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Safety Focus: Patient Handoffs Safety Behavior: 5Ps for Patient Handoffs How do you make sure patient handoffs are safe and seamless? Learn and adopt the 5Ps for patient handoffs: Patient/Project, Plan, Purpose, Problems and Precautions. Expectation Clear and complete communications Techniques Include the “5Ps” as part of standardized structured hand-off process when transferring & sharing patient care or other work responsibilities: •

Patient/Project: What will you be handing off? For example: Mr. Campbell, who just had knee replacement surgery, is being moved from surgery to the medical-surgical floor.

Plan: What needs to happen next?

Purpose: What is the desired end state? How will you help make sure that the patient handoff is complete and critical information about the patient communicated?

Problems: What do you know about the patient that is different, unusual or complicated about this patient? For example: Mr. Campbell is a diabetic and has been struggling lately to keep his blood sugar levels under control.

Precautions: What could be expected to be different, unusual or complicated about this patient?

Tips for Leaders Reinforce and build accountability by using these leadership methods: •

5:1 feedback


Daily Line-Up – discuss safety in your huddles

A Safety Story Case in Point: A 58-year-old female is referred to a surgeon for gall bladder removal. The family physician is aware that Dilaudid is preferred since the patient does not respond to Morphine. This information is not included in the consultation order. Morphine is used for pain. Post-op, the patient is found screaming and writhing violently, resulting in restraints. After experimenting with another narcotic, Dilaudid is administered and the pain is controlled 8 hours after surgery. 12/11