reduction in medical errors 7,8 and has developed extensive education and implementation resources. These not only have allowed for successful pilot efforts occurring in other disciplines [9][10][11] but also provide us with a road map. The I-PASS team has reported many of the challenges and successes their team faced in the development, study, and distribution of their methodology.…”

mentioning

confidence: 99%

Enablers and Barriers to Multicenter Perioperative Handoff Collaboration: Lessons Learned From a Successful Model Outside the Operating Room

Michael

Ambardekar

Pukenas

et al. 2021

Anesthesia &Amp; Analgesia

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mentioning

confidence: 99%

Enablers and Barriers to Multicenter Perioperative Handoff Collaboration: Lessons Learned From a Successful Model Outside the Operating Room

Michael

Ambardekar

Pukenas

et al. 2021

Anesthesia &Amp; Analgesia

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Improving clinician agreement and comfort through the development of a pediatric behavioral health huddle tool

Sanders,

Abela,

Davenport

et al. 2024

Journal of Pediatric Nursing

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Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs

et al. 2023

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Background Safe and effective physician-to-physician patient handoffs are integral to patient safety. Unfortunately, poor handoffs continue to be a major cause of medical errors. Developing a better understanding of challenges faced by health care providers is critical to address this continued patient safety threat. This study addresses the gap in the literature exploring broad, cross-specialty trainee perspectives around handoffs and provides a set of trainee-informed recommendations for both training programs and institutions. Methods Using a constructivist paradigm, the authors conducted a concurrent/embedded mixed method study to investigate trainees’ experiences with patient handoffs across Stanford University Hospital, a large academic medical center. The authors designed and administered a survey instrument including Likert-style and open-ended questions to solicit information about trainee experiences from multiple specialties. The authors performed a thematic analysis of open-ended responses. Results 687/1138 (60.4%) of residents and fellows responded to the survey, representing 46 training programs and over 30 specialties. There was wide variability in handoff content and process, most notably code status not being consistently mentioned a third of the time for patients who were not full code. Supervision and feedback about handoffs were inconsistently provided. Trainees identified multiple health-systems level issues that complicated handoffs and suggested solutions to these threats. Our thematic analysis identified five important aspects of handoffs: (1) handoff elements, (2) health-systems-level factors, (3) impact of the handoff, (4) agency (duty), and (5) blame and shame. Conclusions Health systems, interpersonal, and intrapersonal issues affect handoff communication. The authors propose an expanded theoretical framework for effective patient handoffs and provide a set of trainee-informed recommendations for training programs and sponsoring institutions. Cultural and health-systems issues must be prioritized and addressed, as an undercurrent of blame and shame permeates the clinical environment.

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Improving Transfer of Care Between Psychiatrists and Residents: Participants’ Perspective on the Implementation of a Handover Protocol in a Psychiatric Emergency

Cited by 4 publications

References 26 publications

Enablers and Barriers to Multicenter Perioperative Handoff Collaboration: Lessons Learned From a Successful Model Outside the Operating Room

Enablers and Barriers to Multicenter Perioperative Handoff Collaboration: Lessons Learned From a Successful Model Outside the Operating Room

Improving clinician agreement and comfort through the development of a pediatric behavioral health huddle tool

Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs

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