Table 3.
Handoff Quality and Other Handoff Events by Handoff Mode
| Variable | Telemedicine N=30 |
Telephone N=76 |
p-value |
|---|---|---|---|
| Handoff Clinical Evaluation Exercise | Mean (SD) | Mean (SD) | |
| Total Handoff Clinical Evaluation Exercise Score | 40.9 (7.9) | 38.3 (9.1) | 0.16 |
| Setting | 6.6 (1.9) | 6.6 (1.7) | |
| Organization and Efficiency | 6.3 (1.4) | 6.1 (1.8) | |
| Communication Skills | 7.0 (1.4) | 6.6 (1.7) | |
| Content | 6.7 (1.4) | 6.1 (1.8) | |
| Clinical Judgment | 6.8 (1.3) | 6.2 (1.6) | |
| Professionalism | 7.4 (1.4) | 6.8 (1.9) | |
| Overall Quality | 6.9 (1.0) | 6.4 (1.7) | |
| I-PASS | |||
| Number of I-PASS Components | 3.3 (1.0) | 2.8 (1.1) | 0.04 |
| n (%) | n (%) | ||
| Illness Severity | 27 (90%) | 66 (87%) | |
| Patient Summary | 30 (100%) | 74 (97%) | |
| Action List | 16 (53%) | 24 (32%) | |
| Situational Awareness & Contingency Plans | 5 (17%) | 17 (22%) | |
| Synthesis by Receiving Nurse | 19 (63%) | 30 (39%) | |
| Other Handoff Components | n (%) | n (%) | |
| Reason for Transfer | 26 (87%) | 71 (93%) | 0.27 |
| Exam Findings/Lab Results | 25 (83%) | 59 (78%) | 0.70 |
| Opportunity for Receiving Nurse to Ask Outside Nurse Questions | 31 (100%) | 71 (93%) | 0.32 |
| Other Handoff Events | n (%) | n (%) | |
| Communication with the Patient’s Family | 19 (63%) | 1 (1%) | < 0.01 |
| Communication with the Transport Team | 10 (33%) | 9 (12%) | 0.02 |