title: Safe and effective nursing shift handover with NURSEPASS: An interrupted time series.
abstract: Implementation of a locally developed evidence based nursing shift handover blueprint with a bedside-safety-check to determine the effect size on quality of handover.
  
  
  
  A mixed methods design with: (1) an interrupted time series analysis to determine the effect on handover quality in six domains; (2) descriptive statistics to analyze the intercepted discrepancies by the bedside-safety-check; (3) evaluation sessions to gather experiences with the new handover process.
  
  
  
  We observed a continued trend of improvement in handover quality and a significant improvement in two domains of handover: organization/efficiency and contents. The bedside-safety-check successfully identified discrepancies on drains, intravenous medications, bandages or general condition and was highly appreciated.
  
  
  
  Use of the nursing shift handover blueprint showed promising results on effectiveness as well as on feasibility and acceptability. However, to enable long term measurement on effectiveness, evaluation with large scale interrupted times series or statistical process control is needed.
authors.affiliation: Department of Quality Assurance and Process Innovation, Academic Medical Center, 1105 AZ Amsterdam, The Netherlands. Electronic address: m.smeulers@amc.nl.
authors.forename: Marian
authors.initials: M
authors.lastname: Smeulers
authors.affiliation: Department of Cardiothoracic Surgery, Academic Medical Center, 1105 AZ Amsterdam, The Netherlands.
authors.forename: Christine D
authors.initials: CD
authors.lastname: Dolman
authors.affiliation: Department of Internal Medicine, Academic Medical Center, 1105 AZ Amsterdam, The Netherlands.
authors.forename: Danielle
authors.initials: D
authors.lastname: Atema
authors.affiliation: Department of Surgery, Amsterdam, Academic Medical Center, 1105 AZ Amsterdam, The Netherlands.
authors.forename: Susan
authors.initials: S
authors.lastname: van Dieren
authors.affiliation: Emma Children's Hospital, Academic Medical Center, 1105 AZ Amsterdam, The Netherlands; Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Medical Faculty, Academic Medical Center and University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
authors.forename: Jolanda M
authors.initials: JM
authors.lastname: Maaskant
authors.affiliation: Department of Surgery, Amsterdam, Academic Medical Center, 1105 AZ Amsterdam, The Netherlands; Department of Nursing, the Amsterdam School of Health Professions, Tafelbergweg 51, 1105 BD Amsterdam, The Netherlands.
authors.forename: Hester
authors.initials: H
authors.lastname: Vermeulen
mesh_terms: D006801:Humans; D065186:Interrupted Time Series Analysis; D009736:Nursing Process; D062209:Patient Handoff; D061214:Patient Safety
keywords: Continuity of care; Interrupted time series; Nursing handover; Patient safety; Quality improvement