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Implementing peer evaluation of handoffs: associations with experience and workload.
Vineet M Arora1, Elizabeth A Greenstein, James N Woodruff
1Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, IL 60637, USA. varora@medicine.bsd.uchicago.edu
Journal of Hospital Medicine
|February 6, 2013
Summary
Online peer evaluations for medical interns showed improved handoff skills over time, though postcall status and workload impacted performance. This highlights the need to study workload effects on clinical handoffs.
Area of Science:
- Medical Education
- Patient Safety
- Healthcare Quality Improvement
Background:
- Peer evaluation is a potential strategy for assessing in-hospital handoffs.
- Limited research exists on the use of peer evaluation for handoff assessment.
Purpose of the Study:
- To evaluate the feasibility of an online peer handoff evaluation system.
- To characterize the performance of medical interns in handoffs over time.
Main Methods:
- Prospective cohort study involving medical interns at two teaching hospitals.
- Interns completed end-of-rotation evaluations for giving and receiving handoffs.
- Data collected from July 2009 to March 2010.
Main Results:
- 31 interns completed 60% of peer evaluations; high ratings were observed (mean 8.3-8.6).
- Statistically significant improvements noted in communication, listening, accepting responsibility, and system access over time.
- Lower ratings were associated with postcall status and higher patient census at teaching hospitals.
Conclusions:
- Online peer evaluation of handoffs is feasible and demonstrates improvement over time.
- Handoff performance is influenced by workload factors like postcall status.
- Further research should investigate the impact of workload on handoff quality.
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