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OR Nurse:
doi: 10.1097/01.ORN.0000442005.50438.48
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Effective handoff communication

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INSTRUCTIONS Effective handoff communication

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Effective handoff communication

General Purpose: To provide an overview of handoff communication in healthcare. Learning Objectives: After reading the article and taking this test, the reader should be able to: 1. Describe the importance of standardized handoffs as identified by the Joint Commission. 2. List elements of effective handoff communication techniques.

  1. The Joint Commission has determined that most sentinel events are caused by
    1. medication errors.
    2. patient falls.
    3. miscommunication.
    4. lab errors.
  2. According to the Joint Commission, 80% of preventable events are a result of
    1. incorrect surgical counts.
    2. perioperative patient positioning.
    3. incomplete handoffs.
    4. electronic medical record misuse.
  3. With the evolution and specialization of healthcare, handoffs are likely to
    1. increase in number.
    2. decrease in number.
    3. lose relevance.
    4. require electronic support.
  4. Handoffs in the OR
    1. occur less frequently since the patient remains in one patient-care area.
    2. are less complex because of the expertise of the providers involved.
    3. take place only at the initiation and conclusion of a procedure.
    4. are more frequent and complex than in many other care areas.
  5. The number of checkpoints and transitions throughout the perioperative process
    1. increases the patient's susceptibility to handoff errors.
    2. should be minimal with content as brief as possible.
    3. has no effect on communication.
    4. keeps environmental distractions to a minimum.
  6. To guide the transfer of critical information, the Joint Commission requires
    1. that only written communication be used to conclude and summarize responsibility.
    2. adoption of an AORN method of handoff communication.
    3. implementation of a standardized handoff communication process.
    4. that handoff communication be kept to a minimum.
  7. The R in the SBAR communication technique stands for
    1. record.
    2. recommendations.
    3. respirations.
    4. responsibility.
  8. The first step in the I PASS the BATON handoff technique is to
    1. initiate transportation.
    2. state the intended actions.
    3. introduce the situation.
    4. introduce yourself.
  9. During which step of I PASS the BATON handoff are individual responsibilities established?
    1. safety concerns
    2. actions
    3. ownership
    4. next
  10. In addition to a standardized format, handoffs must include
    1. adequate time.
    2. one-way communication.
    3. telephone or electronic communication.
    4. unilateral responsibility.
  11. A receiving party repeating patient information to confirm its accuracy
    1. facilitates one-way communication.
    2. is time consuming and should be discouraged by the sending party.
    3. demonstrates the “talk back” technique.
    4. eliminates the need to transcribe notes into the medical record.
  12. Information technology enhances communication by increasing accountability, data completeness, and
    1. accuracy.
    2. efficiency.
    3. privacy.
    4. technical errors.
  13. By using Formula 1 racing team handoff communication concepts, one hospital reduced errors after adopting a/an
    1. electronic medical record.
    2. prerecorded reporting method.
    3. team approach to handoff.
    4. strict 1:1 communication policy.
  14. Common barriers to effective communication include overconfidence and
    1. assertiveness.
    2. complacency.
    3. standardization.
    4. common goals.
  15. The author states that healthcare providers communicate differently every time because
    1. they want to individualize each situation.
    2. it's faster and easier.
    3. they don't care about standardization.
    4. they believe that their method works.
  16. Which is the most critical role of nurse leaders in promoting effective communication?
    1. implementing standardized communication processes
    2. investigating communication errors and their consequences
    3. reporting sentinel events related to communication
    4. hiring caregivers with effective communication skills
  17. A key to active communication with positive patient outcomes is
    1. speed.
    2. efficiency.
    3. acculturation.
    4. collaboration.
  18. Which statement about the Joint Commission's handoff communication requirements is true?
    1. All hospitals must adopt the same handoff communication tool.
    2. Handoff communication can occur face-to-face or over the telephone.
    3. Handoff must include an opportunity to ask and respond to questions.
    4. Ensuring accurate communication is the responsibility of the sending provider.
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