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Establishing a conceptual framework for handoffs using communication theory.

Matthew Mohorek1, Travis P Webb1

  • 1Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.

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Summary
This summary is machine-generated.

Patient care handoffs increased after duty hour restrictions, leading to medical errors. The Shannon-Weaver Linear Model of Communication provides a framework to analyze and improve these critical health care transitions.

Keywords:
Interpersonal and Communication SkillsPatient CareProfessionalismcommunicationframeworkhandoffstransition of care

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Area of Science:

  • Health care communication
  • Medical error analysis
  • Systems engineering

Background:

  • Increased patient care handoffs due to 2003 Accreditation Council for Graduate Medical Education duty hour restrictions.
  • Ineffective handoffs are a significant cause of medical errors.
  • Lack of a unifying structure for health care handoff research.

Purpose of the Study:

  • Identify a conceptual framework for analyzing health care handoffs.
  • Establish a foundation for improving patient care transitions.

Main Methods:

  • Scholarly review of communication theory.
  • PubMed search of handoff research literature.
  • Analysis and matching of literature to relevant communication theories.

Main Results:

  • The Shannon-Weaver Linear Model of Communication identified as the most appropriate framework.
  • Model describes communication as a linear process: source-encoding-channel-decoding-destination.
  • Identifies three error points: transmitter, channel, and receiver.

Conclusions:

  • The Linear Model of Communication offers a suitable framework for handoff research.
  • Provides a structured approach to describing handoff variables.
  • Recommends the Linear Model as a foundation for interventions to improve health care handoffs.