Resident sign-out and patient hand-offs: Opportunities for improvement

Teaching and Learning in Medicine

Volumn 23, Issue 2, 2011, Pages 105-111

  Bump, Gregory M ^a   Jovin, Franziska ^a   Destefano, Lindsay ^b   Kirlin, Amanda ^b   Moul, Andrew ^b   Murray, Kelly ^b   Simak, Deborah ^a   Elnicki, D Michael ^a  

^a UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

^b University of Pittsburgh   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COHORT ANALYSIS; CROSS-SECTIONAL STUDY; HEALTH CARE QUALITY; HUMAN; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PATIENT TRANSPORT; PROSPECTIVE STUDY; UNITED STATES;

COHORT STUDIES; CONTINUITY OF PATIENT CARE; CROSS-SECTIONAL STUDIES; HUMANS; PATIENT TRANSFER; PENNSYLVANIA; PROSPECTIVE STUDIES; QUALITY ASSURANCE, HEALTH CARE;

EID: 79957794882     PISSN: 10401334     EISSN: None     Source Type: Journal    
DOI: 10.1080/10401334.2011.561190     Document Type: Article

References (22)

1. Joint Commission on Accrediation of Health care Organizations. Sentinel event statistics. Available at: http://wwwjointcommissionorg/Sentinel-Events/Statistics/. Accessed June 29, 2010.
2. Horwitz LI, Krumholz HM, Green ML, Huot SJ. Transfers of patient care between house staff on internal medicine wards: A national survey. Archives of Internal Medicine 2006;166:1173-7.
3. Arora V, Johnson J, Lovinger D, Humphrey HJ, Meltzer DO. Communication failures in patient sign-out and suggestions for improvement: A critical incident analysis. Quality and Safety in Health Care 2005;14:401-7.
4. Petersen LA, Brennan TA, O'Neil AC, Cook EF, Lee TH. Does house staff discontinuity of care increase the risk for preventable adverse events? Annals of Internal Medicine 1994;121:866-72.
5. Singh H, Thomas EJ, Petersen LA, Studdert DM. Medical errors involving trainees: A study of closed malpractice claims from 5 insurers. Archives of Internal Medicine 2007;167:2030-6.
6. Sutcliffe KM, Lewton E, Rosenthal MM. Communication failures: An insidious contributor to medical mishaps. Academic Medicine 2004;79:186-94.
7. Solet DJ, Norvell JM, Rutan GH, Frankel RM. Lost in translation: Challenges and opportunities in physician-to-physician communication during patient handoffs. Academic Medicine 2005;80:1094-9.
8. Volpp KG, Grande D. Residents' suggestions for reducing errors in teaching. New England Journal of Medicine 2003;348:851-5.
9. Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Consequences of inadequate sign-out for patient care. Archives of Internal Medicine 2008;168:1755-60.
10. Joint Commission on Accrediation of Health care Organizations. 2009 Patient Safety Goals. Available at: http://www.jointcommission.org/NR/rdonlyres/31666E86-E7F4-423E-9BE8-F05BD1CB0AA8/0/HAPNPSG.pdf. Accessed May 20, 2010.
11. Cohen MD, Hilligoss PB. The published literature on handoffs in hospitals: Deficiencies identified in an extensive review. Quality and Safety in Health Care 2010;19:493-7.
12. Riesenberg LA, Leitzsch J, Massucci JL, et al. Residents' and attending physicians' handoffs: A systematic review of the literature. Academic Medicine 2009;84:1775-87.
13. Horwitz LI, Moin T, Green ML. Development and implementation of an oral sign-out skills curriculum. Journal of General Internal Medicine 2007;22:1470-4.
14. Vidyarthi AR, Arora V, Schnipper JL, Wall SD, Wachter RM. Managing discontinuity in academic medical centers: Strategies for a safe and effective resident sign-out. Journal of Hospital Medicine 2006;1: 257-66.
15. Borowitz SM, Waggoner-Fountain LA, Bass EJ, Sledd RM. Adequacy of information transferred at resident sign-out (in-hospital handover of care): A prospective survey. Quality and Safety in Health Care 2008;17: 6-10.
16. Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: Using a scoring tool to direct quality improvements in handover. Critical Care Medicine 2009;37:2905-12.
17. Wayne JD, Tyagi R, Reinhardt G, et al. Simple standardized patient handoff system that increases accuracy and completeness. Journal of Surgical Education 2008;65:476-85.
18. Patterson ES, Roth EM, Woods DD, Chow R, Gomes JO. Handoff strategies in settings with high consequences for failure: Lessons for health care operations. Int Journal of Quality in Health Care 2004;16: 125-32.
19. Auerbach AD, Katz R, Pantilat SZ, et al. Factors associated with discussion of care plans and code status at the time of hospital admission: Results from the Multi center Hospitalist Study. Journal of Hospital Medicine 2008;3:437-45.
20. Arora V, Kao J, Lovinger D, Seiden SC, Meltzer D. Medication discrepancies in resident sign-outs and their potential to harm. Journal of General Internal Medicine 2007;22:1751-5.
21. Institute of Medicine. Resident duty hours: Enhancing sleep, supervision, and safety. Washington, DC: The National Academies Press, 2008.
22. American College of Graduate Medical Education. Common program requirements. Available at: http://acgme-2010standards.org/pdf/Common ProgramRequirements07012011.pdf. Accessed October 21, 2010.