Improving Handoffs in the Emergency Department. Export

@article{citeulike:5888087, abstract = {Patient handoffs at shift change are a ubiquitous and potentially hazardous process in emergency care. As crowding and lengthy evaluations become the standard for an increasing proportion of emergency departments (EDs), the number of patients handed off will likely increase. It is critical now more than ever before to ensure that handoffs supply valid and useful shared understandings between providers at transitions of care. The purpose of this article is to provide the most up-to-date evidence and collective thinking about the process and safety of handoffs between physicians in the ED. It offers perspectives from other disciplines, provides a conceptual framework for handoffs, and categorizes models of existing practices. Legal and risk management issues are also addressed. A proposal for the development of handoff quality measures is outlined. Practical strategies are suggested to improve ED handoffs. Finally, a research agenda is proposed to provide a roadmap to future work that may increase knowledge in this area.}, author = {Cheung, Dickson S. and Kelly, John J. and Beach, Christopher and Berkeley, Ross P. and Bitterman, Robert A. and Broida, Robert I. and Dalsey, William C. and Farley, Heather L. and Fuller, Drew C. and Garvey, David J. and Klauer, Kevin M. and McCullough, Lynne B. and Patterson, Emily S. and Pham, Julius C. and Phelan, Michael P. and Pines, Jesse M. and Schenkel, Stephen M. and Tomolo, Anne and Turbiak, Thomas W. and Vozenilek, John A. and Wears, Robert L. and White, Marjorie L. and {American College of Emergency Physicians Section of Quality Improvement and Patient Safety}}, citeulike-article-id = {5888087}, citeulike-linkout-0 = {http://dx.doi.org/10.1016/j.annemergmed.2009.07.016}, citeulike-linkout-1 = {http://linkinghub.elsevier.com/retrieve/pii/S019606440901261X}, citeulike-linkout-2 = {http://view.ncbi.nlm.nih.gov/pubmed/19800711}, citeulike-linkout-3 = {http://www.hubmed.org/display.cgi?uids=19800711}, day = {1}, doi = {10.1016/j.annemergmed.2009.07.016}, issn = {1097-6760}, journal = {Annals of emergency medicine}, keywords = {communication, ed, signout}, month = {October}, posted-at = {2009-10-14 06:34:06}, priority = {2}, title = {Improving Handoffs in the Emergency Department.}, url = {http://dx.doi.org/10.1016/j.annemergmed.2009.07.016}, year = {2009} }

TY - JOUR ID - citeulike:5888087 L3 - citeulike-article-id:5888087 N2 - Patient handoffs at shift change are a ubiquitous and potentially hazardous process in emergency care. As crowding and lengthy evaluations become the standard for an increasing proportion of emergency departments (EDs), the number of patients handed off will likely increase. It is critical now more than ever before to ensure that handoffs supply valid and useful shared understandings between providers at transitions of care. The purpose of this article is to provide the most up-to-date evidence and collective thinking about the process and safety of handoffs between physicians in the ED. It offers perspectives from other disciplines, provides a conceptual framework for handoffs, and categorizes models of existing practices. Legal and risk management issues are also addressed. A proposal for the development of handoff quality measures is outlined. Practical strategies are suggested to improve ED handoffs. Finally, a research agenda is proposed to provide a roadmap to future work that may increase knowledge in this area. JF - Annals of emergency medicine SN - 1097-6760 TI - Improving Handoffs in the Emergency Department. KW - communication KW - ed KW - signout AU - Cheung, Dickson AU - Kelly, John AU - Beach, Christopher AU - Berkeley, Ross AU - Bitterman, Robert AU - Broida, Robert AU - Dalsey, William AU - Farley, Heather AU - Fuller, Drew AU - Garvey, David AU - Klauer, Kevin AU - McCullough, Lynne AU - Patterson, Emily AU - Pham, Julius AU - Phelan, Michael AU - Pines, Jesse AU - Schenkel, Stephen AU - Tomolo, Anne AU - Turbiak, Thomas AU - Vozenilek, John AU - Wears, Robert AU - White, Marjorie PY - 2009/10/01/ UR - http://dx.doi.org/10.1016/j.annemergmed.2009.07.016 ER -