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American Journal of Medical Quality
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Reviews

Systematic Review of Handoff Mnemonics Literature

Lee Ann Riesenberg, PhD, RN

Academic Affairs, Christiana Care Health System, Newark, Delaware, Lriesenberg{at}christianacare.org, Jefferson School of Population Health, Philadelphia, Pennsylvania

Jessica Leitzsch, BS

Academic Affairs, Christiana Care Health System, Newark, Delaware

Brian W. Little, MD, PhD

Academic Affairs, Christiana Care Health System, Newark, Delaware

A systematic review of published English-language articles on handoffs is conducted (1987 to June 4, 2008). Forty-six articles describing 24 handoff mnemonics are identified by trained reviewers. The majority (82.6%) have been published in the last 3 years (2006-2008), and SBAR (Situation, Background, Assessment, Recommendation) is the most frequently cited mnemonic (69.6%). Of 7 handoff research articles, only 4 study mnemonics. All 4 of these studies have relatively small sample sizes (10-100) and lack validated instruments. Only 1 study has obtained IRB approval. Scientifically rigorous research studies are needed to assess the effectiveness of handoff mnemonics. These should be published in the peer-reviewed literature using the Standards for QUality Improvement Reporting Excellence (SQUIRE) guidelines.

Key Words: handoff • handoffs • mnemonic • sign-out

This version was published on May 1, 2009

American Journal of Medical Quality, Vol. 24, No. 3, 196-204 (2009)
DOI: 10.1177/1062860609332512
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