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teaching discussions, and use of electronic devices

that are unrelated to the handoff process or

patient care (eg, cellphones, computers, television,

radio). Observers also rated the quality of the

process of handoff delivery and reception, as well

as the handoff environment through 3 questions,

each on a Likert scale (1–5, 5 = best;

Fig 1

,

A

). Of

note, this study evaluated the process of delivering

and receiving patient handoffs, not the content or

quality of the message being delivered or received.

Fig 1.

(

A

) Likert scales used to evaluate the handoff delivery and reception processes, as well as the handoff environ-

ment. (

B

) Likert scales used to evaluate the source-receiver relationship.

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