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Slide Presentation from the AHRQ 2007 Annual Conference

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Revised HANDS Framework

Text Description is below the image.

Graphical image of the HANDS project plan.

Organization - Factors

Culture Readiness

  • High Trust
  • Safety Culture Focus
  • Expects Clinician Mindfulness, Heedful Interrelating, and Collective Mind
  • Infrastructure Supports Change
  • Engages in Continuous Learning

Commits to Change

  • Adopts Standardized Plan of Care Method
  • Provides Ongoing Education
  • Provides Resources to Implement
  • Provides Resources to Sustain


Standardized Handoff Structure Using HANDS

  • Promotes Heedful Interrelating & Mindfulness about HANDS story and Future Care among inter and intra-disciplinary team members

Standardized Documentation in HANDS Electronic Tool

  • Provides a Consistent, Dynamic, Up-to-date Synopsis of Care: The Clinicians' Collective Mind

Clinician & Care—Outcomes


  • Care Continuity
  • Care Quality
  • Satisfaction
  • Safety
  • Nurse:
    • Job Satisfaction
    • Visibility of Work
    • Evidence Based Practice

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