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Can handoffs bridge the interprofessional divide to build a team?

qhc · 2025-09-18 · canonical JSON source

6 visible annotations · policy: published · automated confidence ≥ 75.00%

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Handoffs have become integral to almost all aspects of hospital-based care. Realities such as duty hour limitations and shift work mean that patients are cared for by numerous individuals each day in an inpatient unit. Furthermore, the specialisation of modern medicine now means that patients transfer between units and care teams as their healthcare needs evolve. This changing of personnel and patient location necessitates handoffs, where clinicians communicate information about the patient, transferring responsibility for care from one person to another. For example, a patient in the hospital might receive care from two separate physician teams (night and day coverage) and three nursing teams (each working an 8-hour shift). This means their care is passed through at least five handoffs in a 24-hour period, not counting potential handoffs to procedural teams, escalations of care or handoffs for break coverage. The number of handoffs in a day for each patient can quickly escalate, with each being an opportunity for information to be lost or misunderstood, threatening clinician teamwork and leading to errors and preventable patient harm.