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IMPROVING PATIENT HANDOFFS. Lolita Jackson Quality Improvement Project Professional Development Perspectives Nursing 3192 January 27, 2014. OBJECTIVE. Implement a standardized form for communication used by various departments for patient handoffs.
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IMPROVING PATIENT HANDOFFS Lolita Jackson Quality Improvement Project Professional Development Perspectives Nursing 3192 January 27, 2014
OBJECTIVE • Implement a standardized form for communication used by various departments for patient handoffs. • Increase patient safety, accountability, and satisfaction. • Decrease number of incident reports due to information not reported or overlooked by other departments. • Create transfer ticket for staff to sign when patient arrives or leaves their department.
DEFINITION JCAHO (2010)defines patient handoff as the process of transferring primary authority and responsibility fro providing clinical care to a patient from one departing caregiver to one oncoming caregiver. According to the American Medical Association (2013), handoffs should be timely, accurate information about a patient’s care, treatment, current condition and any recent or anticipated changes. Handoffs should be standardized and clearly defined, and involve face to face exchange between caregivers involved.
KEY DEPARTMENTS • Emergency Room • PACU • OR • Recovery • ICU • Medical/Surgical • Pharmacy • Radiology • Laboratory
GATHERING INFORMATION • Be prepared when giving report: minimal to no distractions, patient’s name, date of birth, reason of stay, DNR status, level of education/understanding, department patient received from and nurse , care given during your shift, allergies, vital signs, bowel and bladder activity, change in patient status, any procedures or labs done with results, change in medications, change in ability to self care, any family or friends involved with care or at bedside.
SAMPLE OF HANDOFF MODELS Patient Plan Purpose Problems Precautions Background Actions Timing Ownership Next Administrative Data New Clinical Information Tasks Illness Contingency Plan Introduction Patient Assessment Situation Safety Concerns
SHOW YOUR WORK • A graph or chart is designed to show the facilities goal, actual performance, staff that has improved with handoffs and some who need to improve.
CONCLUSION Nursing handoffs are a part of your daily assignments. Patients benefit from reports that are correct and thorough. It is important that you do not leave out any important information for the person who will relieve you to care for your patients. If you cannot paint a perfect picture of all that care that was done under your care, then the next person will have to try and piece the puzzle together, delaying care for that patient!
REFERENES American Medical Association (2010). Patient Handoffs. Resources for Improving Patient Handoffs. Retrieved from: http://www.ama-assn.org/ama/pub/about-ama/our-people/member-groups-sections/resident Dracup, K., (2008, March). Passing the Torch: The Challenge of Handoffs. (17) 2. Retrieved from: http://www.ajcconline.org The Joint Commission on Accreditation of Healthcare Organization (2010, February). Journal on Quality and Patient Safety. Understanding and improving Patient Handoffs. Retrieved from: http://www.jcrinc.com
