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A theoretical framework and competency-based approach to improving handoffs.

V M Arora1, J K Johnson, D O Meltzer

  • 1V M Arora, University of Chicago, 5841 S. Maryland Ave., MC 2007, AMB W216, Chicago, IL 60637, USA. varora@medicine.bsd.uchicago.edu

Quality & Safety in Health Care
|February 5, 2008
PubMed
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Patient handoffs are complex, impacting care quality. This study proposes a framework to understand handoff mechanisms and improve physician communication and professionalism through formal education.

Area of Science:

  • Medical Education
  • Patient Safety
  • Health Systems Research

Background:

  • Modern patient care involves multiple physicians, diminishing continuity of care.
  • Physician trainees often lack education on risks associated with patient handoffs.
  • Mechanisms by which handoffs influence patient care are not well understood.

Purpose of the Study:

  • To propose a conceptual framework for understanding the impact of patient handoffs.
  • To identify strategies for improving patient care during physician transitions.
  • To inform the development of educational interventions for medical trainees.

Main Methods:

  • Utilized theoretical constructs from social sciences.
  • Developed a conceptual framework based on a case study.

Related Experiment Videos

  • Examined the implementation of a night float service for inpatient general medicine.

    • Main Results:

    • A conceptual framework was proposed to delineate how handoffs affect patients and physicians.
    • The framework illustrates the complex interplay during patient care transitions.
    • The case study provided practical insights into handoff dynamics.

    Conclusions:

    • Recommendations for formal education in communication and professionalism are presented.
    • The conceptual framework guides the development of training opportunities for handoff skills.
    • Enhancing trainee education in handoffs is crucial for improving patient care and safety.