OBJECTIVE: To describe strategies employed during handoffs in four settings with high consequences for failure. ANALYSIS: of observational data for evidence of use of 21 handoff strategies. SETTING: NASA Johnson Space Center in Texas, nuclear power generation plants in Canada, a railroad dispatch center in the United States, and an ambulance dispatch center in Toronto. MAIN MEASURE: Evidence of 21 handoff strategies from observations and interviews. RESULTS: Nineteen of 21 strategies were used in at least one domain, on at least an 'as needed' basis. CONCLUSIONS: An understanding of how handoffs are conducted in settings with high consequences for failure can jumpstart endeavors to modify handoffs to improve patient safety.
OBJECTIVE: To describe strategies employed during handoffs in four settings with high consequences for failure. ANALYSIS: of observational data for evidence of use of 21 handoff strategies. SETTING: NASA Johnson Space Center in Texas, nuclear power generation plants in Canada, a railroad dispatch center in the United States, and an ambulance dispatch center in Toronto. MAIN MEASURE: Evidence of 21 handoff strategies from observations and interviews. RESULTS: Nineteen of 21 strategies were used in at least one domain, on at least an 'as needed' basis. CONCLUSIONS: An understanding of how handoffs are conducted in settings with high consequences for failure can jumpstart endeavors to modify handoffs to improve patient safety.
Authors: Sarah A Collins; Lena Mamykina; Desmond Jordan; Dan M Stein; Alisabeth Shine; Paul Reyfman; David Kaufman Journal: J Biomed Inform Date: 2011-11-28 Impact factor: 6.317
Authors: Eric S Holmboe; Judith L Bowen; Michael Green; Jessica Gregg; Lorenzo DiFrancesco; Eileen Reynolds; Patrick Alguire; David Battinelli; Catherine Lucey; Daniel Duffy Journal: J Gen Intern Med Date: 2005-12 Impact factor: 5.128