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  1. Cho, Sumi PhD, RN
  2. Lee, Jung Lim PhD, RN
  3. Kim, Kyeong Sug PhD, RN
  4. Kim, Eun Man PhD, RN


Background: Nursing handover is a real-time process in which patient-specific information is passed between nurses to ensure the continuity and safety of patient care.


Purpose: The purpose of this study was to determine the effects of quality improvement (QI) projects in improving the intershift nursing handover process.


Methods: A computerized search was performed of electronic databases for articles published during 2009-2019 in English or Korean for which the full texts were available. The included studies involved QI projects, handover between nurses, and intershift handover. The QI-MQCS (Quality Improvement Minimum Quality Criteria Set) was used to appraise the quality of QI strategies.


Results: The handover methods used in the 22 QI projects could be broadly divided into 2 types: (1) using a standardized communication tool; and (2) involving patient-participation bedside handover.


Conclusions: The published research on intershift handover-related QI projects employed standardized communication tools and the patient-participation bedside handover method to reduce adverse events and handover times and increase the satisfaction of patients and nurses. Future studies should measure the changes in patient safety-related outcomes.