For Residents, by Residents: Developing a Physician Handoff Tool at a University Affiliated Community Hospital

被引:1
|
作者
Chen, Lu [1 ]
Guo, Uta S. [2 ]
Bhesania, Siddharth [3 ,4 ]
Shah, Hardikkumar [5 ]
Ali, Emdad [6 ]
Mehta, Parag [4 ]
机构
[1] Suny Downstate Med Ctr, Dept Cardiol, Brooklyn, NY 10032 USA
[2] Icahn Sch Med Mt Sinai, Dept Family Med & Community Hlth, New York, NY 10029 USA
[3] Overlook Med Ctr, Internal Med, Summit, NJ USA
[4] New York Presbyterian Brooklyn Methodist Hosp, Internal Med, Brooklyn, NY USA
[5] St Josephs Univ, Med Ctr, Gastroenterol & Hepatol, Paterson, NJ USA
[6] OhioHealth Physician Grp, Internal Med, Columbus, OH USA
关键词
physician satisfaction; patient safety; electronic medical records; standardized handoff; graduate medical education (gme); SIGN-OUT; MEDICAL ERRORS; IMPLEMENTATION;
D O I
10.7759/cureus.18352
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The 80-hour per week work limit resulted in an increased number of patient handoffs. A satisfactory handoff system should optimize the exchange of vital patient information while concisely minimizing error. This project describes our experience and lessons learned in successfully developing and implementing an Electronic Health Record (EHR)-integrated handoff system based on the I-PASS model. The handoff system, termed Physician Handoff, was refined through end-user feedback. End-users were evaluated on the quality of handoff in the following categories: Illness Severity, Patient Summary, Action List, and Situational Awareness. Resulting survey showed high adoption and satisfaction rate with Physician Handoff. Success can be attributed to interdepartmental collaboration, credentialing the users, and recognizing the importance of end-user feedback.
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页数:6
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