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Handoff Communication From the Emergency Department to Primary Care

Handoff Communication From the Emergency Department to Primary Care Handoff communication deficiencies between the emergency department (ED) and primary care have been recognized as the result of delays and/or omissions in follow-up care for patients. This quality improvement project addresses the gaps in follow-up care for patients with low-risk chest pain by implementing an electronic Emergency Provider Written Plan of Discharge (eEPWPD) tem- plate to notify primary care providers (PCPs) that follow-up care is needed for their patients. This retrospective study evaluated effectiveness of the template in providing additional diagnostic and follow-up care. Results indicated that following the implementation of the eEPWPD template, follow-up for this population increased significantly. This study provides evidence that standardizing handoff communication from the ED to PCP can improve the quality of patient care by ensur- ing timely diagnostic and follow-up care. Key words: communication, continuity of care, handoff communication, medical errors, transition of care ATIENT SAFETY is dependent upon ac- tributes to medical errors, mistakes, and near curate communication in health care misses (Sutcliffe, Lewton, & Rosenthal, 2004), P (Coleman & Berenson, 2004). Accord- resulting in adverse patient outcomes includ- ing to the Institute of Medicine, 98,000 pre- ing death. One of the most crucial points ventable deaths per year in the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Handoff Communication From the Emergency Department to Primary Care

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Copyright
© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0000000000000003
pmid
24487263
Publisher site
See Article on Publisher Site

Abstract

Handoff communication deficiencies between the emergency department (ED) and primary care have been recognized as the result of delays and/or omissions in follow-up care for patients. This quality improvement project addresses the gaps in follow-up care for patients with low-risk chest pain by implementing an electronic Emergency Provider Written Plan of Discharge (eEPWPD) tem- plate to notify primary care providers (PCPs) that follow-up care is needed for their patients. This retrospective study evaluated effectiveness of the template in providing additional diagnostic and follow-up care. Results indicated that following the implementation of the eEPWPD template, follow-up for this population increased significantly. This study provides evidence that standardizing handoff communication from the ED to PCP can improve the quality of patient care by ensur- ing timely diagnostic and follow-up care. Key words: communication, continuity of care, handoff communication, medical errors, transition of care ATIENT SAFETY is dependent upon ac- tributes to medical errors, mistakes, and near curate communication in health care misses (Sutcliffe, Lewton, & Rosenthal, 2004), P (Coleman & Berenson, 2004). Accord- resulting in adverse patient outcomes includ- ing to the Institute of Medicine, 98,000 pre- ing death. One of the most crucial points ventable deaths per year in the

Journal

Advanced Emergency Nursing Journal – Wolters Kluwer Health

Published: Jan 1, 2014

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