Improving Handoffs in the Emergency Department

Dickson S. Cheung, John J. Kelly, Christopher Beach, Ross P. Berkeley, Robert A. Bitterman, Robert I. Broida, William C. Dalsey, Heather L. Farley, Drew C. Fuller, David J. Garvey, Kevin M. Klauer, Lynne B. McCullough, Emily S. Patterson, Julius Cuong Pham, Michael P. Phelan, Jesse M. Pines, Stephen M. Schenkel, Anne Tomolo, Thomas W. Turbiak, John A. Vozenilek & 2 others Robert L. Wears, Marjorie L. White

Research output: Contribution to journalArticle

Abstract

Patient handoffs at shift change are a ubiquitous and potentially hazardous process in emergency care. As crowding and lengthy evaluations become the standard for an increasing proportion of emergency departments (EDs), the number of patients handed off will likely increase. It is critical now more than ever before to ensure that handoffs supply valid and useful shared understandings between providers at transitions of care. The purpose of this article is to provide the most up-to-date evidence and collective thinking about the process and safety of handoffs between physicians in the ED. It offers perspectives from other disciplines, provides a conceptual framework for handoffs, and categorizes models of existing practices. Legal and risk management issues are also addressed. A proposal for the development of handoff quality measures is outlined. Practical strategies are suggested to improve ED handoffs. Finally, a research agenda is proposed to provide a roadmap to future work that may increase knowledge in this area.

Original languageEnglish (US)
Pages (from-to)171-180
Number of pages10
JournalAnnals of Emergency Medicine
Volume55
Issue number2
DOIs
StatePublished - Feb 2010
Externally publishedYes

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Hospital Emergency Service
Patient Transfer
Risk Management
Emergency Medical Services
Physicians
Safety
Research

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Cheung, D. S., Kelly, J. J., Beach, C., Berkeley, R. P., Bitterman, R. A., Broida, R. I., ... White, M. L. (2010). Improving Handoffs in the Emergency Department. Annals of Emergency Medicine, 55(2), 171-180. https://doi.org/10.1016/j.annemergmed.2009.07.016

Improving Handoffs in the Emergency Department. / Cheung, Dickson S.; Kelly, John J.; Beach, Christopher; Berkeley, Ross P.; Bitterman, Robert A.; Broida, Robert I.; Dalsey, William C.; Farley, Heather L.; Fuller, Drew C.; Garvey, David J.; Klauer, Kevin M.; McCullough, Lynne B.; Patterson, Emily S.; Pham, Julius Cuong; Phelan, Michael P.; Pines, Jesse M.; Schenkel, Stephen M.; Tomolo, Anne; Turbiak, Thomas W.; Vozenilek, John A.; Wears, Robert L.; White, Marjorie L.

In: Annals of Emergency Medicine, Vol. 55, No. 2, 02.2010, p. 171-180.

Research output: Contribution to journalArticle

Cheung, DS, Kelly, JJ, Beach, C, Berkeley, RP, Bitterman, RA, Broida, RI, Dalsey, WC, Farley, HL, Fuller, DC, Garvey, DJ, Klauer, KM, McCullough, LB, Patterson, ES, Pham, JC, Phelan, MP, Pines, JM, Schenkel, SM, Tomolo, A, Turbiak, TW, Vozenilek, JA, Wears, RL & White, ML 2010, 'Improving Handoffs in the Emergency Department', Annals of Emergency Medicine, vol. 55, no. 2, pp. 171-180. https://doi.org/10.1016/j.annemergmed.2009.07.016
Cheung DS, Kelly JJ, Beach C, Berkeley RP, Bitterman RA, Broida RI et al. Improving Handoffs in the Emergency Department. Annals of Emergency Medicine. 2010 Feb;55(2):171-180. https://doi.org/10.1016/j.annemergmed.2009.07.016
Cheung, Dickson S. ; Kelly, John J. ; Beach, Christopher ; Berkeley, Ross P. ; Bitterman, Robert A. ; Broida, Robert I. ; Dalsey, William C. ; Farley, Heather L. ; Fuller, Drew C. ; Garvey, David J. ; Klauer, Kevin M. ; McCullough, Lynne B. ; Patterson, Emily S. ; Pham, Julius Cuong ; Phelan, Michael P. ; Pines, Jesse M. ; Schenkel, Stephen M. ; Tomolo, Anne ; Turbiak, Thomas W. ; Vozenilek, John A. ; Wears, Robert L. ; White, Marjorie L. / Improving Handoffs in the Emergency Department. In: Annals of Emergency Medicine. 2010 ; Vol. 55, No. 2. pp. 171-180.
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