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Brief educational intervention improves content of intern handovers
A brief educational workshop improved pediatrics interns' patient handover skills, specifically reporting patient acuity, with sustained benefits over seven months. Key communication behaviors, however, were not enhanced by this intervention.
Area of Science:
- Medical Education
- Patient Safety
- Communication Skills
Background:
- Residency programs must ensure safe patient handovers and document resident competency.
- Evidence-based curricula for resident handover skills are scarce.
Purpose of the Study:
- To assess the immediate and sustained impact of a brief educational intervention on pediatrics intern handover skills.
Main Methods:
- A 1-hour workshop on high-quality handovers using the SAFETIPS format was delivered to pediatrics interns.
- Handover quality was evaluated via simulated encounters pre-intervention, 2 weeks post-intervention, and 7 months post-intervention.
- Two blinded observers scored videotaped encounters, assessing information inclusion and communication behaviors.
Main Results:
- Intern reporting of patient acuity significantly improved post-intervention (13% to 92%) and was maintained at 7 months.
- The intervention did not lead to improvements in key communication behaviors like paraphrasing critical information.
Conclusions:
- A brief educational workshop promoting standardized handovers effectively improved essential information delivery during intern handovers.
- These improvements in handover content were sustained long-term, though communication behaviors were not significantly affected.
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