Table 4. Hospital Handoff (HH) Coding Developed for Discipline Specific and Interdisciplinary Handoff Information.
HH codes developed for handoff information elements not present in any Continuity of Care Document Sections | |||
---|---|---|---|
HH Code | Nurse only data | Physician only data | Interdisciplinary data |
1. Admission demographics | Property accompanying patient | Patient's hospital MRN; Patient floor/bed number; Logistic/management issues | |
2. Fluid Balance | Intake and output/hydration status | ||
3. Education | Patient or family education | ||
4. Updates | Time handoff document updated | Significant events during last shift/overnight |
HH codes developed for handoff information elements present in multiple Continuity of Care Document Sections | |||
---|---|---|---|
HH Code | Nurse only data | Physician only data | Interdisciplinary data |
5. Pain management | Pain; Patient Controlled Analgesia/Epidural | ||
6. Orders | Physician orders; Protocols | ||
7. Psychosocial concerns | Psychosocial concerns | Sensitive or confidential information | |
8. Anticoagulation status | Anticoagulation status | ||
9. Prophylaxis | Prophylaxis | ||
10. Hospital course | Hospital course/summary/current history | ||
11. Past medical/surgical history | Past medical/surgical history | ||
12. Consultations | Consultations | ||
Total Information Elements | 6 | 4 | 9 |