RT Journal Article SR Electronic T1 Wayne State University and Crittenton Hospital Medical Center, Rochester Hills, MI
Implementing an Institutional Objective Simulated Handoff Evaluation for Assessing Resident Handoff Skill JF Ochsner Journal JO Ochsner J FD O. P. Jindal Global University SP 21 OP 22 VO 16 IS Spec AIAMC Iss A1 L Dillon A1 T Markova A1 J Coticchia YR 2016 UL http://www.ochsnerjournal.org/content/16/Spec_AIAMC_Iss/21.abstract AB Background: Formal education about delivering effective handoffs is a known need for residency programs, and using a standardized process saves time and permits collaboration among programs. To address this need, Wayne State University GME created an institutional intervention on transition-of-care education. After the implementation of the institutional policy, transition-of-care task force members identified a need for monitoring resident handoff quality. For 2012–2013, the task force voted to replicate a 2010 study by Farnan et al by requiring residents to complete an objective simulated handoff evaluation (OSHE).Methods: The task force developed a standardized template to be used by all programs for written handoffs. Each program designed a case and event that junior residents would hand off to senior residents. A total of 82 residents completed the OSHE for a 91% participation rate. Faculty champions hosted a didactic session on transitions of care, secured resident availability, scored the written handoff, and provided resident feedback. Senior residents scored the verbal handoff and gave feedback.Results: Survey results indicated resident confidence in picking up a new service significantly increased (t=2.12, [63], P<0.05.), along with improved ability to make contingency plans (t=2.00, [63], P<0.06), to perform a read-back (t=2.08, [63], P<0.05), and to know when to perform a read-back (t=2.78, [63], P<0.01). Written template scores varied by program.Conclusions: Institutional educational interventions accomplish several objectives simultaneously. Such interventions are a demonstration of GME engagement and permit policy monitoring that does not detract from the educational focus. The OSHE is a simple but effective tool for sampling how faculty and residents deliver handoffs and provides an ongoing opportunity to refine handoff education.View this table:FINAL WORK PLAN – Wayne State University and Crittenton Hospital Medical Center