Comparative Evaluation Of The Content And Structure Of Communication Using Two Handoff Tools : Implications For Patient Safety

Comparative Evaluation Of The Content And Structure Of Communication Using Two Handoff Tools : Implications For Patient Safety

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Abraham, J., Kannampallil, T., Almoosa, K. F., Patel, B., & Patel, V. L. (2014). Comparative evaluation of the content and structure of communication using two handoff tools: Implications for patient safety. Journal of Critical Care, 29(2), 311.e1-311.e7.
Describing a study comparing the effectiveness of two hand-off methods, the researchers of this article compare the body system based Hand-Off Intervention Tool (HAND-IT) and the problem based Subjective, Objective, and Plan (SOAP) format. Through the study of 82 hand-offs performed between residents both pre and post introduction of each tool, the authors determined the HAND-IT was most effective. According to the researchers, HAND-IT’s body systems based framework for report had fewer information transmission errors and increased the number of information exchanges. This article is useful in its identification of an evidence-based hand-off tool and provides convincing evidence that such a tool can be implemented in even the most complex critical care environment.
Abraham, J., Kannampallil, T., Patel, B., Almoosa, K., & Patel, V. L. (2012). Ensuring patient safety in care transitions: An empirical evaluation of a handoff intervention tool. AMIA Annual Symposium Proceedings / AMIA Symposium. AMIA Symposium, 2012, 17-26.
In this article, the authors describe the research and evaluation of the body systems based HAND-IT hand-off report tool. The HAND-IT tool uses a check-list systems review of information creating a standardized routine for the transmission of patient information and “content summarization (using a problem-case narrative format)” (p. 20) for detailing problems and changes during the previous shift. The data from this study serves as the basis for the evid...

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... (MS) care units. The students interviewed both ED and MS staff to find out what elements of report are considered crucial for safe patient hand-off. As discovered in similar research, sender and receiver information needs were different. The student researchers then prioritized which pieces of information were considered the most important from both units and correlated these with each category of the Situation, Background, Assessment, Recommendation (SBAR) report format. A form with each of these pieces of information was created, organizing them into the SBAR format, creating what the researchers hope is a useful hand-off tool. Seemingly however this research was not tested and put into practice, as the article has no mention of implementation. It could be useful to trial this tool as part of the PDSA cycles in a hand-off communication improvement project.

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