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Implementation and Analysis of an Institution-Wide EHR-Integrated Handoff Note
Elliot G Arsoniadis1,2, Cyrus Jahansouz1, Rohini Olsen3
1Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Studies in Health Technology and Informatics
|June 8, 2022
Summary
Electronic Health Record-integrated Handoff Notes are widely used by resident physicians. Years after implementation, simpler note versions are preferred, with key information updated daily, especially before team transitions.
Area of Science:
- Medical Informatics
- Clinical Workflow Optimization
- Healthcare Management
Background:
- Electronic Health Record (EHR)-integrated Handoff Notes are increasingly adopted by inpatient clinical teams, particularly resident physicians.
- Effective patient handoffs are critical for continuity of care and patient safety.
Purpose of the Study:
- To describe the implementation of an EHR-integrated Handoff Note tool.
- To analyze the tool's usage, evolution, and update patterns years after its initial deployment.
- To identify changes in content and structure based on user feedback and workflow.
Main Methods:
- Retrospective analysis of EHR-integrated Handoff Note usage data.
- Examination of changes in note content, structure, and format over time.
- Frequency and temporal distribution analysis of free-text updates within the Handoff Note.
Main Results:
- 57% of clinical service teams continue to use the Handoff Note, including various specialties like medical, pediatric, and surgical services.
- More complex versions of the Handoff Note were abandoned in favor of simpler formats.
- Patient Summary and To Do sections are updated frequently, with a significant portion of updates occurring in the afternoon.
Conclusions:
- EHR-integrated Handoff Notes remain a valuable tool for inpatient resident teams.
- Adaptation towards simpler note structures enhances usability and adoption.
- Understanding update patterns can inform workflow improvements and ensure timely information exchange during patient handoffs.
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