Resident Sign-Out and Patient Hand-Offs: Opportunities for Improvement
Teaching and Learning in MedicinePublished 11 April 2011
Gregory M. Bump, Franziska Jovin, Lindsay Destefano, Amanda Kirlin, Andrew Moul, Kelly Murray
Citations30
SJR quartileQ1
SJR score0.95
SNIP1.48
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
Abstract
We found variability in the content and organization of interns' sign-out, possibly reflecting a lack of instruction and supervision. Standardization of sign-out content, and education on good sign-out skills are increasingly important as patient hand-offs become more frequent.
Keywords
MedicineEconomics, Econometrics and Finance
Academic MedicineCommunication Failures: An Insidious Contributor to Medical Mishaps
1,021 Citations2004Kathleen M. Sutcliffe, Elizabeth Lewton +1 more
The occurrence of everyday medical mishaps in this study is associated with faulty communication; but, poor communication is not simply the result of poor transmission or exchange of information.
Annals of Internal MedicineDoes Housestaff Discontinuity of Care Increase the Risk for Preventable Adverse Events?
671 Citations1994Laura A. Petersen, Troyen A. Brennan +3 more
The relation between housestaff coverage and potentially preventable adverse events in hospitalized patients using previously tested self-report methods was studied.
BMJ Quality & SafetyCommunication failures in patient sign-out and suggestions for improvement: a critical incident analysis
583 Citations2005Vineet M. Arora
Omitted content or failure-prone communication processes (such as lack of face-to-face discussion) emerged as major categories of failed communication that led to uncertainty during decisions on patient care.
Academic MedicineLost in Translation: Challenges and Opportunities in Physician-to-Physician Communication During Patient Handoffs
534 Citations2005Darrell J. Solet, JG Norvell +2 more
It is concluded that irrespective of local context, precise, unambiguous, face-to-face communication is the best way to ensure effective handoffs of hospitalized patients and that students and residents must be taught the most effective, safe, satisfying, and efficient ways to perform handoffs.
International Journal for Quality in Health CareHandoff strategies in settings with high consequences for failure: lessons for health care operations
492 Citations2004Emily S. Patterson
An understanding of how handoffs are conducted in settings with high consequences for failure can jumpstart endeavors to modify handoffs to improve patient safety.
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety
486 Citations2009Cheryl Ulmer, Dianne Miller Wolman +1 more
Archives of Internal MedicineMedical Errors Involving Trainees
398 Citations2007Hardeep Singh, Eric J. Thomas +2 more
House staff are particularly vulnerable to medical errors owing to teamwork failures, especially lack of supervision, and Graduate medical education reform should focus on strengthening these aspects of training.
BMJ Quality & SafetyThe published literature on handoffs in hospitals: deficiencies identified in an extensive review
392 Citations2010Michael D. Cohen, Phillip Brian Hilligoss
The existing literature on patient handoffs does not yet adequately support either definitive research conclusions on best handoff practices or the standardisation of handoffs that has been mandated by some regulators.
Archives of Internal MedicineConsequences of Inadequate Sign-out for Patient Care
383 Citations2008Leora I. Horwitz, Tannaz Moin +3 more
Omission of key information during sign-out can have important adverse consequences for patients and health care providers.
Academic MedicineResidents’ and Attending Physicians’ Handoffs: A Systematic Review of the Literature
344 Citations2009Lee Ann Riesenberg, Jessica Leitzsch +6 more
There is a great need for high-quality handoff outcomes studies focused on systems factors, human performance, and the effectiveness of structured protocols and interventions.
New England Journal of MedicineResidents' Suggestions for Reducing Errors in Teaching Hospitals
296 Citations2003Kevin G. Volpp, David Grande
Suggestions include computerized procedures to sign out patients when residents go off duty, standardized placement and composition of medical charts and equipment, and the replacement of “see one, do one, teach one” with a rational system for training residents to perform procedures.
Archives of Internal MedicineTransfers of Patient Care Between House Staff on Internal Medicine Wards
293 Citations2006Leora I. Horwitz, Harlan M. Krumholz +2 more
Although transfers of care are increasingly frequent, few internal medicine residency programs have comprehensive transfer of care systems in place, and most do not provide formal training in sign-out skills to all residents.
Journal of Hospital MedicineManaging discontinuity in academic medical centers: Strategies for a safe and effective resident sign‐out
278 Citations2006Arpana R. Vidyarthi, Vineet M. Arora +3 more
Recommendations and strategies for best practices to design safe and effective sign-out systems for residents that may also be useful to hospitalists working in academic and community settings are provided.
BMJ Quality & SafetyAdequacy of information transferred at resident sign-out (inhospital handover of care): a prospective survey
183 Citations2008Stephen M. Borowitz, Linda A. Waggoner-Fountain +2 more
Although sign-out between resident physicians is a frequent activity, there are many times when important information is not transmitted and analysis of these “missed opportunities” can be used to help develop an educational programme for resident physicians on how to sign out more effectively.
Journal of General Internal MedicineDevelopment and Implementation of an Oral Sign-out Skills Curriculum
162 Citations2007Leora I. Horwitz, Tannaz Moin +1 more
An oral sign-out curriculum for medical house staff was developed that was brief, structured, and well received by participants and is necessary to determine the long-term impact of the curriculum.
Journal of surgical educationSimple Standardized Patient Handoff System that Increases Accuracy and Completeness
140 Citations2008Jeffrey D. Wayne, Rajesh Kumar Tyagi +5 more
By simplifying and standardizing the handoff instrument, this study demonstrated improvements in resident perceptions of accuracy, completeness, and number of tasks transferred.
Journal of General Internal MedicineMedication Discrepancies in Resident Sign-Outs and Their Potential to Harm
86 Citations2007Vineet M. Arora, Julia Kao +3 more
Written sign-outs contain potentially harmful medication discrepancies, and links to electronic medical records can address this problem, but current efforts should also emphasize the importance of vigilant updating in the many hospitals without this technology.
Critical Care MedicineIdentification of patient information corruption in the intensive care unit: Using a scoring tool to direct quality improvements in handover*
82 Citations2009Brian W. Pickering, Killian Hurley +1 more
When asked to recall clinical information discussed at handover, medical members of the intensive care unit team provide data that are significantly corrupted compared with the medical record, and handover instruments can identify interventions that reduce system vulnerability to error and may be used to guide quality improvements in handover practice.
Journal of Hospital MedicineFactors associated with discussion of care plans and code status at the time of hospital admission: Results from the Multicenter Hospitalist Study
46 Citations2008Andrew D. Auerbach, Rebecca Katz +9 more
Documentation of a code status discussion at admission was more strongly associated with informal documentation of prehospital care wishes and where the patient was hospitalized than legal care planning documents (such as durable power of attorney), or comorbid illnesses.