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February 2015; 5 (1) Eye on Practice

Structured handoff checklists improve clinical measures in patients discharged from the neurointensive care unit

Elizabeth A. Coon, Neha M. Kramer, Rachel R. Fabris, David B. Burkholder, James P. Klaas, Jonathan Graff-Radford, S. Arthur Moore, Eelco F.M. Wijdicks, Jeffrey W. Britton, Lyell K. Jones
First published December 5, 2014, DOI: https://doi.org/10.1212/CPJ.0000000000000094
Elizabeth A. Coon
Department of Neurology (EAC, NMK, RRF, DBB, JPK, JG-R, SAM, EFMW, JWB, LKJ), Mayo Clinic, Rochester, MN.
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Neha M. Kramer
Department of Neurology (EAC, NMK, RRF, DBB, JPK, JG-R, SAM, EFMW, JWB, LKJ), Mayo Clinic, Rochester, MN.
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Rachel R. Fabris
Department of Neurology (EAC, NMK, RRF, DBB, JPK, JG-R, SAM, EFMW, JWB, LKJ), Mayo Clinic, Rochester, MN.
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David B. Burkholder
Department of Neurology (EAC, NMK, RRF, DBB, JPK, JG-R, SAM, EFMW, JWB, LKJ), Mayo Clinic, Rochester, MN.
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James P. Klaas
Department of Neurology (EAC, NMK, RRF, DBB, JPK, JG-R, SAM, EFMW, JWB, LKJ), Mayo Clinic, Rochester, MN.
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Jonathan Graff-Radford
Department of Neurology (EAC, NMK, RRF, DBB, JPK, JG-R, SAM, EFMW, JWB, LKJ), Mayo Clinic, Rochester, MN.
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S. Arthur Moore
Department of Neurology (EAC, NMK, RRF, DBB, JPK, JG-R, SAM, EFMW, JWB, LKJ), Mayo Clinic, Rochester, MN.
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Eelco F.M. Wijdicks
Department of Neurology (EAC, NMK, RRF, DBB, JPK, JG-R, SAM, EFMW, JWB, LKJ), Mayo Clinic, Rochester, MN.
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Jeffrey W. Britton
Department of Neurology (EAC, NMK, RRF, DBB, JPK, JG-R, SAM, EFMW, JWB, LKJ), Mayo Clinic, Rochester, MN.
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Lyell K. Jones Jr
Department of Neurology (EAC, NMK, RRF, DBB, JPK, JG-R, SAM, EFMW, JWB, LKJ), Mayo Clinic, Rochester, MN.
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Citation
Structured handoff checklists improve clinical measures in patients discharged from the neurointensive care unit
Elizabeth A. Coon, Neha M. Kramer, Rachel R. Fabris, David B. Burkholder, James P. Klaas, Jonathan Graff-Radford, S. Arthur Moore, Eelco F.M. Wijdicks, Jeffrey W. Britton, Lyell K. Jones
Neurol Clin Pract Feb 2015, 5 (1) 42-49; DOI: 10.1212/CPJ.0000000000000094

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Summary

While up to 80% of medical errors may result from poor communication at clinical transitions of care, there has been relatively little study of the effect of standardized communication tools on clinical quality measures. We prospectively examined the effect of a standardized handoff checklist on clinical outcomes for patients dismissed from the neurointensive care unit. We found that the checklist resulted in significant reductions in patients transferred with inaccurate medication reconciliation and unnecessary urinary catheters. Participating physicians were surveyed and generally viewed the handoff checklist favorably. Standardized communication tools such as checklists may play a useful role in reducing medical errors related to communication between patient care teams.

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  • Funding information and disclosures are provided at the end of the article. Full disclosure form information provided by the authors is available with the full text of this article at Neurology.org/cp.

  • Supplemental data at Neurology.org/cp

  • © 2015 American Academy of Neurology
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