References
- Abraham, J., & Reddy, M. C. (2008). Moving patients around: A field study of coordination between clinical and non-clinical staff in hospitals. In Proceedings of the 2008 ACM conference on Computer supported cooperative work (pp. 225–228). https://doi.org/https://doi.org/10.1145/1460563.1460598
- Abraham, J., & Reddy, M. C. (2010). Challenges to inter-departmental coordination of patient transfers: A Workflow perspective. International Journal of Medical Informatics, 79(2), 112–122. https://doi.org/https://doi.org/10.1016/j.ijmedinf.2009.11.001
- American Hospital Association. (2012, October). Hospitals demonstrate commitment to quality improvement. Trendwatch. https://www.aha.org/system/files/research/reports/tw/12oct-tw- quality.pdf
- Beach, C., Cheung, D. S., Apker, J., Horwitz, L. I., Howell, E. E., O’Leary, K. J., Patterson, E. S., Schuur, J. D., Wears, R., & Williams, M. (2012). Improving interunit transitions of care between emergency physicians and hospital medicine physicians: A conceptual approach. Academic Emergency Medicine, 19(10), 1188–1195. https://doi.org/https://doi.org/10.1111/j.1553-2712.2012.01448.x
- Blay, N., Roche, M., Duffield, C., & Xu, X. (2017). Intrahospital transfers and adverse patient outcomes: An analysis of administrative health data. Journal of Clinical Nursing, 26(23–24), 4927–4935. doi:https://doi.org/https://doi.org/10.1111/jocn.13976
- Blay, N., Roche, M. A., Duffield, C., & Gallagher, R. (2017). Intrahospital transfers and the impact on nursing workload. Journal of Clinical Nursing, 26(23–24), 4822–4829. https://doi.org/https://doi.org/10.1111/jocn.13838
- Chassin, M. R., & Loeb, J. M. (2013). High-reliability health care: Getting there from here. Milbank Quarterly, 91(3), 459–490. https://doi.org/https://doi.org/10.1111/1468-0009.12023
- Curry, L. A., Brault, M. A., Linnander, E. L., McNatt, Z., Brewster, A. L., Cherlin, E., Flieger, S. P., Ting, H. H., & Bradley, E. H. (2017). Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: A mixed-methods intervention study. BMJ Quality & Safety, 27(3), 207–217. https://doi.org/https://doi.org/10.1136/bmjqs-2017-006989
- Damschroder, L. J., & Lowery, J. C. (2013). Evaluation of a large-scale weight management program under the consolidated framework for implementation research (CFIR). Implementation Science, 8(1), 51. https://doi.org/https://doi.org/10.1186/1748-5908-8-51
- Detsky, M. E., Ailon, J., Weinerman, A. S., Amaral, A. C., & Bell, C. M. (2015). A two-site survey of clinicians to identify practices and preferences of intensive care unit transfers to general medical wards. Journal of Critical Care, 30(2), 358–362. https://doi.org/https://doi.org/10.1016/j.jcrc.2014.10.026
- Foster, S., & Manser, T. (2012). The effects of patient handoff characteristics on subsequent care: A systematic review and areas for future research. Academic Medicine, 87(8), 1105–1124. https://doi.org/https://doi.org/10.1097/ACM.0b013e31825cfa69
- Fulop, N., & Robert, G. (2013). Context for successful quality improvement. Health Care Manag Rev, 38, 325–338.
- Haque, S. N., Osterlund, C. S., & Fagan, L. M. (2017). What’s ideal? A case study exploring handoff routines in practice. Journal of Biomedical Informatics, 65, 159–167. https://doi.org/https://doi.org/10.1016/j.jbi.2016.12.003
- Hilligoss, B., & Cohen, M. D. (2013). The unappreciated challenges of between-unit handoffs: Negotiating and coordinating across boundaries. Annals of Emergency Medicine, 61(2), 155–160. https://doi.org/https://doi.org/10.1016/j.annemergmed.2012.04.009
- Horwitz, L. I., Meredith, T., Schuur, J. D., Shah, N. R., Kulkarni, R. G., & Jenq, G. Y. (2009). Dropping the baton: A qualitative analysis of failures during the transition from emergency department to inpatient care. Annals of Emergency Medicine, 53(6), 701–710 e704. https://doi.org/https://doi.org/10.1016/j.annemergmed.2008.05.007
- Johnson, D. W., Schmidt, U. H., Bittner, E. A., Christensen, B., Levi, R., & Pino, R. M. (2013). Delay of transfer from the intensive care unit: A prospective observational study of incidence, causes, and financial impact. Critical Care, 17(4), R128. https://doi.org/https://doi.org/10.1186/cc12807
- Kaplan, H. C., Provost, L. P., Froehle, C. M., & Margolis, P. A. (2012). The Model for Understanding Success in Quality (MUSIQ): Building a theory of context in healthcare quality improvement. BMJ Quality & Safety, 21(1), 13–20. https://doi.org/https://doi.org/10.1136/bmjqs-2011-000010
- Knight, P., Maheshwari, N., Hussain, J., Scholl, M., Hughes, M., Papadimos, T., Guo, W., Cipolla, J., Stawicki, S., & Latchana, N. (2015). Complications during intrahospital transport of critically ill patients: Focus on risk identification and prevention. International Journal of Critical Illness and Injury Science, 5(4), 256–264. https://doi.org/https://doi.org/10.4103/2229-5151.170840
- Knox, L. (2010). Report on the AHRQ 2010 consensus meeting on practice facilitation for primary care improvement (Prepared by LA Net through subcontract with the University of Minnesota under Contract No. HHSA290200710010 TO 3). Agency for Healthcare Quality.
- Kringos, D. S., Sunol, R., Wagner, C., Mannion, R., Michel, P., Klazinga, N. S., & Groene, O. (2015). The influence of context on the effectiveness of hospital quality improvement strategies: A review of systematic reviews. BMC Health Services Research, 15(1), 277. https://doi.org/https://doi.org/10.1186/s12913-015-0906-0
- Lane-Fall, M. B., & Fleisher, L. A. (2018). Quality improvement and implementation science: Different fields with aligned goals. Anesthesiology Clinics, 36(1), xiii–xv. https://doi.org/https://doi.org/10.1016/j.anclin.2017.12.001
- Li, P., Ali, S., Tang, C., Ghali, W. A., & Stelfox, H. T. (2013). Review of computerized physician handoff tools for improving the quality of patient care. Journal of Hospital Medicine, 8(8), 456–463. https://doi.org/https://doi.org/10.1002/jhm.1988
- Mannion, R., & Smith, J. (2017). Hospital culture and clinical performance: Where next? BMJ Quality & Safety, 27(3), 179–181. https://doi.org/https://doi.org/10.1136/bmjqs-2017-007668
- Ogrinc, G., Davies, L., Goodman, D., Batalden, P., Davidoff, F., & Stevens, D. (2016). SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): Revised publication guidelines from a detailed consensus process. BMJ Quality & Safety, 25(12), 986–992. https://doi.org/https://doi.org/10.1136/bmjqs-2015-004411
- Papson, J. P. N., Russell, K. L., & Taylor, D. M. (2007). Unexpected Events during the intrahospital transport of critically Ill patients. Academic Emergency Medicine, 14(6), 574–577. doi:https://doi.org/https://doi.org/10.1197/j.aem.2007.02.034
- Patton, M. (2015). Qualitative research & evaluation methods (4th ed.). SAGE Publications.
- Pope, C., Van Royen, P., & Baker, R. (2002). Qualitative methods in research on healthcare quality. Quality and Safety in Health Care, 11(2), 148–152. https://doi.org/https://doi.org/10.1136/qhc.11.2.148
- Riesenberg, L. A., Leitzsch, J., & Cunningham, J. M. (2010). Nursing handoffs: A systematic review of the literature. AJN, American Journal of Nursing, 110(4), 24–34. quiz 35-26. https://doi.org/https://doi.org/10.1097/01.naj.0000370154.79857.09
- Riesenberg, L. A., Leitzsch, J., Massucci, J. L., Jaeger, J., Rosenfeld, J. C., Patow, C., Padmore, J. S., & Karpovich, K. P. (2009). Residents’ and attending physicians’ handoffs: A systematic review of the literature. Academic Medicine, 84(12), 1775–1787. https://doi.org/https://doi.org/10.1097/ACM.0b013e3181bf51a6
- Rosenberg, A., Campbell Britton, M., Feder, S., Minges, K., Hodhson, B., Chaudhry, S. I., Jenq, G. Y., & Emerson, B. L. (2018). A taxonomy and cultural analysis of intra-hospital patient transfers. Research in Nursing & Health, 41(4), 378–388. https://doi.org/https://doi.org/10.1002/nur.21875
- Rycroft-Malone, J. (2004). The PARIHS framework - A framework for guiding the implementation of evidence-based practice. Journal of Nursing Care Quality, 19(4), 297–304. https://doi.org/https://doi.org/10.1097/00001786-200410000-00002
- Schouten, W. M., Burton, M. C., Jones, L. D., Newman, J., & Kashiwagi, D. T. (2015). Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. Journal of Hospital Medicine, 10(3), 137–141. https://doi.org/https://doi.org/10.1002/jhm.2293
- Silver, S. A., Harel, Z., McQuillan, R., Weizman, A. V., Thomas, A., Chertow, G. M., Nesrallah, G., Bell, C. M., & Chan, C. T. (2016). How to Begin a Quality Improvement Project. Clinical Journal of the American Society of Nephrology, 11(5), 893–900. https://doi.org/https://doi.org/10.2215/cjn.11491015
- Smith, C. J., Britigan, D. H., Lyden, E., Anderson, N., Welniak, T. J., & Wadman, M. C. (2015). Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of physicians at a university medical center. Journal of Hospital Medicine, 10(11), 711–717. https://doi.org/https://doi.org/10.1002/jhm.2431
- Staggers, N., & Blaz, J. W. (2013). Research on nursing handoffs for medical and surgical settings: An integrative review. Journal of Advanced Nursing, 69(2), 247–262. https://doi.org/https://doi.org/10.1111/j.1365-2648.2012.06087.x
- Starmer, A. J., Spector, N. D., Srivastava, R., West, D. C., Rosenbluth, G., Allen, A. D., Noble, E. L., Tse, L. L., Dalal, A. K., Keohane, C. A., Lipsitz, S. R., Rothschild, J. M., Wien, M. F., Yoon, C. S., Zigmont, K. R., Wilson, K. M., O’Toole, J. K., Solan, L. G., Aylor, M., Bismilla, Z., & Landrigan, C. P. (2014). Changes in medical errors after implementation of a handoff program. New England Journal of Medicine, 371(19), 1803–1812. https://doi.org/https://doi.org/10.1056/NEJMsa1405556
- Studeny, S., Burley, L., Cowen, K., Akers, M., O’Neill, K., & Flesher, S. L. (2017). Quality improvement regarding handoff. SAGE Open Medicine, 5, 2050312117729098. https://doi.org/https://doi.org/10.1177/2050312117729098
- Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. https://doi.org/https://doi.org/10.1093/intqhc/mzm042
- Yazici, C., Abdelmalak, H., Gupta, S., Shmagel, A., Albaddawi, E., Tsang, V., Potts, S., & Arora, V. M. (2013). Sustainability and effectiveness of a quality improvement project to improve handoffs to night float residents in an internal medicine residency program. Journal of Graduate Medical Education, 303–308.