DA substantially assisted in designing the handoff tool, completed further revisions of handoff tool, assisted in interpretation of the data, revised the manuscript, approved the final version of the manuscript, and agreed to be accountable for all aspects of the work in ensuring that questions related to accuracy and integrity of the project were appropriately investigated and resolved. JM conceptualized and designed the project, implemented the interventions, observed and recorded data, analyzed the data, interpreted the data, drafted the initial manuscript, revised the manuscript, approved the final version of the manuscript, and agreed to be accountable for all aspects of the work in ensuring that questions related to accuracy and integrity of the project were appropriately investigated and resolved. NN and JM conceptualized and designed the project, implemented the interventions, observed and recorded data, analyzed the data, interpreted the data, drafted the initial manuscript, revised the manuscript, approved the final version of the manuscript, and agreed to be accountable for all aspects of the work in ensuring that questions related to accuracy and integrity of the project were appropriately investigated and resolved. Using health information technology to improve safety in neonatal care: a systematic review of the literature. Melton KR, Ni Y, Tubbs-Cooley H, Walsh KE. The human factor: the critical importance of effective teamwork and communication in providing safe care. Evaluation of a physician informatics tool to improve patient handoffs. Cambridge, MA: White Paper 2017.įlanagan ME, Patterson ES, Frankel RM, Doebbeling BN. A framework for safe, reliable, and effective care. 2015 9:SC10–SC12.įrankel A, Haraden C, Federico F, Lenoci-Edwards J. SNAPPE-II (score for neonatal acute physiology with perinatal extension-II) in predicting mortality and morbidity in NICU. A pilot study to standardize and peer -review shift handoffs in an academic internal medicine residency program: the DOCFISH method. Krowl L, Gudlavelleti A, Patel A, Panebianco L, Korsters M, Dhamoon A. Implementation of a surgical handover tool in a busy tertiary referral centre: a complete audit cycle. Gibbons JP, Nugent E, Tierney S, Kavanagh D. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. Mardis M, Davis J, Benningfield B, Elliott C, Youngstrom M, Nelson B, et al. Oak Brook: Joint Commission Resources 2007. Improving america’s hospitals: The joint commission’s annual report on quality and safety. Changes in medical errors after implementation of a handoff program. Starmer AJ, Spector ND, Srivastava R, West DC, Rosenbluth G, Allen AD, et al. Impact of electronic medical record integration of a handoff tool on sign-out in a newborn intensive care unit. Improving the patient handoff process in the intensive care unit: keys to reducing errors and improving outcomes. Neonatal intensive care unit handoffs: a pilot study on core elements and epidemiology of errors. 2013 8:456–63.ĭerienzo C, Lenfestey R, Horvath M, Goldberg R, Ferranti J. Review of computerized physician handoff tools for improving the quality of patient care. Li P, Ali SF, Tang CF, Ghali WA, Stelfox HT. Standardizing the NICU handoff process using an EMR-based HT allowed for increased accuracy of handoff components and improved efficiency, which may promote enhanced patient safety. Efficiency of the handoff improved with time needed to complete patient handoff decreasing from 78 to 47 s per patient ( p < 0.001). ResultsĪccuracy of handoff components improved from 68% to 99% ( p < 0.001). Secondary measures included environmental components (start time, duration, location, and distractions) as indicators of efficiency. Primary measures included accuracy of demographic components: patient name, bed, age, gestational age, postmenstrual age and medical components: active diagnoses, weight, vascular access, respiratory support, diet, total fluid goal, medications. Three Plan-Do-Study-Act (PDSA) cycles were utilized following the implementation of a NICU-specific EMR-based HT and a standardized handoff process. This quality improvement project aimed to improve the accuracy and efficiency of handoff communication among NICU medical providers with an Electronic Medical Record (EMR)-based handoff tool (HT).
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