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American Journal of Medical Quality
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1062860609332512v1
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Article

Systematic Review of Handoff Mnemonics Literature

Lee Ann Riesenberg, PhD, RN1*, Jessica Leitzsch, BS2, and Brian W. Little, MD, PhD3

1 Christiana Care Health System, Newark, Delaware; Jefferson School of Population Health, Philadelphia, Pennsylvania
2 Christiana Care Health System, Newark, Delaware
3 Christiana Care Health System, Newark, Delaware; Jefferson Medical College, Philadelphia, Pennsylvania

* To whom correspondence should be addressed. E-mail: lriesenberg{at}christianacare.org.


  Abstract
A systematic review ofpublished 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. (Am J Med Qual XXXX;XX:xx-xx)

First published on March 5, 2009, doi:10.1177/1062860609332512

American Journal of Medical Quality 2009;24:196.

A more recent version of this article appeared on May 1, 2009

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