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

Elizabeth A. 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 K. Jones

Research output: Contribution to journalArticle

4 Scopus citations

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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ASJC Scopus subject areas

  • Clinical Neurology

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