ABSTRACT

This chapter aims to synthesize the literature by classifying the work into six conceptual framings for the function of handoffs as well as four groupings of handoff quality measures: outcomes, content of interactions, interaction processes, and learning. The six conceptual framings are information processing, stereotypical narratives, resilience, accountability, social interaction and cultural norms. The diversity of measurement approaches for handoff quality indicate a lack of consensus about the primary purpose of handoffs and how best to improve handoff processes. The healthcare domain has unique lessons for measuring transfers of responsibility and authority based on the growing literature on the measurement of 'patient handoffs'. The primary objective of a 'hand off' is to provide accurate information about a care, treatment, and services, current condition and any recent or anticipated changes. The information communicated during a hand off must be accurate in order to meet safety goals.