Handoffs: Transitions of care for children in the emergency department

American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association Pediatric Committee

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Transitions of care (ToCs), also referred to as handoffs or sign-outs, occur when the responsibility for a patient's care transfers from 1 health care provider to another. Transitions are common in the acute care setting and have been noted to be vulnerable events with opportunities for error. Health care is taking ideas from other high-risk industries, such as aerospace and nuclear power, to create models of structured transition processes. Although little literature currently exists to establish 1 model as superior, multiorganizational consensus groups agree that standardization is warranted and that additional work is needed to establish characteristics of ToCs that are associated with clinical or practice outcomes. The rationale for structuring ToCs, specifically those related to the care of children in the emergency setting, and a description of identified strategies are presented, along with resources for educating health care providers on ToCs. Recommendations for development, education, and implementation of transition models are included.

Original languageEnglish (US)
Article numbere20162680
JournalPediatrics
Volume138
Issue number5
DOIs
StatePublished - Nov 1 2016

Fingerprint

Patient Transfer
Health Personnel
Hospital Emergency Service
Child Care
Patient Care
Industry
Emergencies
Delivery of Health Care
Education

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee, & Emergency Nurses Association Pediatric Committee (2016). Handoffs: Transitions of care for children in the emergency department. Pediatrics, 138(5), [e20162680]. https://doi.org/10.1542/peds.2016-2680

Handoffs : Transitions of care for children in the emergency department. / American Academy of Pediatrics Committee on Pediatric Emergency Medicine; American College of Emergency Physicians Pediatric Emergency Medicine Committee; Emergency Nurses Association Pediatric Committee.

In: Pediatrics, Vol. 138, No. 5, e20162680, 01.11.2016.

Research output: Contribution to journalArticle

American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee & Emergency Nurses Association Pediatric Committee 2016, 'Handoffs: Transitions of care for children in the emergency department', Pediatrics, vol. 138, no. 5, e20162680. https://doi.org/10.1542/peds.2016-2680
American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association Pediatric Committee. Handoffs: Transitions of care for children in the emergency department. Pediatrics. 2016 Nov 1;138(5). e20162680. https://doi.org/10.1542/peds.2016-2680
American Academy of Pediatrics Committee on Pediatric Emergency Medicine ; American College of Emergency Physicians Pediatric Emergency Medicine Committee ; Emergency Nurses Association Pediatric Committee. / Handoffs : Transitions of care for children in the emergency department. In: Pediatrics. 2016 ; Vol. 138, No. 5.
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abstract = "Transitions of care (ToCs), also referred to as handoffs or sign-outs, occur when the responsibility for a patient's care transfers from 1 health care provider to another. Transitions are common in the acute care setting and have been noted to be vulnerable events with opportunities for error. Health care is taking ideas from other high-risk industries, such as aerospace and nuclear power, to create models of structured transition processes. Although little literature currently exists to establish 1 model as superior, multiorganizational consensus groups agree that standardization is warranted and that additional work is needed to establish characteristics of ToCs that are associated with clinical or practice outcomes. The rationale for structuring ToCs, specifically those related to the care of children in the emergency setting, and a description of identified strategies are presented, along with resources for educating health care providers on ToCs. Recommendations for development, education, and implementation of transition models are included.",
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