Clinical Team Training and a Structured Handoff Tool to Improve Teamwork, Communication, and Patient Safety. 2021

Brett Neville, and Rebecca S Miltner, and Maria R Shirey

Effective communication among healthcare teams is essential for ensuring handoff-related safety and quality care outcomes. The aim of this project was to improve patient safety through the reduction of communication-related errors on an acute hemodialysis unit (AHU) in an academic medical center. A target was set to reduce by 50 percent the communication-related errors using strategies to improve teamwork and communication. Acute hemodialysis unit team members attended Clinical Team Training (CTT) informational sessions on teamwork and communication. A structured handoff tool was implemented in the AHU to improve nurse communication and reduce communication-related patient safety events. Descriptive statistics and comparison of means were conducted to assess the differences between preimplementation and postimplementation audit and safety event data. There was a statistically significant difference between the preintervention and postintervention groups of handoff tool usage and completion as well as a consistent decrease in handoff-related safety events after implementation. Findings suggest that CTT and a structured handoff tool used to guide nurse-to-nurse care transitions lead to a reduction in communication-related safety events during handoffs in an AHU.

UI MeSH Term Description Entries
D007396 Internship and Residency Programs of EDUCATION, MEDICAL, GRADUATE training to meet the requirements established by accrediting authorities. House Staff,Internship, Dental,Residency, Dental,Residency, Medical,Dental Internship,Dental Internships,Dental Residencies,Dental Residency,Internship,Internship, Medical,Internships, Dental,Medical Residencies,Medical Residency,Residencies, Dental,Residencies, Medical,Residency,Residency and Internship,Internships, Medical,Medical Internship,Medical Internships,Residencies,Staff, House
D011787 Quality of Health Care The levels of excellence which characterize the health service or health care provided based on accepted standards of quality. Pharmacy Audit,Quality of Care,Quality of Healthcare,Audit, Pharmacy,Care Quality,Health Care Quality,Healthcare Quality,Pharmacy Audits
D003142 Communication The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups. Miscommunication,Misinformation,Social Communication,Communication Programs,Communications Personnel,Personal Communication,Communication Program,Communication, Personal,Communication, Social,Communications, Social,Miscommunications,Misinformations,Personnel, Communications,Program, Communication,Programs, Communication,Social Communications
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D061214 Patient Safety Efforts to reduce risk, to address and reduce incidents and accidents that may negatively impact healthcare consumers. Patient Safeties,Safeties, Patient,Safety, Patient
D062209 Patient Handoff The transferring of patient care responsibility from one health-care professional to another. Clinical Handoffs,Clinical Handover,Nursing Hand Off,Nursing Hand Offs,Nursing Hand Over,Nursing Hand Overs,Nursing Handoff,Nursing Handover,Patient Hand Off,Patient Hand Offs,Patient Hand Over,Patient Hand Overs,Patient Handover,Patient Sign Out,Patient Sign Outs,Patient Signout,Patient Signover,Clinical Handoff,Clinical Handovers,Hand Off, Nursing,Hand Off, Patient,Hand Offs, Nursing,Hand Offs, Patient,Hand Over, Nursing,Hand Over, Patient,Hand Overs, Nursing,Hand Overs, Patient,Handoff, Clinical,Handoff, Nursing,Handoff, Patient,Handoffs, Clinical,Handoffs, Nursing,Handoffs, Patient,Handover, Clinical,Handover, Nursing,Handover, Patient,Handovers, Clinical,Handovers, Nursing,Handovers, Patient,Nursing Handoffs,Nursing Handovers,Patient Handoffs,Patient Handovers,Patient Signouts,Patient Signovers,Sign Out, Patient,Sign Outs, Patient,Signout, Patient,Signouts, Patient,Signover, Patient,Signovers, Patient

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