Actionable Patient Safety Solutions (APSS)

4A Hand-Off Communication

Poor hand-offs are where most patient safety implications occur, with hand-offs contributing to over 80% of adverse events. The consistency necessary throughout the patient journey, as well as throughout the hospital, is significant and can be enabled by organization-wide adoption of one method of communication. Our APSS Blueprints provide healthcare organizations with practical, evidence-based checklists and protocols to help hospitals adopt and effectively implement one consistent method of communication.

Executive summary

The Problem Communication is the root cause of most errors because hospitals lack a systematic, universal method to accurately transfer important information. Adoption of clear and consistent communication strategies, whether I-PASS, SBAR, or another method, has been shown to reduce ineffective hand-offs by nearly 60% (Benjamin, Hargrave, & Nether, 2016), reduce

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