evidence EV-MEASURES-2026-9D30

Handoff effects must be assessed across recipient system and organizational outcomes

Evidence Record

Handoff meta-analysis distinguishes information transferred, patient outcomes, provider outcomes, and organizational outcomes and examines protocol length as a moderator. An intervention can improve content transfer without improving the ultimate system outcome.

This record supports a multilevel outcome model, not the causal claim that this repository's proposed handoff intervention works.

Limitations

Clinical effects do not transfer directly to software; the measurement logic is the relevant evidence.