A volunteer finishes a shift and sends a long message about unfinished requests. The next volunteer sees it but assumes someone else is following up. Information moved; responsibility did not. A handoff protocol makes both parts of the transfer explicit.
A handoff needs a recognized transfer and an opportunity for questions and clarification. The outgoing person cannot assume that sending information means the receiver understood it or accepted responsibility.
A community support team could end a shift by identifying unresolved cases, the next action for each, relevant deadlines, and the person accepting responsibility. The receiver can repeat back the critical points or ask about uncertainty before the outgoing person leaves. Longer overlapping handovers provide time to work together when a brief exchange is insufficient.
Sending a form is not enough if nobody has accepted the work or has authority to carry it out. Too much detail can also bury the urgent issue in a wall of text. A useful handoff combines a structured minimum with room for unusual context. It protects continuity at a moment when work is especially likely to fall between people, even though everyone involved believes they have done their own part.
Real cases
- Challenger: warnings that did not reach the decision — How can an organization have expertise yet fail to use it?
- Surgical checklists: a form is not an implementation — Why can a promising practice produce different results at scale?