Systematic Handoffs to Improve Patient Outcomes and Resident Satisfaction: a Single-Center Observational Study
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Medical residents are at the forefront of patient care in many healthcare institutions and thus an integral part of ensuring safe and efficient handoffs. Recent studies have shown that an increase in patient handoffs directly contributes to increased adverse medical events.1, 5 Implementation of an innovative standardized handoff procedure minimizes medical errors without significantly disrupting workflow.6 The purpose of this study was to prospectively assess the belief that a standardized handoff procedure at our institution would improve resident satisfaction while decreasing adverse events.
Residents were asked to track non-lethal adverse events for 6 weeks, which could have been prevented with a more efficient handoff, e.g., an inappropriate altered mental status workup on a patient with known dementia that was not documented and not conferred in the handoff. We then created a standardized handoff procedure with specific details that needed to be conveyed...
The investigators would like to acknowledge Jay Thompson for his tireless work in revising the handoff software to accommodate our study. We would also like to thank the internal medicine residents who devoted their limited time to participation in this study.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they do not have a conflict of interest.
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