AMIA Annu Symp Proc - Ensuring patient safety in care transitions: an empirical evaluation of a Handoff Intervention Tool.

Tópicos

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Resumo

Successful handoffs ensure smooth, efficient and safe patient care transitions. Tools and systems designed for standardization of clinician handoffs often focuses on ensuring the communication activity during transitions, with limited support for preparatory activities such as information seeking and organization. We designed and evaluated a Handoff Intervention Tool (HAND-IT) based on a checklist-inspired, body system format allowing structured information organization, and a problem-case narrative format allowing temporal description of patient care events. Based on a pre-post prospective study using a multi-method analysis we evaluated the effectiveness of HAND-IT as a documentation tool. We found that the use of HAND-IT led to fewer transition breakdowns, greater tool resilience, and likely led to better learning outcomes for less-experienced clinicians when compared to the current tool. We discuss the implications of our results for improving patient safety with a continuity of care-based approach.

Resumo Limpo

success handoff ensur smooth effici safe patient care transit tool system design standard clinician handoff often focus ensur communic activ transit limit support preparatori activ inform seek organ design evalu handoff intervent tool handit base checklistinspir bodi system format allow structur inform organ problemcas narrat format allow tempor descript patient care event base prepost prospect studi use multimethod analysi evalu effect handit document tool found use handit led fewer transit breakdown greater tool resili like led better learn outcom lessexperienc clinician compar current tool discuss implic result improv patient safeti continu carebas approach

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