2017 HSC Section 2 - Practice Management

ARTICLE IN PRESS

Surgery j 2016

Hasan et al

different types of distractions and have different priorities while giving or receiving the handoff. We acknowledge limitations of our study, which is an observational study at a single institution. We did not analyze patient outcomes to determine any correlation between quality of handoff delivery or reception and presence of distractions and adverse patient outcomes. Future studies should focus on the content and quality of the message being delivered or received, evaluate patient complica- tions due to hand-off related issues, and lead to the design and validation of interventions that target the various components of the handoff process. Based on our results, we plan to implement a system that minimizes the number of distractions during handoffs. This will include limiting nurse calls during handoffs, minimizing use of unrelated electronic devices, and minimizing hierarchy. Our institution has received IRB approval for the second phase of this study that will evaluate the impact of handoff quality on patient care and study the impact of implementing a “sterile-cockpit” approach to patient handoffs. In conclusion, studying the handoff process within an established framework highlights factors that impair communication. Internal and external dis- tractions are common during handoffs and, along with the working relationship between the source and receiver, impact the quality of the handoff process. This information allows further study and targeted interventions of the handoff process to improve overall handoff effectiveness and patient safety.

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