Document Type

Dissertation

Degree

Doctor of Nursing Practice

Major

Nursing

Date of Defense

7-11-2024

Graduate Advisor

Sarah Jackson, DNP, APRN, FNP-C

Co-Advisor

Charity Galgani, DNP, APRN, WHNP-BC

Committee

Lindsey Kerley, MSN, RN, CPNP-AC

Abstract

Handoff communication is critical in healthcare and is associated with patient safety outcomes. Various tools and interventions are available to improve handoff communication as inadequate communication contributes to medical errors, patient adverse events, and increased mortality. The implementation of a standardized handoff tool has been shown to be effective. Findings revealed a significant 60% reduction in reported patient harm events, despite the study's limited sample size and lack of statistical significance (p = .614). Challenges such as low utilization (18.62%) were attributed to concerns about tool organization, spatial constraints, and staff resistance to change. Recommendations include refining the tool to better accommodate patient information, improving staff education and engagement, and integrating EHR prompts for more accurate documentation. Ongoing evaluation and feedback are crucial for enhancing and sustaining standardized handoff practices.

Available for download on Friday, July 24, 2026

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