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Related Concept Videos

SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Types of Reports I: Hand-off Report01:25

Types of Reports I: Hand-off Report

A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Flow Sheet01:17

Flow Sheet

Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...

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Related Experiment Video

Updated: Jun 27, 2026

Workflow and Framework for Collecting and Implementing Point-of-Care Ultrasound Data in the Management of Heart Failure Patients
03:47

Workflow and Framework for Collecting and Implementing Point-of-Care Ultrasound Data in the Management of Heart Failure Patients

Published on: July 12, 2024

Simple standardized patient handoff system that increases accuracy and completeness.

Jeffrey D Wayne1, Rajesh Tyagi, Gilles Reinhardt

  • 1Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA. jwayne@northwestern.edu

Journal of Surgical Education
|December 9, 2008
PubMed
Summary

Implementing a simplified, standardized handoff process improved accuracy and completeness of patient information transfer. This low-cost, low-tech approach reduced errors and is beneficial for healthcare providers.

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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Medical Education

Background:

  • Effective patient handoffs are crucial for continuity and safety in care.
  • The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) defines handoffs as critical communication events.
  • Existing handoff processes may lack accuracy, completeness, and clarity.

Purpose of the Study:

  • To investigate determinants of effective handoff management systems.
  • To evaluate a new, low-cost, low-tech process for surgery patient handoffs.
  • To test for improvements in information accuracy, completeness, clarity of transfer time, and task handoff.

Main Methods:

  • Baseline handoff process mapped via direct observation and focus groups.
  • Electronic and telephone surveys assessed resident perceptions of handoff quality and tasks.
  • A standardized, partially automated handoff form was developed and piloted.

Main Results:

  • Significant improvements reported in accuracy (p=0.003) and completeness (p=0.015) of information.
  • Clarity of patient transfer time significantly improved (p=0.0001).
  • Perceived inappropriate task transfer decreased significantly; experience and rotation type did not impact measures.

Conclusions:

  • Simplifying and standardizing the handoff instrument enhances resident perceptions of accuracy, completeness, and task transfer.
  • The developed low-cost, low-tech handoff paradigm demonstrates significant benefits.
  • This approach offers a potentially useful model for other healthcare settings.