Thu, 21 Aug 2008 02:21:03 BST CiteULike: tcampion Chow http://www.citeulike.org/user/tcampion/author/Chow CiteULike.org en-gb Copyright © 2004-2008 citeulike.org http://www.citeulike.org/user/tcampion/article/131347 <i>Int J Qual Health Care, Vol. 16, No. 2. (April 2004), pp. 125-132.</i><br /><br />OBJECTIVE: To describe strategies employed during handoffs in four settings with high consequences for failure. DESIGN: ANALYSIS: of observational data for evidence of use of 21 handoff strategies. SETTING: NASA Johnson Space Center in Texas, nuclear power generation plants in Canada, a railroad dispatch center in the United States, and an ambulance dispatch center in Toronto. MAIN MEASURE: Evidence of 21 handoff strategies from observations and interviews. RESULTS: Nineteen of 21 strategies were used in at least one domain, on at least an 'as needed' basis. CONCLUSIONS: An understanding of how handoffs are conducted in settings with high consequences for failure can jumpstart endeavors to modify handoffs to improve patient safety. Handoff strategies in settings with high consequences for failure: lessons for health care operations. ES Patterson EM Roth DD Woods R Chow JO Gomes Int J Qual Health Care, Vol. 16, No. 2. (April 2004), pp. 125-132. 2005-03-17T16:25:14-00:00 2004 Int J Qual Health Care 1353-4505 16 2 125 132 handoff sign-out