1641 lines
69 KiB
HTML
1641 lines
69 KiB
HTML
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<meta name="keywords" content="TeamSTEPPS, communication, tool, teach, back, health, patient, care" />
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<meta name="description" content="A handoff is a standardized method for transferring information, along with authority and responsibility, during transitions in patient care. Handoffs include the transfer of knowledge and information about the degree of uncertainty (uncertainty about diagnoses, etc.), response to treatment, recent changes in conditions and circumstances, and the plan (including contingencies)." />
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<title>Tool: Handoff | Agency for Healthcare Research and Quality</title>
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="//www.ahrq.gov/research/findings/nhqrdr/index.html">National Healthcare Quality and Disparities Report</a></h2>
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<ul>
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||
</ul>
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<p>Latest available findings on quality of and access to health care</p></div>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/fund-opps/index.html">Notice of Funding Opportunities</a></h2>
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<ul>
|
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<li><a href="/funding/policies/nofoguidance/index.html">Notice of Funding Opportunity Guidance</a></li>
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|
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<li><a href="/funding/policies/hhspolicy/index.html">HHS Grants Policy Statement</a></li>
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<div class="content">
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<ul>
|
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<li><a href="/funding/priorities-contacts/special-emphasis-notices/index.html">Special Emphasis Notices</a></li>
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<li><a href="/funding/priorities-contacts/contacts/index.html">Staff Contacts</a></li>
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<div class="content">
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<ul></ul></div>
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</section>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/process/index.html">Grant Application, Review & Award Process</a></h2>
|
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<ul>
|
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<li><a href="/funding/process/grant-app-basics/index.html">Grant Application Basics</a></li>
|
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|
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<li><a href="/funding/process/dates/index.html">Application Deadlines & Important Dates</a></li>
|
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<li><a href="/funding/process/grant-app-basics/apptips.html">AHRQ Tips for Grant Applicants</a></li>
|
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<li><a href="/funding/process/mechanisms/index.html">Grant Mechanisms & Descriptions</a></li>
|
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<li><a href="/funding/process/review/index.html">Application Receipt & Review</a></li>
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<li><a href="/funding/process/award-process/index.html">Award Process</a></li>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/grant-mgmt/index.html">Post-Award Grant Management</a></h2>
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<ul>
|
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<li><a href="/funding/grantee-profiles/index.html">AHRQ Grantee Profiles</a></li>
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<li><a href="/funding/grant-mgmt/recognition_ahrq-funded_study.html">Getting Recognition for Your AHRQ-Funded Study</a></li>
|
||
<li><a href="/funding/grant-mgmt/grants-by-state.html">Grants by State</a></li>
|
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<li><a href="/funding/grant-mgmt/nces.html">No-Cost Extensions (NCEs)</a></li>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/contracts/index.html">Contracts</a></h2>
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<ul></ul></div>
|
||
|
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</div>
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</section>
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</div>
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<div class="subnav-3-cols">
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<div class="content">
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|
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/grant-mgmt/grants-by-state.html">AHRQ Grants by State</a></h2>
|
||
|
||
<ul>
|
||
</ul>
|
||
|
||
<p>Searchable database of AHRQ Grants</p></div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="mm-feature-block hide-on-mobile block block-block-content block-block-contentc6610af5-d53e-4c4c-8541-cbf02cc0fa2a" id="block-block-content-c6610af5-d53e-4c4c-8541-cbf02cc0fa2a">
|
||
|
||
|
||
<div class="content">
|
||
|
||
<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/pcor/index.html">PCOR</a></h2>
|
||
|
||
<ul>
|
||
</ul>
|
||
|
||
<p>AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund.</p></div>
|
||
|
||
</div>
|
||
</div>
|
||
|
||
</section>
|
||
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
<div rel="7" class="row pulldown pulldown7">
|
||
<div class="subnav-2-cols">
|
||
<div class="col-md-12" role="navigation">
|
||
<section class="row region region-megamenu-pulldown7-col1">
|
||
<div class="hide-on-desktop block block-block-content block-block-contentdf85c7fb-faa9-4161-a755-fc6b625659a3" id="block-block-content-df85c7fb-faa9-4161-a755-fc6b625659a3">
|
||
|
||
|
||
<div class="content">
|
||
|
||
<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/index.html">News</a></h2></div>
|
||
|
||
</div>
|
||
</div>
|
||
<div id="block-block-content-cd0e99d7-d91f-4082-9d40-d26841f8eced" class="block block-block-content block-block-contentcd0e99d7-d91f-4082-9d40-d26841f8eced">
|
||
|
||
|
||
<div class="content">
|
||
|
||
<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/newsroom/index.html">Newsroom</a></h2>
|
||
|
||
<ul>
|
||
<li><a href="/news/newsroom/press-releases/index.html">Press Releases</a></li>
|
||
<li><a href="/news/newsroom/social-media/index.html">AHRQ Social Media</a></li>
|
||
<li><a href="/news/newsroom/ahrq-stats.html">AHRQ Stats</a></li>
|
||
<li><a href="/news/newsroom/case-studies/index.html">Impact Case Studies</a></li>
|
||
</ul></div>
|
||
|
||
</div>
|
||
</div>
|
||
<div id="block-block-content-29ebae8e-fab3-4f1f-9914-0bf71b470362" class="block block-block-content block-block-content29ebae8e-fab3-4f1f-9914-0bf71b470362">
|
||
|
||
|
||
<div class="content">
|
||
|
||
<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/blog/index.html">Blog</a></h2>
|
||
|
||
<ul>
|
||
<li><a href="/news/blog/ahrqviews/index.html">AHRQ Views</a></li>
|
||
</ul></div>
|
||
|
||
</div>
|
||
</div>
|
||
|
||
</section>
|
||
|
||
</div>
|
||
</div>
|
||
|
||
<div class="subnav-2-cols">
|
||
<div class="col-md-12" role="navigation">
|
||
<section class="row region region-megamenu-pulldown7-col2">
|
||
<div id="block-block-content-e9e60174-3d60-49da-92d4-3211a6a9ad70" class="block block-block-content block-block-contente9e60174-3d60-49da-92d4-3211a6a9ad70">
|
||
|
||
|
||
<div class="content">
|
||
|
||
<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/newsletters/index.html">Newsletter</a></h2>
|
||
|
||
<ul>
|
||
<li><a href="/news/newsletters/e-newsletter/index.html">AHRQ News Now</a></li>
|
||
</ul></div>
|
||
|
||
</div>
|
||
</div>
|
||
<div id="block-block-content-2c346bcd-720f-42fd-bac4-6a8d99c465e9" class="block block-block-content block-block-content2c346bcd-720f-42fd-bac4-6a8d99c465e9">
|
||
|
||
|
||
<div class="content">
|
||
|
||
<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/events/index.html">Events</a></h2>
|
||
<ul>
|
||
<li><a href="/news/events/ahrq-research-summit-diagnostic-safety.html">AHRQ Research Summit on Diagnostic Safety</a></li>
|
||
<li><a href="/news/events/ahrq-research-summit-learning-health-system.html">AHRQ Research Summit on Learning Health Systems</a></li>
|
||
<li><a href="/news/events/nac/index.html">National Advisory Council Meetings</a></li>
|
||
<li><a href="/news/events/conference/index.html">AHRQ Research Conferences</a></li>
|
||
</ul></div>
|
||
|
||
</div>
|
||
</div>
|
||
|
||
</section>
|
||
|
||
</div>
|
||
</div>
|
||
|
||
<div class="subnav-2-cols">
|
||
</div>
|
||
</div>
|
||
|
||
|
||
|
||
<div rel="8" class="row pulldown pulldown8">
|
||
<div class="subnav-2-cols">
|
||
<div class="col-md-12" role="navigation">
|
||
<section class="row region region-megamenu-pulldown8-col1">
|
||
<div class="hide-on-desktop block block-block-content block-block-contentd829a035-55e4-4ec0-b50d-6007e7da6e21" id="block-block-content-d829a035-55e4-4ec0-b50d-6007e7da6e21">
|
||
|
||
|
||
<div class="content">
|
||
|
||
<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/cpi/index.html">About</a></h2></div>
|
||
|
||
</div>
|
||
</div>
|
||
<div id="block-block-content-7b86e149-d9ec-4cc0-a9bc-aeef3b7ccfad" class="block block-block-content block-block-content7b86e149-d9ec-4cc0-a9bc-aeef3b7ccfad">
|
||
|
||
|
||
<div class="content">
|
||
|
||
<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/cpi/about/index.html">About AHRQ</a></h2><ul><li><a href="/cpi/about/do-you-know-ahrq-quiz.html">How Well Do You Know AHRQ? Quizzes</a></li><li><a href="/cpi/about/profile/index.html">Profile</a></li><li><a href="/cpi/about/mission/index.html">Mission and Budget</a></li><li><a href="/cpi/corecompetencies/index.html">AHRQ's Core Competencies</a></li><li><a href="/cpi/about/nac.html">National Advisory Council</a></li><li><a href="/cpi/about/careers/index.html">Careers at AHRQ</a></li><li><a href="/cpi/about/directions/index.html">Maps and Directions</a></li><li><a href="/cpi/about/otherwebsites/Index.html">Other AHRQ Web Sites</a></li><li><a href="/cpi/about/hhs-agencies/index.html">Other HHS Agencies</a></li><li><a href="/cpi/about/20timeline/testimonials.html">Testimonials</a></li></ul></div>
|
||
|
||
</div>
|
||
</div>
|
||
|
||
</section>
|
||
|
||
</div>
|
||
</div>
|
||
|
||
<div class="subnav-2-cols">
|
||
<div class="col-md-12" role="navigation">
|
||
<section class="row region region-megamenu-pulldown8-col2">
|
||
<div id="block-block-content-a018d8d6-07b1-45b3-8f96-1a25784e6dea" class="block block-block-content block-block-contenta018d8d6-07b1-45b3-8f96-1a25784e6dea">
|
||
|
||
|
||
<div class="content">
|
||
|
||
<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/cpi/about/organization/index.html">Organization & Contacts</a></h2>
|
||
<ul>
|
||
<li><a href="/cpi/centers/index.html">Centers and Offices</a></li>
|
||
<li><a href="/cpi/about/organization/orgchart/organizational-chart.html">Organization Chart</a></li>
|
||
<li><a href="/cpi/about/organization/contacts/key-contacts.html">Key Contacts</a></li>
|
||
</ul></div>
|
||
|
||
</div>
|
||
</div>
|
||
|
||
</section>
|
||
|
||
</div>
|
||
</div>
|
||
|
||
<div class="subnav-2-cols">
|
||
</div>
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
|
||
<div class="col-md-12 col-sm-12 utility-mobile">
|
||
|
||
<ul class="clearfix">
|
||
<li class="first">
|
||
|
||
|
||
|
||
<a href="/cpi/about/careers/index.html">Careers</a>
|
||
</li>
|
||
<li>
|
||
|
||
|
||
|
||
<a href="/contact/index.html">Contact Us</a>
|
||
</li>
|
||
<li>
|
||
|
||
|
||
|
||
<a href="/informacion-en-espanol/index.html">Español</a>
|
||
</li>
|
||
<li class="last">
|
||
|
||
|
||
|
||
<a href="https://info.ahrq.gov/">FAQs</a>
|
||
</li>
|
||
</ul>
|
||
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
|
||
<div id="breadcrumbs">
|
||
<div class="row row-side-margins">
|
||
<div class="col-12 .chrome">
|
||
<div id="block-system-breadcrumb-block" class="block block-system block-system-breadcrumb-block">
|
||
|
||
|
||
<div class="content">
|
||
|
||
|
||
|
||
<nav role="navigation" aria-label="breadcrumb">
|
||
<ol class="breadcrumb">
|
||
<li class="breadcrumb-item">
|
||
<a href="/">Home</a>
|
||
</li>
|
||
<li class="breadcrumb-item">
|
||
<a href="/teamstepps-program/index.html">TeamSTEPPS Program</a>
|
||
</li>
|
||
<li class="breadcrumb-item">
|
||
<a href="/teamstepps-program/curriculum/index.html">Curriculum Materials</a>
|
||
</li>
|
||
<li class="breadcrumb-item">
|
||
<a href="/teamstepps-program/curriculum/communication/index.html">Module 1: Communication</a>
|
||
</li>
|
||
<li class="breadcrumb-item">
|
||
<a href="/teamstepps-program/curriculum/communication/tools/index.html">Section 2: Explanation of Key Concepts and Tools</a>
|
||
</li>
|
||
<li class="breadcrumb-item active">
|
||
Tool: Handoff
|
||
</li>
|
||
</ol>
|
||
</nav>
|
||
|
||
|
||
</div>
|
||
</div>
|
||
|
||
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
|
||
<div id="topics-az" class="col-12">
|
||
<div class="row row-side-margins">
|
||
<div class="col-12">
|
||
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<div id="main-content-wrapper">
|
||
<section class="main-content col row-side-margins" id="content" role="main">
|
||
|
||
|
||
<div id="content_top" class="row">
|
||
<div class="col-12">
|
||
<div class="language-switcher-language-url block block-language block-language-blocklanguage-interface" role="navigation">
|
||
|
||
|
||
<div class="text-right">
|
||
|
||
|
||
|
||
</div>
|
||
</div>
|
||
|
||
|
||
</div>
|
||
</div>
|
||
|
||
<div class="container-fluid site-wrap">
|
||
|
||
<div class="row">
|
||
<div class="col-md-12 text-right addthis_toolbox">
|
||
<div class="addtoany-toolbox">
|
||
<h2 class="addtoany-header">SHARE:</h2>
|
||
<div class="block block-addtoany block-addtoany-block">
|
||
|
||
|
||
<div class="content">
|
||
<span class="a2a_kit a2a_kit_size_16 addtoany_list" data-a2a-url="https://www.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html" data-a2a-title="Tool: Handoff"><a class="a2a_button_facebook"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/facebook-tiny.png" border="0" alt="Facebook"></a><a class="a2a_button_twitter"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/x-tiny.png" border="0" alt="X"></a><a class="a2a_button_email"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/envelope-tiny.png" border="0" alt="Email AHRQ"></a><a class="a2a_button_print"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/print-tiny.png" border="0" alt="Print"></a><a class="a2a_dd addtoany_share" href="https://www.addtoany.com/share#url=https%3A%2F%2Fwww.ahrq.gov%2Fteamstepps-program%2Fcurriculum%2Fcommunication%2Ftools%2Fhandoff.html&title=Tool%3A%20Handoff"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/plus-tiny.png" alt="Share"></a></span>
|
||
|
||
</div>
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
|
||
<div>
|
||
<div id="page-top"></div>
|
||
<section class="row region region-page-top">
|
||
<div data-drupal-messages-fallback class="hidden"></div>
|
||
|
||
</section>
|
||
|
||
</div>
|
||
|
||
<div class="row side">
|
||
|
||
|
||
<button class="btn sbf-btn hidden visible-xs" type="button" data-toggle="collapse"
|
||
data-target=".navbar-collapse" aria-expanded="false" aria-controls="collapseExample">
|
||
More topics in this section
|
||
</button>
|
||
<div class="col-sm-3 sbf-col collapse dont-collapse-sm navbar-collapse">
|
||
<div class="block-sidebar-first block block-menu-block-forked block-menu-block-forkedteamstepps-program" id="block-menu-block-forked-teamstepps-program">
|
||
|
||
<span class="sbf-main"><a href="/teamstepps-program/index.html">TeamSTEPPS Program</a></span>
|
||
|
||
|
||
<ul class="clearfix nav navbar-nav collapse dont-collapse-sm navbar-collapse">
|
||
|
||
<li class="nav-item menu-item--collapsed sbf-level-one">
|
||
<a href="/teamstepps-program/updated/index.html" class="nav-link" data-drupal-link-system-path="node/240128">TeamSTEPPS Updates</a>
|
||
</li>
|
||
|
||
<li class="nav-item menu-item--collapsed sbf-level-one">
|
||
<a href="/teamstepps-program/welcome-guides/index.html" class="nav-link" data-drupal-link-system-path="node/240129">Welcome Guides</a>
|
||
</li>
|
||
|
||
<li class="nav-item menu-item--expanded active dropdown sbf-level-one">
|
||
<a href="/teamstepps-program/curriculum/index.html" class="nav-link active" aria-expanded="false" aria-haspopup="true" data-drupal-link-system-path="node/240152">Curriculum Materials</a>
|
||
<ul class="dropdown-menu menu-level-two">
|
||
|
||
<li class="dropdown-item menu-item--collapsed sbf-level-two">
|
||
<a href="/teamstepps-program/curriculum/intro/index.html" data-drupal-link-system-path="node/240123">Introduction to Curriculum</a>
|
||
</li>
|
||
|
||
<li class="dropdown-item menu-item--expanded active dropdown sbf-level-two">
|
||
<a href="/teamstepps-program/curriculum/communication/index.html" class="active" aria-expanded="false" aria-haspopup="true" data-drupal-link-system-path="node/240147">Module 1: Communication</a>
|
||
<ul class="dropdown-menu menu-level-three">
|
||
|
||
<li class="dropdown-item sbf-level-three">
|
||
<a href="/teamstepps-program/curriculum/communication/overview/index.html" data-drupal-link-system-path="node/240308">Section 1: Overview of Key Concepts and Tools</a>
|
||
</li>
|
||
|
||
<li class="dropdown-item menu-item--expanded active dropdown sbf-level-three">
|
||
<a href="/teamstepps-program/curriculum/communication/tools/index.html" class="active" aria-expanded="false" aria-haspopup="true" data-drupal-link-system-path="node/240309">Section 2: Explanation of Key Concepts and Tools</a>
|
||
<ul class="dropdown-menu menu-level-four">
|
||
|
||
<li class="dropdown-item sbf-level-four">
|
||
<a href="/teamstepps-program/curriculum/communication/tools/sbar.html" data-drupal-link-system-path="node/240311">Tool: SBAR</a>
|
||
</li>
|
||
|
||
<li class="dropdown-item sbf-level-four">
|
||
<a href="/teamstepps-program/curriculum/communication/tools/loop.html" data-drupal-link-system-path="node/240312">Tool: Closed-Loop Communication</a>
|
||
</li>
|
||
|
||
<li class="dropdown-item sbf-level-four">
|
||
<a href="/teamstepps-program/curriculum/communication/tools/callout.html" data-drupal-link-system-path="node/240313">Tool: Call-Out</a>
|
||
</li>
|
||
|
||
<li class="dropdown-item sbf-level-four">
|
||
<a href="/teamstepps-program/curriculum/communication/tools/checkback.html" data-drupal-link-system-path="node/240314">Tool: Check-Back (or Repeat-Back)</a>
|
||
</li>
|
||
|
||
<li class="dropdown-item sbf-level-four">
|
||
<a href="/teamstepps-program/curriculum/communication/tools/teachback.html" data-drupal-link-system-path="node/240315">Tool: Teach-Back</a>
|
||
</li>
|
||
|
||
<li class="dropdown-item active sbf-level-four">
|
||
<a href="/teamstepps-program/curriculum/communication/tools/handoff.html" class="active is-active" data-drupal-link-system-path="node/240316" aria-current="page">Tool: Handoff</a>
|
||
</li>
|
||
|
||
<li class="dropdown-item sbf-level-four">
|
||
<a href="/teamstepps-program/curriculum/communication/tools/ipass.html" data-drupal-link-system-path="node/240307">Tool: I-PASS</a>
|
||
</li>
|
||
|
||
<li class="dropdown-item sbf-level-four">
|
||
<a href="/teamstepps-program/curriculum/communication/tools/anticipate.html" data-drupal-link-system-path="node/240317">Tool: ANTICipate</a>
|
||
</li>
|
||
|
||
<li class="dropdown-item sbf-level-four">
|
||
<a href="/teamstepps-program/curriculum/communication/tools/sharq.html" data-drupal-link-system-path="node/240318">Tool: SHARQ</a>
|
||
</li>
|
||
</ul>
|
||
|
||
</li>
|
||
|
||
<li class="dropdown-item menu-item--collapsed sbf-level-three">
|
||
<a href="/teamstepps-program/curriculum/communication/teach/index.html" data-drupal-link-system-path="node/240310">Section 3: Teaching the Key Concepts and Tools</a>
|
||
</li>
|
||
</ul>
|
||
|
||
</li>
|
||
|
||
<li class="dropdown-item menu-item--collapsed sbf-level-two">
|
||
<a href="/teamstepps-program/curriculum/team/index.html" data-drupal-link-system-path="node/240148">Module 2: Team Leadership</a>
|
||
</li>
|
||
|
||
<li class="dropdown-item menu-item--collapsed sbf-level-two">
|
||
<a href="/teamstepps-program/curriculum/situation/index.html" data-drupal-link-system-path="node/240149">Module 3: Situation Monitoring</a>
|
||
</li>
|
||
|
||
<li class="dropdown-item menu-item--collapsed sbf-level-two">
|
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<h1 class="node__title">
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<span property="schema:name" class="field field--name-title field--type-string field--label-hidden">Tool: Handoff</span>
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</h1>
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<div property="schema:text" class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>A handoff is a standardized method for transferring information, along with authority and responsibility, during transitions in patient care. Handoffs include the transfer of knowledge and information about the degree of uncertainty (uncertainty about diagnoses, etc.), response to treatment, recent changes in conditions and circumstances, and the plan (including contingencies).</p>
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<p>In addition, both authority and responsibility are transferred. Lack of clarity about who is responsible for care and for decision making or exactly when the authority is being transferred have been major contributors to medical error (as identified in root cause analyses of sentinel events and poor outcomes).</p>
|
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<p>When a team member is temporarily or permanently relieved of authority for a patient’s care, necessary information about the patient might not be conveyed. The handoff strategy is designed to enhance information exchange at critical times such as transitions in care. It maintains continuity of care despite changing caregivers and patients.</p>
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<p>Many health systems are integrating electronic handoffs into their EHR systems to ensure they are complete, well documented, and accessible for review by the person assuming authority for the patient. While e-handoffs have potential benefits, particularly in virtual care or in settings where the person with authority is not present during the handoff, the e-handoff may be most effective when it is reinforced by direct communication between the two people involved.</p>
|
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<h2>How To Use a Handoff Effectively</h2>
|
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<p>A proper handoff includes the following:</p>
|
||
|
||
<ul>
|
||
<li><strong>Transfer of responsibility and accountability: </strong>When handing off, it is your responsibility to know that the person who must accept responsibility is aware of assuming responsibility. Similarly, you are accountable until the other party is aware of the transfer of responsibility.</li>
|
||
<li><strong>Clarity of information: </strong>When uncertainty exists, it is your responsibility to clear up all ambiguity about responsibility before the transfer is completed.</li>
|
||
<li><strong>Appropriate communication of information:</strong> You must use appropriate communication channels and cannot assume that the person obtaining responsibility will read or understand the communication without confirmation.</li>
|
||
<li><strong>Acknowledgment by receiver: </strong>Until it is acknowledged that the handoff is understood and accepted, you cannot relinquish your responsibility. This step is particularly crucial for handoffs that occur electronically.</li>
|
||
<li><strong>Opportunity to ask questions and review: </strong>Handoffs are a good time to have a new pair of eyes evaluate the situation for both safety and quality. They should also allow questions that may allow the receiver to clarify key information or to call attention to issues that might have been overlooked.</li>
|
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</ul>
|
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<p>In addition, handoffs include the transfer of knowledge and information about:</p>
|
||
|
||
<ul>
|
||
<li>The degree of certainty and uncertainty regarding a patient, such as whether a diagnosis has been confirmed.</li>
|
||
<li>The patient’s response to treatment.</li>
|
||
<li>Recent changes in condition and circumstances.</li>
|
||
<li>The care plan, including contingencies.</li>
|
||
</ul>
|
||
|
||
<p>Consider the following example of an effective handoff:</p>
|
||
|
||
<p><em>A second-year resident is handing off their patient to the night-team resident and shares that the patient is unstable; presents relevant background information, including the reason the patient was admitted; and notes ongoing issues and plans currently in place for the patient. The off-going resident also says the patient needs respiratory treatments every 2 hours, with arterial blood gas tests (ABGs) drawn after each treatment, and that those will need to be checked. The two residents review the contingency plans in place based on the patient's ABG results, including standing orders in place for the registered nurses to increase oxygen based on saturation levels and ABG results. The off-going resident then gives the receiving resident an opportunity to repeat the plan back and ask any questions.</em></p>
|
||
|
||
<div class="youtube-responsive-container"><iframe allowfullscreen alt="YouTube embedded video: TeamSTEPPS: Handoff (Subacute Care)" frameborder="0" height="315" src="https://www.youtube-nocookie.com/embed/BXUYalA1nmU" title="YouTube embedded video: TeamSTEPPS: Handoff (Subacute Care)" width="560">YouTube embedded video: https://www.youtube-nocookie.com/embed/BXUYalA1nmU</iframe></div>
|
||
|
||
<p>TeamSTEPPS: Handoff (Subacute Care) (24 seconds)</p>
|
||
|
||
<p>Other options for expanding your understanding of handoffs include:</p>
|
||
|
||
<ul>
|
||
<li>Watch the following video example on handoffs in a long-term care setting. Afterwards, consider how you would answer these questions:
|
||
<ul>
|
||
<li>What went well in the handoff in this video?
|
||
<ul>
|
||
<li>Continuity of care was maintained. </li>
|
||
<li>Presenting symptoms and current assessment were communicated. </li>
|
||
<li>Actions taken so far were reviewed. </li>
|
||
<li>The face-to-face handoff allowed the sender to see the nonverbal communication from the receiver that confirmed the message had been received. </li>
|
||
</ul>
|
||
</li>
|
||
<li>Was there anything about the handoff that could have been improved?
|
||
<ul>
|
||
<li>Verbal communication that the message had been properly received would have further confirmed that the receiver had the needed information and did not have any questions.</li>
|
||
</ul>
|
||
</li>
|
||
</ul>
|
||
</li>
|
||
<li>Develop a handoff checklist based on the needs of your medical office or healthcare team. Keep in mind the core components of a handoff and think about how your team is unique. Consider completing this activity with other members of your team and discussing how this checklist could be used in your medical practice or team. Once the checklist has been created, you should try it out and adjust as needed to ensure that it captures all key elements without being too complicated or time consuming to be used.</li>
|
||
<li><strong>Reflect on your experience:</strong><br>
|
||
Can you describe an example of the handoff method used in your facility? Is the same handoff method used in every situation, or do they vary? What do you think makes an effective handoff?</li>
|
||
</ul>
|
||
|
||
<p>While no handoff tool is perfect for every organization, choosing one standard approach and ensuring that all staff understand and use it when appropriate is preferable to having multiple handoff tools in active use. </p>
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<p> </p>
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<div id="page-reviewed" class="body-copy-italic">Page last reviewed May 2023 </div>
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<div id="page-created" class="body-copy-italic">Page originally created May 2023</div>
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<p>
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<span class="citation-hdr">Internet Citation:</span> Tool: Handoff. Content last reviewed May 2023. Agency for Healthcare Research and Quality, Rockville, MD.<br>
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<span class="citation-url">https://www.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html</span>
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