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Implementation of a computerized patient handoff application.

David K Vawdrey1, Daniel M Stein2, Matthew R Fred3

  • 1Department of Biomedical Informatics, Columbia University, New York, NY; ; Department of Information Technology, NewYork-Presbyterian Hospital, New York, NY.

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Summary
This summary is machine-generated.

A new electronic health record (EHR) application improves patient handoffs by integrating data, reducing medical errors. This tool is widely adopted by physicians and nurses, enhancing care continuity.

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Area of Science:

  • Health Informatics
  • Patient Safety
  • Clinical Communication

Background:

  • Provider handoffs are critical for continuity of care in hospitalized patients.
  • Gaps in handoff processes increase the risk of medical errors.
  • Existing electronic health record (EHR) systems often lack specialized tools for effective patient handoffs.

Purpose of the Study:

  • To develop and evaluate a collaborative application for patient handoffs integrated with a commercial EHR.
  • To improve the quality and efficiency of clinical handoffs.
  • To support seamless information transfer between healthcare providers.

Main Methods:

  • Developed a collaborative application fully integrated with a commercial EHR system.
  • The application generates customizable printed reports with key patient data (allergies, medications, vital signs, labs, isolation, code status).
  • Assessed application adoption and user demographics within the institution and through distribution to other sites.

Main Results:

  • Achieved widespread voluntary adoption with 6,100 monthly users and 700 daily reports generated.
  • Application usage expanded beyond physicians to include nurses (50%), pharmacists, and allied health professionals.
  • The tool has been successfully distributed to multiple institutions utilizing the same EHR.

Conclusions:

  • The integrated EHR handoff application effectively supports continuity of care and reduces medical errors.
  • The tool's voluntary adoption and multidisciplinary use highlight its value in clinical practice.
  • This application represents a significant advancement in leveraging EHRs for improved patient handoff processes.