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Electronic handoff instruments: a truly multidisciplinary tool?

Kevin M Schuster1, Grace Y Jenq2, Stephen F Thung3

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Summary
This summary is machine-generated.

Non-physicians, including nurses, found a physician handoff tool useful for medical history but lacking in medication details. Despite design for physicians, the tool integrated into non-physician workflows, highlighting the need for their inclusion in system design.

Keywords:
Handoffnursesnursingpatient safetyquality improvementtransition of care

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Area of Science:

  • Healthcare Informatics
  • Patient Handoff Systems
  • Electronic Medical Records

Background:

  • Physician handoff tools are crucial for patient care continuity.
  • Electronic medical record (EMR) systems aim to streamline clinical workflows.
  • Non-physician healthcare professionals play a vital role in patient management.

Purpose of the Study:

  • To evaluate the utilization of a physician-designed handoff tool by non-physician staff.
  • To assess the integration, perceived usefulness, and accuracy of the EMR-embedded tool among nurses and allied health professionals.
  • To identify specific areas of utility and limitations of the tool for non-physician users.

Main Methods:

  • A survey was administered to nurses, physical therapists, discharge planners, and social workers.
  • Data collected on tool integration into daily practice, usefulness, and accuracy.
  • Response rate of 61% from 231 participants.

Main Results:

  • 60% of respondents used the handoff tool frequently.
  • Nurses found the tool helpful for medical history (79%) but not for medication or allergy information.
  • The tool was rated as accurate by 96% of nurses and 75% of other non-physicians.
  • Medical nurses found the tool more useful than surgical nurses; pediatric nurses rarely used it.

Conclusions:

  • The physician handoff tool was integrated into non-physician workflows despite its intended audience.
  • Non-physicians found value in specific aspects of the tool, particularly for medical history.
  • Future electronic patient handoff systems should involve non-physicians in their design and implementation.