

The Situation, Background, Assessment, and Recommendation (SBAR) tool was developed in 2006 and has been widely adopted in nursing practice. Implementation of a standardized Inpatient Settings Accelerating Safe Sign-outs program resulted in a 23% relative reduction in the overall error rates in 6 out of 9 hospitals, without impeding the workflow. Handoffs written by any health care practitioner should be visible to all practitioners of any health care discipline in the care team. We believe that an interdisciplinary handoff tool will enhance care team collaboration and communication, thus breaking the current “siloed” discipline-specific handoff approach. Since the shift time for each health care practitioner is different, making an interdisciplinary handoff is an arduous task. Moreover, the access to this app helped the nurses develop effective care plans and increased their work satisfaction. Nurses who were given access to view a computerized patient handoff app that was developed for physicians found that the app was a reliable and timely source of information on patient status and plans for treatment or discharge.

Tools designed to support interdisciplinary communication and collaboration were found to result in more positive patient care outcomes. Coordination between various treatments and interventions is critical for preventing errors and fragmentation of care. Physicians, nurses, pharmacists, and unlicensed assistive personnel that may be involved in a patient’s care often function independently and communicate inadequately. We believe that future handoffs should have the following features. Patient handoffs are an integral part of health care. The common errors during handoffs include the exclusion of critical information and the transfer of incorrect information. Multiple studies have reported communication failure, particularly during handoffs, as the leading cause of preventable adverse events in hospitals. The follow-up report, “Preventing Medication Errors,” estimated that 1.5 million preventable adverse events occur each year in the United States, with hospital-based errors costing US $3.5 billion per year. The landmark publication “To Err is Human” cast a spotlight on the devastating effects of adverse events and identified communication failures as one of the root causes of human deaths due to medical errors.
