Measuring Handoff Quality in Labor and Delivery: Development, Validation, and Application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ)

The CHEQ is psychometrically sound for evaluating handoff quality, is practical to administer, achieves high response rates, and is amenable to straightforward statistical analysis. The CHEQ is useful for evaluating handoff quality and gauging the responsiveness to a unit-level intervention in the scope of unit-level climate. The CHEQ may be replicated or adapted for other clinical areas to investigate handoffs and inform the design and evaluation of handoff interventions.