Literature DB >> 24263556

Neonatal intensive care unit handoffs: a pilot study on core elements and epidemiology of errors.

C Derienzo1, R Lenfestey1, M Horvath2, R Goldberg1, J Ferranti3.   

Abstract

OBJECTIVE: To define the core data elements of a neonatal intensive care unit (NICU) handoff compare NICU residents' written and verbal handoff data with real-time, auto-populated data and identify the epidemiology of handoff errors. STUDY
DESIGN: We defined nine core data elements for a NICU patient handoff. We then compared residents' written and verbal handoffs against real-time, auto-populated data for each core element. RESULT: A total of 101 NICU patient handoffs (31 unique patients) were analyzed. Per patient, residents made more written errors for infants in critical-care beds than for infants in step-down beds (2.33 vs 1.67, P=0.04). Replacing residents' written handoffs with the gold-standard, auto-populated data would have prevented 92% of written errors.
CONCLUSION: NICU infants are subjected to many handoff errors. Sicker infants are at higher risk for error. Auto-population can reduce written handoff errors and allow residents more time for training and educational opportunities.

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Year:  2013        PMID: 24263556     DOI: 10.1038/jp.2013.146

Source DB:  PubMed          Journal:  J Perinatol        ISSN: 0743-8346            Impact factor:   2.521


  19 in total

1.  Reducing error in the emergency department: a call for standardization of the sign-out process.

Authors:  Kapil R Dhingra; Andrew Elms; Cherri Hobgood
Journal:  Ann Emerg Med       Date:  2010-12       Impact factor: 5.721

Review 2.  Emergency physician intershift handovers: an analysis of our transitional care.

Authors:  Jonathan I Singer; Jase Dean
Journal:  Pediatr Emerg Care       Date:  2006-10       Impact factor: 1.454

Review 3.  Systematic review of handoff mnemonics literature.

Authors:  Lee Ann Riesenberg; Jessica Leitzsch; Brian W Little
Journal:  Am J Med Qual       Date:  2009-03-05       Impact factor: 1.852

4.  The top 10 list for a safe and effective sign-out.

Authors:  Clinton D Kemp; Jonathan M Bath; Jonathan Berger; Aaron Bergsman; Trevor Ellison; Katherine Emery; Jacqueline Garonzik-Wang; Helen G Hui-Chou; Skye C Mayo; Oscar K Serrano; Sachin Shridharani; Kashif Zuberi; Pamela A Lipsett; Julie A Freischlag
Journal:  Arch Surg       Date:  2008-10

5.  ACOG committee opinion. Number 367. June 2007. Communication strategies for patient handoffs.

Authors: 
Journal:  Obstet Gynecol       Date:  2007-06       Impact factor: 7.661

6.  Patient handoffs: pediatric resident experiences and lessons learned.

Authors:  Maireade E McSweeney; Jenifer R Lightdale; Robert J Vinci; James Moses
Journal:  Clin Pediatr (Phila)       Date:  2010-09-13       Impact factor: 1.168

7.  Optimizing physician handover through the creation of a comprehensive minimum data set.

Authors:  Niraj K Mistry; Alene Toulany; John F Edmonds; Anne Matlow
Journal:  Healthc Q       Date:  2010

Review 8.  A model for building a standardized hand-off protocol.

Authors:  Vineet Arora; Julie Johnson
Journal:  Jt Comm J Qual Patient Saf       Date:  2006-11

Review 9.  Residents' and attending physicians' handoffs: a systematic review of the literature.

Authors:  Lee Ann Riesenberg; Jessica Leitzsch; Jaime L Massucci; Joseph Jaeger; Joel C Rosenfeld; Carl Patow; Jamie S Padmore; Kelly P Karpovich
Journal:  Acad Med       Date:  2009-12       Impact factor: 6.893

10.  International Standards for a Safe Practice of Anesthesia 2010.

Authors:  Alan F Merry; Jeffrey B Cooper; Olaitan Soyannwo; Iain H Wilson; John H Eichhorn
Journal:  Can J Anaesth       Date:  2010-09-21       Impact factor: 5.063

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  8 in total

1.  NICU handoff lacks completion.

Authors:  A Catlin
Journal:  J Perinatol       Date:  2014-08       Impact factor: 2.521

2.  Risk of Necrotizing Enterocolitis Following Packed Red Blood Cell Transfusion in Very Low Birth Weight Infants.

Authors:  Waricha Janjindamai; Arunee Prapruettrong; Anucha Thatrimontrichai; Supaporn Dissaneevate; Gulawadee Maneenil; Alan Geater
Journal:  Indian J Pediatr       Date:  2019-02-21       Impact factor: 1.967

3.  Systemwide change of sedation wean protocol following pediatric laryngotracheal reconstruction.

Authors:  Elliott D Kozin; Brian M Cummings; Derek J Rogers; Brian Lin; Rosh Sethi; Natan Noviski; Christopher J Hartnick
Journal:  JAMA Otolaryngol Head Neck Surg       Date:  2015-01       Impact factor: 6.223

4.  Improving Accuracy of Handoff by Implementing an Electronic Health Record-generated Tool: An Improvement Project in an Academic Neonatal Intensive Care Unit.

Authors:  Jenny K Koo; Laurel Moyer; Michael A Castello; Yassar Arain
Journal:  Pediatr Qual Saf       Date:  2020-07-10

Review 5.  Evaluating Outcomes of Electronic Tools Supporting Physician Shift-to-Shift Handoffs: A Systematic Review.

Authors:  Joshua Davis; Lee Ann Riesenberg; Matthew Mardis; John Donnelly; Branden Benningfield; Mallory Youngstrom; Imelda Vetter
Journal:  J Grad Med Educ       Date:  2015-06

6.  Comparative assessment of content overlap between written documentation and verbal communication: an observational study of resident sign-outs.

Authors:  Joanna Abraham; Imade Ihianle; Charlotte E Ward; Vineet M Arora; Thomas G Kannampallil
Journal:  JAMIA Open       Date:  2018-08-09

7.  Improving the neonatal team handoff process in a level IV NICU: reducing interruptions and handoff duration.

Authors:  Vilmaris Quinones Cardona; Alison LaBadie; David B Cooperberg; Alan Zubrow; Suzanne M Touch
Journal:  BMJ Open Qual       Date:  2021-01

8.  A Mobile, Electronic Health Record-Connected Application for Managing Team Workflows in Inpatient Care.

Authors:  Jacqueline M Soegaard Ballester; Geoffrey D Bass; Richard Urbani; Glenn Fala; Rutvij Patel; Damien Leri; Jackson M Steinkamp; Joshua L Denson; Roy Rosin; Srinath Adusumalli; Clarence William Hanson; Ross Koppel; Subha Airan-Javia
Journal:  Appl Clin Inform       Date:  2021-12-22       Impact factor: 2.342

  8 in total

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