Hand-off-Communications
Hand-Off Communications

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.

Patient Stories

Statistics

Of the many improvements from implementing hand off communications, verbal communication and quality was the most to be improved1
1.

Smith, C., Buzalko, R., Anderson, N., Michalski, J., Warchol, J., Ducey, S., & Branecki, C. (2018). Evaluation of a Novel Handoff Communication Strategy for Patients Admitted from the Emergency Department. Western Journal of Emergency Medicine, 19(2), 372–379. https://doi.org/10.5811/westjem.2017.9.35121

Surprisingly, only 23 percent of physicians from an acute care hospital setting were able to identify the nurses attending to their patient. Vice versa, only 42 percent of nurses from the same study were able to identify the physician for their patient.2,3
2.

Friesen, M., White, S., & Byers, J. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Handoffs: Implications for Nurses, 1. https://www.ncbi.nlm.nih.gov/books/NBK2649/

3.

Smith, C., Buzalko, R., Anderson, N., Michalski, J., Warchol, J., Ducey, S., & Branecki, C. (2018). Evaluation of a Novel Handoff Communication Strategy for Patients Admitted from the Emergency Department. Western Journal of Emergency Medicine, 19(2), 372–379. https://doi.org/10.5811/westjem.2017.9.35121

Errors in communication breakdowns have been seen to account for nearly 43 percent of surgical incidents, and two-thirds of these incidents were due to hand off related errors.4
4.

Friesen, M., White, S., & Byers, J. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Handoffs: Implications for Nurses, 1. https://www.ncbi.nlm.nih.gov/books/NBK2649/

An estimated 80% of serious medical errors involve miscommunication between caregivers during the transfer of patients.5
5.

Clutter—Part, C. (2012). Joint Commission Center for Transforming Healthcare Releases Targeted Solutions Tool for Hand-Off Communications. Joint Commission Perspectives.

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