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Assessment Tool
Harms to Patients Survey
Verbal Handoff Assessment – Single
Verbal Handoff Assessment – Multiple
Written Handoff Assessment – Single
Written Handoff Assessment – Multiple
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Verbal Handoff Assessment (single patient)
Chart – Verbal Single Provider Handoff
Chart – Verbal Single IPASS Mnemonic
Chart – Verbal Single Provider Handoff Comparison
Verbal Handoff Assessment (multiple patients)
Chart – Verbal Multiple Provider Handoff
Chart – Verbal Multiple IPASS Mnemonic
Chart – Verbal Multiple Provider Handoff Comparison
Chart – Verbal Multiple IPASS Mnemonic Comparison
Written Handoff Assessment (single patient)
Chart – Written Single Provider Handoff
Chart – Written Single IPASS Mnemonic
Chart – Written Single Provider Handoff Comparison
Chart – Written Single IPASS Mnemonic Comparison
Written Handoff Assessment (multiple patients)
Chart – Written Multiple Provider Handoff
Chart – Written Multiple IPASS Mnemonic
Chart – Written Multiple Provider Handoff Comparison
Chart – Written Multiple IPASS Mnemonic Comparison
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