Introduction

Handoffs

Provide
Accurate
Information
Importance

Communication
breakdowns 2005, a Joint
Commission
70% analysis of
sentinal
events
Occured during
handoffs

50%
Tools and Techniques to Assist in
Handoffs
I PASS the BATON
I - Introduction
P - patient
A-Assessment
S - Situation
S - Safety Concerns
B - Background

Comorbidities
A - Actions
T - Timing
O - Ownership

Who is responsible

Who is responsible
N - Next
 DIAGRAM SHOWING THE DIFFERENCE IN NURSING
DOCUMENTATION BEFORE AND AFTER THE USE OF
THE HAND OFF COMMUNICATION CHECKLIST

Impact of handoff communication checkist on patient

Monitoring & Nursing Documentation
60

50

40

30

20

10

Documented the vital Labelled the drug Adequately Securing Medication chart updated
parameters infusions /fluids &Labelling of Invasive & filled accurately &
appropriately lines timely
Pre-intervention
Post-intervention
DIAGRAM SHOWING THE DIFFERENCE PATIENT SAFETY OUTCOMES
INDIVIDUAL BEFORE AND AFTER THE USE OF

70

60

50

40

30

20

10

Appropriate Nurse verify Nurse is Call bell Nurses Implements Nurse is

& complete the ID Band aware about within the assess & Pressure aware about
ID Band with the the reach of the document ulcer the
present patients vulnerability patient the skin prevention vulnerability
name status of status of the protocol status of
patient patient patient

Pre-intervention Post-intervention
Diagram showing the difference in nurses awareness regarding
patient profile and assessment before and after the use of the hand
off communication checklist

Impact of handoff communication checkist on the awareness of

nurses regarding patient related information
60
57 56

50 50
48 47

40
36 35
33
30 31

21 22
20
16

10
6

0 1

Correct Past history of Presenting Morse score Patient's Vital Investigations

diagnosis of the patient complaints of for the patient allergy status parameters done for the
the patient the patient and Current patient
status
Pre-intervention Post-intervention
DIAGRAM SHOWING THE DIFFERENCE IN THE VULNERABILITY
IDENTIFICATION OF THE PATIENT BEFORE AND AFTER THE
USE OF THE HAND OFF COMMUNICATION CHECKLIST

Vulnerability assessment & Identification

25 patients found to
be vulnerable. And
all 25 had the
18 patients
25
vulnerable band
found to be
vulnerable. But
none had the
vulnerable band 0

25
18

Pre-intervention Post-intervention

Vulnerable patients Patient have vulnerable band