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A model for building a standardized hand-off protocol.

Vineet Arora1, Julie Johnson

  • 1Department of Medicine, University of Chicago, USA. varora@medicine.bsd.uchicago.edu

Joint Commission Journal on Quality and Patient Safety
|November 24, 2006
PubMed
Summary
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Standardizing patient hand-off communication is crucial for safety. A hand-off clinic improved communication processes, ensuring critical information transfer and closed-loop communication among healthcare teams.

Area of Science:

  • Healthcare communication
  • Patient safety protocols
  • Medical education

Background:

  • The Joint Commission designated standardized hand-off communication as a National Patient Safety Goal.
  • Effective patient hand-offs are critical for preventing medical errors and ensuring continuity of care.

Purpose of the Study:

  • To develop a standardized process for patient hand-offs.
  • To create a checklist for critical patient information during hand-offs.
  • To plan for the dissemination and training of a new hand-off protocol.

Main Methods:

  • An interactive 90-minute workshop, termed a "hand-off clinic," was developed.
  • The workshop focused on standardizing hand-off processes and creating essential content checklists.
  • Dissemination and training strategies were planned.

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Main Results:

  • Analysis revealed significant variability and discipline-specific differences in hand-off procedures.
  • Verbal hand-offs were not consistently performed due to competing demands.
  • Instances occurred where professional responsibility transfer was disconnected from information transfer, impacting patient care.

Conclusions:

  • The hand-off clinic successfully integrated "closed-loop" communication, ensuring follow-up on patient tasks.
  • The developed model for hand-off communication can be adapted for various healthcare settings.
  • Standardized protocols enhance patient safety by improving communication accuracy and completeness.