Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients.
作者： Will M. Schouten , M. Caroline Burton , LaKisha D. Jones , James Newman , Deanne T. Kashiwagi
DOI: 10.1002/JHM.2293
关键词:
摘要: BACKGROUND Failures in communication at the time of patient handoff have been implicated as contributing factors to preventable adverse events. OBJECTIVE Examine relationship between face-to-face handoffs and rate outcomes, including events. DESIGN Retrospective cohort. SETTING A 1157-bed academic tertiary referral hospital. PATIENTS There were 805 adult patients admitted general internal medicine services. INTERVENTION Retrospective comparison clinical events, whose care was transitioned with without handoffs. MEASUREMENTS Rapid response team calls, code transfers a higher level care, death hospital, 30-day readmission rate, length stay, events (as identified using Global Trigger Tool). RESULTS There no significant difference respect frequency rapid deaths or handoff. CONCLUSIONS Face-to-face medical services large hospital not associated measured compared non–face-to-face handoff. Additional study is needed determine qualities that optimize efficiency safety. Journal Hospital Medicine 2015;10:137–141. © 2015 Society
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