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Related Concept Videos

SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

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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...
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Types of Reports I: Hand-off Report01:25

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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.
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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SBAR II: Application of SBAR01:14

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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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Types of Reports III: Telephone and Verbal Reports01:26

Types of Reports III: Telephone and Verbal Reports

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Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
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Cardiopulmonary Resuscitation III: AED Use01:23

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Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
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Handoff Practices in Emergency Medicine: Are We Making Progress?

H Gene Hern1, Fiona E Gallahue2, Boyd D Burns3

  • 1Department of Emergency Medicine, Alameda Health System - Highland Hospital, Oakland, CA.

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|January 15, 2016
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Summary

Emergency medicine residents receive insufficient handoff training, with skills often learned informally. While standardized protocols increased, their consistent use and proficiency evaluation remain inadequate.

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Area of Science:

  • Medical Education
  • Patient Safety
  • Emergency Medicine

Background:

  • Transitions of care, particularly patient handoffs, are critical junctures prone to communication errors.
  • Effective handoffs are essential for maintaining patient safety and continuity of care in emergency medicine.

Purpose of the Study:

  • To assess current handoff practices among U.S. emergency medicine (EM) residents.
  • To evaluate educational and assessment strategies for resident handoffs.
  • To identify changes in handoff practices, education, and proficiency since 2011.

Main Methods:

  • A cross-sectional survey study utilizing the Kern model for curriculum development.
  • Data collected from 175 U.S. emergency medicine residency programs via a Listserv.
  • Survey focused on handoff protocols, tools, documentation, training, and proficiency assessment, with comparisons to 2011 data.

Main Results:

  • A significant increase in standardized handoff protocols (57.6% vs. 43.2% in 2011).
  • Increased formal training during orientation and decreased lack of training.
  • No significant changes in documentation rates; proficiency evaluation remains infrequent, though improved.

Conclusions:

  • Emergency medicine resident handoff training remains insufficient, with skills often acquired informally.
  • Standardized protocols are not consistently implemented or utilized in practice.
  • Handoff proficiency is frequently unevaluated, despite improvements since 2011.