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Related Concept Videos

Types of Reports I: Hands-off Report01:25

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Related Experiment Video

Updated: Mar 10, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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What's Ideal? A case study exploring handoff routines in practice.

Saira N Haque1, Carsten S Østerlund2, Lawrence M Fagan3

  • 1Center for eHealth, Quality and Analytics, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC 27709-2194, United States.

Journal of Biomedical Informatics
|December 14, 2016
PubMed
Summary

Healthcare provider handoffs are more than just patient transfer; they involve routine activities. Understanding these routines helps identify why variations occur and prevent exceptions like missing information during care transitions.

Keywords:
HandoffsHandoversPatient safetyRoutinesTransitions of care

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Area of Science:

  • Healthcare quality and safety
  • Clinical informatics
  • Health services research

Background:

  • Traditional handoff analysis focuses on patient transfer points, neglecting essential routine activities.
  • Current clinical practices and information systems view handoffs as isolated events.
  • This study proposes an expanded definition of handoffs to include interrelated activities preceding patient transfer.

Purpose of the Study:

  • To analyze healthcare provider handoffs by considering them as routines, not just single events.
  • To identify exceptions from standard practice by examining ideal-type handoff routines.
  • To understand how routine activities and context influence handoff success.

Main Methods:

  • Employed an ethnographic case study methodology in an interventional cardiology unit.
  • Conducted thematic analysis of handoffs and their supporting routines using NVivo software.
  • Categorized types and causes of practice differences and exceptions from ideal-type handoffs.

Main Results:

  • Handoffs within a clinical unit showed variations from ideal routines without necessarily causing exceptions.
  • Handoffs between clinical units, while more standardized, led to more exceptions when deviations occurred.
  • Problems in routine activities and the handoff context significantly impacted successful care transitions.

Conclusions:

  • Viewing handoffs as routines provides deeper insights into care transition dynamics.
  • Understanding variations and exceptions aids clinicians in preventing issues like missing information.
  • This analysis can inform the development of improved information systems to better support healthcare handoffs.