@article{4e4942ce03424e17ab341a6312683b6f,
title = "Improving Handoffs in the Emergency Department",
abstract = "Patient handoffs at shift change are a ubiquitous and potentially hazardous process in emergency care. As crowding and lengthy evaluations become the standard for an increasing proportion of emergency departments (EDs), the number of patients handed off will likely increase. It is critical now more than ever before to ensure that handoffs supply valid and useful shared understandings between providers at transitions of care. The purpose of this article is to provide the most up-to-date evidence and collective thinking about the process and safety of handoffs between physicians in the ED. It offers perspectives from other disciplines, provides a conceptual framework for handoffs, and categorizes models of existing practices. Legal and risk management issues are also addressed. A proposal for the development of handoff quality measures is outlined. Practical strategies are suggested to improve ED handoffs. Finally, a research agenda is proposed to provide a roadmap to future work that may increase knowledge in this area.",
author = "Cheung, {Dickson S.} and Kelly, {John J.} and Christopher Beach and Berkeley, {Ross P.} and Bitterman, {Robert A.} and Broida, {Robert I.} and Dalsey, {William C.} and Farley, {Heather L.} and Fuller, {Drew C.} and Garvey, {David J.} and Klauer, {Kevin M.} and McCullough, {Lynne B.} and Patterson, {Emily S.} and Pham, {Julius C.} and Phelan, {Michael P.} and Pines, {Jesse M.} and Schenkel, {Stephen M.} and Anne Tomolo and Turbiak, {Thomas W.} and Vozenilek, {John A.} and Wears, {Robert L.} and White, {Marjorie L.}",
note = "Funding Information: From the Sky Ridge Medical Center, Carepoint P.C., Denver, CO (Cheung); the Department of Emergency Medicine, Jefferson Medical College, and Albert Einstein Medical Center, Philadelphia, PA (Kelly); the Department of Emergency Medicine, Northwestern Memorial Hospital, Chicago, IL, Feinberg School of Medicine, Northwestern School University, Chicago, IL (Beach); the Department of Emergency Medicine, University of Nevada School of Medicine, and the Emergency Department, University Medical Center of Southern Nevada, Las Vegas, NV (Berkeley); the Emergency Physicians Insurance Co, Auburn, CA, and Bitterman Health Law Consulting Group, Inc., Harbor Springs, MI (Bitterman); Physicians Specialty Ltd., RRG, Canton, OH (Broida); Emergency Medicine Physicians, Ltd., Canton, OH (Broida, Klauer); EM Kimball Medical Center, Emergency Medical Associates, Livingston, NJ (Dalsey); Christiana Care Health System, Newark, DE, and Thomas Jefferson University–Jefferson Medical College, Philadelphia, PA (Farley); the Department of Emergency Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD (Fuller); Paper Documentation Solutions, T-Systems, Inc., Dallas, TX (Garvey); Michigan State University College of Osteopathic Medicine, East Lansing, MI (Klauer); the Emergency Department, Ronald Reagan UCLA Medical Center, Geffen School of Medicine at UCLA, Los Angeles, CA (McCullough); Ohio State University, Columbus, OH (Patterson); the Department of Emergency Medicine, Department of Anesthesia Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (Pham); Cleveland Clinic Emergency Services Institute, the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, and Lerner Research Institute Department of Biomedical Engineering, Cleveland, OH (Phelan); the Hospital of the University of Pennsylvania, Center for Clinical Epidemiology and Biostatistics, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA (Pines); Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD (Schenkel); the Emergency Department, Louis Stokes Cleveland DVAMC, and Case Western Reserve University School of Medicine, Cleveland, OH (Tomolo); the Department of Emergency Medicine, Saint Francis Hospital and Medical Center, Hartford, CT (Turbiak); Simulation Technology and Immersive Learning, Office of Medical Education, Feinberg School of Medicine, Northwestern University, Chicago, IL (Vozenilek); the University of Florida, Jacksonville, FL, and Imperial College, London, England (Wears); and the Department of Pediatrics, Division of Emergency Medicine, University of Alabama at Birmingham, Children's Hospital of Alabama, Birmingham, AL (White). ",
year = "2010",
month = feb,
doi = "10.1016/j.annemergmed.2009.07.016",
language = "English (US)",
volume = "55",
pages = "171--180",
journal = "Journal of the American College of Emergency Physicians",
issn = "0196-0644",
publisher = "Mosby Inc.",
number = "2",
}