Structured handoff checklists improve clinical measures in patients discharged from the neurointensive care unit

Elizabeth Coon, Neha M. Kramer, Rachel R. Fabris, David B. Burkholder, James P. Klaas, Jonathan Graff-Radford, S. Arthur Moore, Eelco F M Wijdicksv, Jeffrey W. Britton, Lyell Jones

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

While up to 80% of medical errors may result from poor communication at clinical transitions of care, there has been relatively little study of the effect of standardized communication tools on clinical quality measures. We prospectively examined the effect of a standardized handoff checklist on clinical outcomes for patients dismissed from the neurointensive care unit. We found that the checklist resulted in significant reductions in patients transferred with inaccurate medication reconciliation and unnecessary urinary catheters. Participating physicians were surveyed and generally viewed the handoff checklist favorably. Standardized communication tools such as checklists may play a useful role in reducing medical errors related to communication between patient care teams.

Original languageEnglish (US)
Pages (from-to)42-49
Number of pages8
JournalNeurology: Clinical Practice
Volume5
Issue number1
DOIs
StatePublished - Feb 20 2015

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Checklist
Communication
Medical Errors
Medication Reconciliation
Patient Transfer
Urinary Catheters
Patient Care Team
Physicians

ASJC Scopus subject areas

  • Clinical Neurology

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Structured handoff checklists improve clinical measures in patients discharged from the neurointensive care unit. / Coon, Elizabeth; Kramer, Neha M.; Fabris, Rachel R.; Burkholder, David B.; Klaas, James P.; Graff-Radford, Jonathan; Arthur Moore, S.; Wijdicksv, Eelco F M; Britton, Jeffrey W.; Jones, Lyell.

In: Neurology: Clinical Practice, Vol. 5, No. 1, 20.02.2015, p. 42-49.

Research output: Contribution to journalArticle

Coon, Elizabeth ; Kramer, Neha M. ; Fabris, Rachel R. ; Burkholder, David B. ; Klaas, James P. ; Graff-Radford, Jonathan ; Arthur Moore, S. ; Wijdicksv, Eelco F M ; Britton, Jeffrey W. ; Jones, Lyell. / Structured handoff checklists improve clinical measures in patients discharged from the neurointensive care unit. In: Neurology: Clinical Practice. 2015 ; Vol. 5, No. 1. pp. 42-49.
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