Evidence Appraisal Table Template





Appendix A


PRISMA Diagram


Identification Additional records identified through other sources (n = 4 ) Records identified through database searching (n = 7 )





Records after duplicates removed (n = 3 )




Full-text articles assessed for eligibility (n = 3 ) Records excluded (n = 3 ) Records screened (n = 8 ) Full-text articles excluded, with reasons (n = 5 )











Studies included in qualitative synthesis (n =1 )





Studies included in quantitative synthesis (meta-analysis ) (n = 2 ) Included


Appendix B


Evidence Appraisal Table Template


Study citation: Halms, M. A. (2013). Nursing handoffs: Ensuring safe passage for patients. American Journal of Critical Care, 22(2), 158-161
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
Identification of handoff-related events that were reported in the Pennsylvania healthcare facilities from 2014 to 2015. Systematic review 1,565 handoff-related events In Pennsylvania Acceptance of responsibility for the care of the patient attainable by means of enhancing communication effectiveness




Enhancement of the safety and quality of handoff that requires the implementation of strategies that can support that initiative

Used Pennsylvania Patient Safety Reporting System (PA-PSRS)

Out of 1,565 handoff-related event

reports, 99.1% (n = 1,551) were Incidents while the remaining 0.9%

(n = 14) Serious Events














Appendix B


Evidence Appraisal Table Template

Study citation: Gordon, M & Findley, R., (2011). Educational interventions to improve handover in healthcare: a systematic review. Med Educ.  45(11):1081–1089.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
Educational interventions to improve handover in health care Systematic review Sample involved undergraduate and postgraduate nurses


educational interventions and how they relate to published theoretical models


Data extraction and quality appraisal completed independently, and content analysis in the interventions conducted as well as the key themes extracted. 10 studies met inclusion criteria and 9 studies met outcomes with improved attitudes and knowledge skills, and one demonstrated skills transfer to the workplace.








Appendix B


Evidence Appraisal Table Template

Study citation: Gogan, J. L., Baxter, R. J., Boss, S. R., & Chircu, A. M. (2013). Handoff processes, information quality and patient safety. Business Process Management Journal, 19(1), 70-94.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
To study on clinical processes and clinical handoffs so as to determine how the two disciplines could be combined to attain improved patient safety in handoffs. Systematic review Two studies reviewed for information comparison Recommended that there should be a use of SOPs (standard operating procedures), regularly audited clinical pathways, supporting software, and checklist so as to improve the handoffs.


Proper patient handoffs necessitated improved patient safety and quality information sharing and transfer between practitioners. There is a need for the health sector to initiate a trans-disciplinary methodology in research so as to respond to information quality issues that are related to clinical handoff processes, and in turn apply the research evidence to improve patient safety.  






Appendix B


Evidence Appraisal Table Template


Study citation: Butcher, L. (2015). The high-stakes handoff. Trustee, 68(3), 8-10,12.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
To use nursing homes patient care platforms to set baseline for improved patient handoffs Integrative review Two studies reviewed for information comparison Improved patient handoffs would be attained if; – developing the right setting for patients being discharged from hospitals

-standardization across the care continuum

-emphasize on longitudinal care planning

-use nurse care navigators to initiate successful of patients from one care setting to another.

Rethinking nurse staffing roles

Assigning skilled nursing experts to work directly with post-acute care health providers

Redesigning care to gain collaboration in post-acute providers

Nursing homes have largely helped in meeting patient care needs and sustaining improved patient handoffs









Study citation: Benham-Hutchins, M. M., & Effken, J. A. (2010). Multi-professional patterns and methods of communication during patient handoffs. International journal of medical informatics79(4), 252-267.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
Identification of current methods of passing and sharing patient information between practitioners, determine the dominant methods, and recommend the improvement strategies that could be deployed to enhance the efficiency in handoffs Integrative review Five patient handoffs used The study recommended the improvement methods that would encompass the conversion of all units to the electronic health record, electronic handoff communication modules and asynchronous multi-professional communication logs In patient handoffs, the common methods used were inclusive of verbal communication either via phone or in person, via written paper charts, and use of electronic records.

Verbal communication seemed to be highly preferred than the rest of the methods and it had reduced discrepancies.

84% of the participants preferred verbal communication during handoffs

82% of emergency department providers and 54% of those in admitting units were satisfied with verbal communication methodology in patient ha

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