Improving Transitional Care: The Role of Handoffs and Discharge Checklists in Hematologic Malignancies.


Journal Article

BACKGROUND:Transitional care from inpatient to outpatient settings is a high-risk time for medical errors and missed follow-up appointments. Discharge checklists and handoffs are effective tools that lead to improved quality of care and outcomes. OBJECTIVES:The purpose of this project was to implement an evidence-based discharge checklist and handoff template to improve and standardize transitional care from hospital to home for patients with hematologic malignancies. METHODS:The advanced practice providers (APPs) completed the discharge checklist at least 24 hours prior to discharge. The APPs requested appointments through the electronic health record using the discharge handoff tool. Chi-square analysis and descriptive statistics were used to analyze the data. FINDINGS:Implementation of the discharge checklist resulted in a statistically significant increase in the number of patients who had a follow-up appointment scheduled prior to discharge. The discharge handoff tool standardized communication between inpatient and outpatient providers.

Full Text

Duke Authors

Cited Authors

  • Prince, M; Allen, D; Chittenden, S; Misuraca, J; Hockenberry, MJ

Published Date

  • February 2019

Published In

Volume / Issue

  • 23 / 1

Start / End Page

  • 36 - 42

PubMed ID

  • 30681999

Pubmed Central ID

  • 30681999

Electronic International Standard Serial Number (EISSN)

  • 1538-067X

International Standard Serial Number (ISSN)

  • 1092-1095

Digital Object Identifier (DOI)

  • 10.1188/19.cjon.36-42


  • eng