Abstract
Transfer of care in the Emergency Department is one of the riskiest times for both the patient and physician. Sign-out, or patient handoff, is a transition of patient care between two physicians. There are many potential barriers to a good sign-out including noise, distractions, interruptions from staff, and the overall chaotic environment of the Emergency Department. In this section, we discuss the basic process of sign-out, potential distractions, as well as how to implement a standard approach to sign-out, improving overall safety and efficiency.
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References
Committee on the Quality of Health Care in America, Institute of Medicine. To err is human: building a safer health system. Washington, DC: National Academies Press; 2000.
Pound A. Effective and safe patient handoffs. Tews M, editor. https://www.saem.org/about-saem/academies-interest-groups-affiliates2/cdem/for-students/online-education/m3-curriculum/communication/effective-and-safe-patient-hand-offs.
Cheung DS, Kelly JJ, Beach C. Improving handoffs in the emergency department. Ann Emerg Med. 2010;55(2):171–80.
Lardner R. Effective shift handover: a literature review. Offshore Technology Report-OTO 96 003. Health and Safety Executive, 1996.
Meisel ZF, Shea JA, Peacock NJ, Dickinson ET, Paciotti B, Bhatia R, Buharin E, Cannuscio CC. Optimizing the patient handoff between emergency medical services and the emergency department. Ann Emerg Med. 2015;65(3):310–317.e1.
Shahid S, Thomas S. Situation, Background, Assessment, Recommendation (SBAR) communication tool for handoff in health care—a narrative review. Saf Health. 2018;4:7. https://doi.org/10.1186/s40886-018-0073-1.
Alrajhi K, Alsaawi A. Developing an emergency medicine handoff tool: an electronic Delphi approach. Int J Emerg Med. 2019;12:37. https://doi.org/10.1186/s12245-019-0249-4.
Bornemann-Shepherd M, Le-Lazar J, Makic MB, DeVine D, McDevitt K, Paul M. Caring for inpatient boarders in the emergency department: improving safety and patient and staff satisfaction. J Emerg Nurs. 2015;41(1):23–9. https://doi.org/10.1016/j.jen.2014.04.012.
Blazin LJ, Sitthi-Amorn J, Hoffman JM, Burlison JD. Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. Pediatr Qual Saf. 2020;5(4):e323. https://doi.org/10.1097/pq9.0000000000000323.
Milano A, Stankewicz H, Stoltzfus J, Salen P. The impact of a standardized checklist on transition of care during emergency department resident physician change of shift. West J Emerg Med. 2019;20(1):29–34. https://doi.org/10.5811/westjem.2018.10.39020.
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Patterson, R., Stankewicz, H. (2023). Successful Patient Handoffs. In: Olympia, R.P., Werley, E.B., Lubin, J.S., Yoon-Flannery, K. (eds) An Emergency Physician’s Path. Springer, Cham. https://doi.org/10.1007/978-3-031-47873-4_63
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DOI: https://doi.org/10.1007/978-3-031-47873-4_63
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