Critical Access Hospital Use of TeamSTEPPS to Implement Shift-Change Handoff Communication.
Implementation of handoff as part of TeamSTEPPS initiatives for improving shift-change communication is examined via qualitative analysis of on-site interviews and process observations in 8 critical access hospitals. Comparing implementation attributes and handoff performance across hospitals shows that the purpose of implementation did not differentiate between high and low performance, but facilitators and barriers did. Staff involvement and being part of the "big picture" were important facilitators to change management and buy-in.
Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City.
Nabil
N
Natafgi
Xi
X
Zhu
Jure
J
Baloh
Kelli
K
Vellinga
Thomas
T
Vaughn
Marcia M
MM
Ward
D003142:Communication; D006801:Humans; D062209:Patient Handoff / Q000592:standards*; D061214:Patient Safety / Q000592:standards; D016730:Program Development / Q000379:methods; D036301:Qualitative Research; D058996:Quality Improvement / Q000592:standards*