Patient Hand Offs : An Integral Part Of Patient Care

2157 Words Nov 2nd, 2014 9 Pages
Chapter 1: Introduction Patient hand-offs have become an integral part of patient care throughout the continuum of medical care. Patient hand-offs occur anytime in the care of a patient that one provider is “handing off” the responsibility of care from one’s self to another provider. During this time a lot of important information must be conveyed clearly and succinctly specifically because the human brain can absorb and retain only so much information at one time. This issue is even more important since the implementation of ACGME work hour restrictions which has led to more hand-offs occurring than ever before. During each and every hand-off there is risk for errors. Therefore, there needs to be further research into the methods and outcomes involved in patient hand-offs. So far the amount of substantive research into this problem has been scarce, and we intend on providing a well-designed and executed study into one hand-off method using one hand-off system in a single center control blinded study.
Statement of the Problem According to the Joint Commission on Accreditation of Healthcare Organizations, in 2012 59% of all cause sentinel invents were due to errors in “communication” and 65% of all sentinel events from 2004-2012 were in a hospital. A single center study examining hand-offs between residents demonstrated that a majority were unstructured with 58% of tasks uncompleted and only 54% incidence of correctly answering key patient status question. (Tapia, Fallon,…
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