A new structured surgical handover system significantly improves patient outcomes and safety in emergency general surgery.

• After implementing the SIPS handover, vital signs improved significantly at 12 hours (21.5% vs 16.8%) and 24 hours (26.8% vs 20.0%).
• Staff-reported safety events dropped from 19.7% to 4.6% after the intervention.

Enhancing handover quality without extending meeting time can lead to better patient management and reduced risk.

• High adoption rates indicate strong feasibility for integration in surgical practice.