Joint Commission Center for Transforming Healthcare Tackles Miscommunication Among Caregivers | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Joint Commission Center for Transforming Healthcare Tackles Miscommunication Among Caregivers

October 22, 2010
by root
| Reprints

An estimated 80 percent of serious medical errors involve miscommunication between caregivers when responsibility for patients is transferred or handed-off. Recognizing this as a critical patient safety issue, a group of 10 leading U.S. hospitals and health care systems teamed up with the Joint Commission Center for Transforming Healthcare (Oakbrook Terrac, Ill.) to use new methods to find the causes of and put a stop to these dangerous and potentially deadly breakdowns in patient care.

The Hand-off Communications Project began in August 2009. During the measure phase of the project, the participating hospitals found that, on average, more than 37 percent of the time hand-offs were defective and didn't allow the receiver to safely care for the patient. Additionally, 21 percent of the time senders were dissatisfied with the quality of the hand-off. Using solutions targeted to the specific causes of an inadequate hand-off, participating organizations that fully implemented the solutions achieved an average 52 percent reduction in defective hand-offs.

The 10 hospitals and health systems that volunteered to address hand-off communications as a critical patient safety problem are:

  • Exempla Lutheran Medical Center, Wheat Ridge, Colorado
  • Fairview Health Services, Minneapolis, Minnesota
  • Intermountain Healthcare LDS Hospital, Salt Lake City, Utah
  • The Johns Hopkins Hospital, Baltimore, Maryland
  • Kaiser Permanente Sunnyside Medical Center, Clackamas, Oregon
  • Mayo Clinic Saint Marys Hospital, Rochester, Minnesota
  • New York-Presbyterian Hospital, New York
  • North Shore-LIJ Health System Steven and Alexandra Cohen Children's Medical Center, New Hyde Park, New York
  • Partners HealthCare, Massachusetts General Hospital, Boston
  • Stanford Hospital & Clinics, Palo Alto, California




Topics

News

NewYork-Presbyterian, Walgreens Partner on Telemedicine Initiative

NewYork-Presbyterian and Walgreens are collaborating to bring expanded access to NewYork-Presbyterian’s healthcare through new telemedicine services, the two organizations announced this week.

ONC Releases Patient Demographic Data Quality Framework

The Office of the National Coordinator for Health IT (ONC) developed a framework to help health systems, large practices, health information exchanges and payers to improve their patient demographic data quality.

AMIA, Pew Urge Congress to Ensure ONC has Funding to Implement Cures Provisions

The Pew Charitable Trusts and the American Medical Informatics Association (AMIA) have sent a letter to congressional appropriators urging them to ensure that ONC has adequate funding to implement certain 21st Century Cures Act provisions.

Former Michigan Governor to Serve as Chair of DRIVE Health

Former Michigan Governor John Engler will serve as chair of the DRIVE Health Initiative, a campaign aimed at accelerating the U.S. health system's transition to value-based care.

NJ Medical Group Launches Statewide HIE, OneHealth New Jersey

The Medical Society of New Jersey (MSNJ) recently launched OneHealth New Jersey, a statewide health information exchange (HIE) that is now live.

Survey: 70% of Providers Using Off-Premises Computing for Some Applications

A survey conducted by KLAS Research found that 70 percent of healthcare organizations have moved at least some applications or IT infrastructure off-premises.