Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2012 Feb 8;16(1):303.
doi: 10.1186/cc10536.

A handoff is not a telegram: an understanding of the patient is co-constructed

Affiliations
Review

A handoff is not a telegram: an understanding of the patient is co-constructed

Michael D Cohen et al. Crit Care. .

Abstract

Hospital handoffs are believed to be a key locus of communication breakdown that can endanger patient safety and undermine quality of care. Substantial new efforts to better understand handoffs and to improve handoff practices are under way. Many such efforts appear to be seriously hampered, however, by an underlying presumption that the essential function of a handoff is one-way information transmission. Here, we examine social science literature that supports a richer framing of handoff conversations, one that characterizes them as co-constructions of an understanding of the patient.

PubMed Disclaimer

Comment in

  • Bedside handover of critically ill patients.
    Wise MP, Morgan MP, Hingston CD, Watkins HL. Wise MP, et al. Crit Care. 2012 Dec 12;16(2):419. doi: 10.1186/cc11245. Crit Care. 2012. PMID: 22449456 Free PMC article. No abstract available.

References

    1. Cohen MD, Hilligoss PB. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19:493–497. doi: 10.1136/qshc.2009.033480. - DOI - PubMed
    1. Farnan J, Paro J, Rodriguez R, Reddy S, Horwitz L, Johnson J, Arora V. Hand-off education and evaluation: piloting the observed simulated hand-off experience (OSHE) J Gen Intern Med. 2010;25:129–134. doi: 10.1007/s11606-009-1170-y. - DOI - PMC - PubMed
    1. Chang VY, Arora VM, Lev-Ari S, D'Arcy M, Keysar B. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125:491–496. doi: 10.1542/peds.2009-0351. - DOI - PubMed
    1. Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010;36:52–61. - PubMed
    1. Riesenberg LA, Leitzsch J, Little BW. Systematic review of handoff mnemonics literature. Am J Med Qual. 2009;24:196–204. doi: 10.1177/1062860609332512. - DOI - PubMed

Publication types

LinkOut - more resources