The portfolio effect: an opportunity for improving handoffs quality in ICU.

ABSTRACT:

Background

Handoffs are a major determinant of patient's safety but their implementation remains heterogeneous and non-standardized. Organizational factors, including the order in which individual cases are handled within the handoff, may play a role in their quality. We aimed to confirm the existence of the portfolio effect (e.g. a decrease in duration allocated to individual cases as the global handoff progresses) in ICU's morning medical handoffs.

Methods

Two research assistants observed the morning handoffs in two ICUs (ICU-1, a 20-bed trauma and surgical ICU and ICU-2 a 10-bed medical and surgical ICU) within a university hospital, over a 6-month period. They were trained to measure the duration of each case (i.e., the handoff of a single patient). Patients' socio-demog

SUBMITTER: Monard C 

PROVIDER: S-EPMC11619199 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature