A handoffs software led to fewer errors of omission and better provider satisfaction: A randomized control trial

Markos G. Kashiouris, Christos Stefanou, Deepankar Sharma, Cecilia Yshii-Tamashiro, Ryan Vega, Sarah Hartigan, Charles Albrecht, Robert H. Brown

Research output: Contribution to journalArticlepeer-review

Abstract

Background Computer-assisted communication is shown to prevent critical omissions ("errors") in the handoff process. Objective The aim of the study was to study this effect and related provider satisfaction, using a standardized software. Methods Fourteen internal medicine house officers staffed 6 days and 1 cross-covering teams were randomized to either the intervention group or control, employing usual handoff, so that handoff information was exchanged only between same-group subjects (daily, for 28 days). Results In the intervention group, fewer omissions (among those studied) occurred intravenous access (17 versus 422, P < 0.001), code status (1 versus 158, P < 0.001), diet/nothing per mouth (28 versus 477, P < 0.001), and deep venous thrombosis prophylaxis (17 versus 284, P < 0.001); duration to compose handoff was similar; and physicians perceived less workload adjusted for patient census and provider characteristics (P = 0.004) as well as better handoff quality (P < 0.001) and clarity (P < 0.001). Conclusions The intervention was associated with fewer errors and superior provider satisfaction.

Original languageEnglish (US)
Pages (from-to)194-198
Number of pages5
JournalJournal of patient safety
Volume16
Issue number3
DOIs
StatePublished - Sep 1 2020

Keywords

  • close calls
  • communication
  • computer
  • cross-cover
  • handoff
  • omission
  • patient safety
  • sign-out
  • software

ASJC Scopus subject areas

  • Leadership and Management
  • Public Health, Environmental and Occupational Health

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