Comparison of a Nurse-Nurse Handoff Mnemonic With Real-World Handoffs.

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ID: 85873
2020
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Abstract
Communication failures, including clinical handoff or clinical handover errors, contribute to 80% of all serious preventable adverse events each year. The N-PAS, N = Nurse, P = Patient Summary, A = Action Plan, and S = Synthesis, is a flexible standardized clinical handoff tool for nurses.The purpose of this study was to determine the proportion of N-PAS core components present in real-world patient handoffs.A mixed-methods design was used to analyze secondary data. Patient handoffs (n = 138) were transcribed into statements and then independently coded by 2 research assistants.Of all handoff statements, 63.2% were coded as Patient Summary and 13.6% were coded as Action Plan, whereas Synthesis was not coded in any handoffs. Three new Patient Summary elements and 1 new Action Plan element were identified.Patient Summary and Action Plan are critical data reported during clinical handoff. A handoff synthesis is a critical step to include in handoff training.
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orourke2020comparisonjournal Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors OʼRourke, Jennifer;Dunn Lopez, Karen;Riesenberg, Lee Ann;Abraham, Joanna;
Journal journal of nursing care quality
Year 2020
DOI
10.1097/NCQ.0000000000000465
URL
Keywords
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