Speakers - 2026

Title: Effectiveness of safety handoff of nurse to nurse in the emergency department to improve patient safety at the hospital

Abstract

Background: Handoff is a process for sharing clinical information of patients in the mutual practice in hospitals for providing safe, and high-quality care. Nursing handoffs are the essential practice for shifting and accepting both concern for the care and specific evidence about the patient. The sharing of patient data for the approval and permanence of safety care in the inpatient setting (The Joint Commission Center for Healthcare, 2014). Quality of care and coordination is important for the upgrading of patient experiences through team-based warm handoff (Collins, 2009). Also, the warm handoff is important for patient transfer, the primary care provider will directly present the interactive healthcare worker in a described procedure. Health care is viewed as a practice guide in the process of handover that presents the patient's status of information (Nasiri et al., 2021). Handoff is defined as the exchange of information, responsibility, and accountability among nurses about patients at shift change (Safety & Care, 2009). Studies show that the hospital had no guidelines/checklists for 77.4% of respondents in the ward (Kim et al., 2021). The result of effective handover communication is 11% of bad occurrences in Australia (Braaf et al., 2015). Patient safety can be at risk if in handoff process is not done with proper communication. As resulting evidence, the risk of medication errors and guarding of measures are the cause of the rise of failed handoffs, delay treatment, reduce patient satisfaction, and extend hospital stays. Mainly patient safety in the hospital will lead to a decrease in quality service indicators due to errors delivery of handovers at the time of shift change (Oxyandi & Endayni, 2020). 2 Also, World Health Organization (WHO, 2019) states that partnering among patients, families, caregivers, and healthcare professionals has an up-to-date medication list to agree on plans and ensure patients are prepared to manage medications safely. So, educating the availability of quality data at transitions of care and the most reliable result data are causes for proving medication histories at shifts. These could comprise patient-held medication best, evidence technology systems to help resolution methods, and electronic health records to simplify sander changes.

Methods: Through literature review, significant variables were identified, and synthesizing pertinent articles to determine the Effectiveness of safety handoff of nurse to nurse in the emergency department to improve patient safety at the hospital. Moreover, the variables were confirmed among nurses through the literature review. A systematic review was completed using the relevant terms Effectiveness of "safety" [MeSH Terms] AND "handoff" AND "nurses" OR "nurses" AND "intervention" AND "improve" AND "patient safety" OR "patient" AND "safety" AND "motivation OR " emergency" AND "care" AND "unit" AND "hospitals" in the electronic databases (PubMed, CINHL, EMBASE, PsycINFO, Web of Science, and Scopus) to identify the relevant studies on Effectiveness of safety handoff of nurse to nurse in the emergency department to improve patient safety at the hospital. Exclusion and inclusion criteria The period of analysis was from January 01, 2013, to March 30, 2023. Peer-reviewed articles included nurses and emergency units and only the English language was included. Articles, which excluded other professionals, also adolescents, and students were included in this analysis. Search and retrieval strategies Through a broad search strategy and a partially overlapping database, 1,253 publications were found. After excluding duplicates, 898 publications remained. Further excluding 20 publications in other languages, 887 publications remained. From these, only abstract and nonrelevant publications were excluded.

Results:
Description: 1. Nurses outcomes, handover quality, teamwork, safety climate, and recording vital signs and clinical concerns. The fall of patient outcome, length of hospital stay, discharge status, and incidence of adverse events among pre-intervention and post-intervention, using a simple, evidence-based early caution for patient handover enhanced socio-cultural factors for patient safety, patient monitoring, and active implementation of an early warning score to improve patient safety (Hwang & Kim, 2022).
2. The nursing handoff is the process of shift changes to lead the at the bedside, adaptive condition, background, assessment, approval (SBAR) communication tool. The effectiveness of the handoff intervention was using the pre and post-implementation hospital safety culture remark on nursing leadership. The electronic medical record during handoff at the bedside by nurses to perform promptly. SBAR bedside report method is easy to use and prevented the loss of patient information for more effective pre-intervention practice (Campbell & Dontje, 2019).
3. Transitions of care as handoffs or sign-outs, responsibility for patients care transfers as of single health care worker to another, chances common error events of transitions, ideas from other highrisk productions such as space and splitable rule, create planned shifts process. Establish model as higher, multiorganizational consensus groups that standardization, additional work is needed to establish features to clinical practice results for the transition of care. The rationale for shaping, identified strategies to present, resources for educating health care workers. The advance of education and implementation of transition models included care transition (Shook et al., 2016).
4. The activity of inspecting part is selected for use to allow EHRs initial practice that refers to pre-handoff of chart biopsy for record of a patient’s health to gather specific data about the patient or get a broader sense of the care usual by the patient. The chart biopsy is known for three functions: the patient outline getting, handoff and subsequent care preparation, and possible biases contrary to defense. The clinical and organizational process has an important impact to seemed in chart biopsies. The nature and quality of handoff relations and quality care are relevant to patient dispositioning (Hilligoss & Zheng, 2013).
5. Handoff is associated with per-implementations to post-implementations for the decrease of patient safety events. There was a change in miscommunication versus lack of communication in all the theme events. However, the new process was about fifty percent of compliance. The preand post-implementation is not statistically significant for all the answers to survey questions. The handoff process has increased nurses' satisfaction (Foltz, 2019).
6. The inpatient nurses of the emergency department were satisfied. Though inpatient nurses did not believe that enough information to deliver safe care for patients and the report had been involved in error or near-miss experience related to lack of communication. Handoffs were allied issues of nurses, the primary nurse of inpatient nurses stated of the handoff was not given, and the report of nurses was not completely adequate in the more lacked organization. The results of handoff can be different to bring a more seamless change of admitted patients. Nurses use tools and opportunities to yield an excellent and comprehensive handoff that may include the intervention of training sessions effectively direct to applying the maximum electronic of features healthcare records (Briones, 2016).
7. The registered nurses detected from the emergency department and internal medicine units were interviewed in weeks and a total inter-unit handoff. Handoff is known for the issues in structure, 7 process, and results variance culture in the unit, lack of teamwork and thought among units, lack of tools knowledge as well as current failure. Over the review of issued literature on present evidence best practices were identified a few potential interventions to advance the method in inter-unit handoff. The summary of the report form is based on the SBAR format. The nurses will potentially eliminate redundancy and confusion in current practice for communication along with the framework (Marutyan, 2016).
8. The professional, structural, and relational factors can affect the transition of emergency medical services (EMS) care to the emergency department (ED). EMS workers were known as advocates for patients in the challenging EMS to ED handoffs. Normative challenges are meeting in communications with hospital staff and features of EMS and hospital protocols of facilities are undermined by effective handoffs from the out-of-hospital environment to the ED. The main findings of the structure and the process of the handoff: communication directly with the ED provider for patient care; interdisciplinary feedback, transparency, and shared understanding of the scope of practice between out-of-hospital and hospital-based providers; Standardize some aspects of the handoff; and harness technology to close gaps in information exchange. Explanatory findings suggest that effectively increasing EMS interactions with emergency physicians, standardizing handoff processes, and fostering interpersonal learning represent opportunities for future study and serve as potential solutions for the high-risk EMS-ED patient transition (Meisel et al., 2015).
9. Failure of nurses-to-nurses handoffs was in more than fifty percent of events reports and were verbal, face-to-face, written, or electronic, depending on the organization's process. Also, the patient at the unit had to be addressed and exposed by the receiving nurse for direct care (Alert, 2021).