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Blending Evidence and Innovation: Improving Intershift Handoffs in a Multihospital Setting

Thomas, Lily PhD, RN; Donohue-Porter, Patricia PhD, RN

doi: 10.1097/NCQ.0b013e318241cb3b
Articles

Ineffective handoffs have been identified as a barrier to patient safety and quality and as a key area for improvement. Handoffs require a process for effective transfer of critical information. A redesigned nurse-to-nurse intershift handoff was implemented in 7 hospitals of a multisite system. The redesign included combining evidence and an innovative approach developed by nurse managers to improve intershift report. Results included an increase in nurse and patient satisfaction.

System Nursing Research, North Shore Long Island Jewish Health System, Institute for Nursing, New Hyde Park (Dr Thomas); and Adelphi University School of Nursing, Garden City (Dr Donohue-Porter), New York.

Correspondence: Lily Thomas, PhD, RN, System Nursing Research, North Shore Long Island Jewish Health System, Institute for Nursing, 400 Lakeville Rd, Ste 170, New Hyde Park, NY 11042 (lthomas@nshs.edu).

The authors declare no conflict of interest.

The authors thank the Implementation Team—Emily Castro, Lisa Chung, Julia Elgendy, Sheryl Epstein, Irene Macyk, Eileen Mckinstry, Dr Myrta Rabinowitz, and Ronit Schwartz. They also thank Maureen T. White, Dr Maryann O. Forbes, Dr Elaine Smith, and Dr Jane White—for reviewing the manuscript.

Published online before print: December 21, 2011.

Accepted November 14, 2011

© 2012 Lippincott Williams & Wilkins, Inc.