{
  "schema": "vedokrok.public-item.v1",
  "release_id": "MHC-RPUB-20260920-75ad787a",
  "url": "/knowledge/use-one-handoff-shape-for-recurring-transitions",
  "id": "MHC-D-RESEARCH-0365",
  "version": "0.1.0",
  "title": "Use one handoff shape for recurring transitions",
  "summary": "A standard shape makes omissions easier to see.",
  "kind": "principle",
  "body": "Choose one concise handoff structure for the recurring transition and train both senders and receivers to expect its fields. Include status/risk, summary, action list, contingencies and receiver synthesis as appropriate. Standardize the information shape, not the amount of detail: a simple case should remain short.",
  "limits": [
    "The evidence for I-PASS comes from a bundled healthcare intervention; adapt the structural principle, not the clinical mnemonic mechanically."
  ],
  "topics": [
    "union-high-reliability-communication"
  ],
  "intents": [],
  "source_ids": [
    "RS-550F601AF79C692A"
  ],
  "evidence": [
    {
      "claim": "AHRQ TeamSTEPPS recommends a standard handoff approach known to the team, and a multicenter I-PASS bundle study found improved communication and lower error rates in the studied pediatric inpatient settings.",
      "source_id": "RS-550F601AF79C692A",
      "role": "supports",
      "note": "The intervention was a bundle and context-specific; this does not prove that one mnemonic alone transfers its effect to other industries.",
      "locator": "Abstract and handoff quality results"
    }
  ],
  "use_when": [
    "The same type of work changes hands often and every sender currently invents a different format."
  ],
  "avoid_when": [
    "The evidence for I-PASS comes from a bundled healthcare intervention; adapt the structural principle, not the clinical mnemonic mechanically."
  ],
  "example": "Every interface support handoff uses the same compact state/action/risk/contingency structure instead of a free-form end-of-day message.",
  "check": "A receiver can notice a missing field because the expected handoff shape is familiar.",
  "sources": [
    {
      "id": "RS-550F601AF79C692A",
      "title": "Changes in Medical Errors after Implementation of a Handoff Program",
      "url": "https://www.nejm.org/doi/full/10.1056/NEJMsa1405556"
    }
  ],
  "relations": [],
  "collections": [
    {
      "id": "RC-EDE4DDA550A31359",
      "title": "Close the communication loop when ambiguity can become an error",
      "url": "/collections/close-the-communication-loop-when-ambiguity-can-become-an-error"
    }
  ]
}