Original Investigation

A Surgical Handover System for Patient Physiology and Safety

JAMA Network Open 10.1001/jamanetworkopen.2025.38896

October 06, 2025 at 11:00 AM EDT

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Is the use of the SIPS (sickest patients first; introduction, situation, background, assessment, recommendation; prioritize; summarize) surgical handover system associated with improvements in patient physiology and safety?In this cohort study of 2261 patients, 126 handover meetings, and 182 staff members, implementation of the SIPS surgical handover system was associated with improved handover quality, patient vital signs at 12 and 24 hours, and staff-reported patient safety events.This study found that the use of the SIPS surgical handover system was associated with improved early patient physiology and reduced handover-related patient safety events.

Corresponding Author: Jessica M. Ryan, MB, Department of Surgical Affairs, Royal College of Surgeons in Ireland, 123 St. Stephen's Green Dublin 2 Ireland Dublin, Ireland (jessicaryan@rcsi.com).

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