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Related Experiment Video

Updated: May 12, 2026

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics

Published on: June 17, 2022

Using peers to assess handoffs: a pilot study.

C Jessica Dine¹, Nicholas Wingate, Ilene M Rosen

¹Perelman School of Medicine at the University of Pennsylvania, Pulmonary Penn Lung Cancer, PCAM, 1 West Pavilion 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA. Jessica.dine@uphs.upenn.edu

Journal of General Internal Medicine

|April 19, 2013

Summary

Peer assessment of resident handoffs using a mobile app is feasible and well-received. This method provides reliable evaluation of handoff competence, improving patient care.

Related Experiment Videos

Last Updated: May 12, 2026

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics

Published on: June 17, 2022

Area of Science:

Medical Education
Healthcare Quality Improvement
Resident Training

Background:

Post-graduate year 1 (PGY1) trainees frequently engage in patient handoffs.
Assessing handoff competence through peer evaluation offers a novel perspective on care quality.

Purpose of the Study:

To evaluate the feasibility of a peer assessment instrument for resident handoffs.
To ensure the instrument captures real-time data, possesses strong psychometric properties, and achieves high trainee satisfaction.

Main Methods:

An iPad application was developed for a seven-item handoff assessment.
PGY1 residents evaluated three peers post-call over two months.
ANOVA and generalizability analyses assessed validity and reproducibility; satisfaction surveys were administered.

Main Results:

100% PGY1 participation; 59% of targeted evaluations completed.
Limitations included network connectivity and trainee availability.
Peer assessment was deemed adequate and valuable by most PGY1s (70% and 77%).

Conclusions:

The peer assessment instrument demonstrates encouraging psychometric properties.
10-12 evaluations per PGY1 ensure reliable assessment of handoff skills.
Mobile technology facilitated feasible and well-received peer handoff evaluations.