Handoff strategies in settings with high consequences for failure: lessons for health care operations.

@article{citeulike:131347, abstract = {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.}, address = {Veteran's Administration Getting at Patient Safety (GAPS) Center, Cincinnati, OH 43210, USA. patterson.150@osu.edu}, author = {Patterson, E. S. and Roth, E. M. and Woods, D. D. and Chow, R. and Gomes, J. O. }, citeulike-article-id = {131347}, issn = {1353-4505}, journal = {Int J Qual Health Care}, keywords = {handoff, sign-out}, month = {April}, number = {2}, pages = {125--132}, posted-at = {2006-03-06 20:43:42}, priority = {2}, title = {Handoff strategies in settings with high consequences for failure: lessons for health care operations.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/15051706}, volume = {16}, year = {2004} }

TY - JOUR ID - citeulike:131347 L3 - citeulike-article-id:131347 TI - Handoff strategies in settings with high consequences for failure: lessons for health care operations. JF - Int J Qual Health Care VL - 16 IS - 2 SP - 125 EP - 132 AD - Veteran's Administration Getting at Patient Safety (GAPS) Center, Cincinnati, OH 43210, USA. patterson.150@osu.edu SN - 1353-4505 N2 - 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. KW - handoff KW - sign-out AU - Patterson, ES AU - Roth, EM AU - Woods, DD AU - Chow, R AU - Gomes, JO PY - 2004/04// UR - http://view.ncbi.nlm.nih.gov/pubmed/15051706 ER -