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Related Experiment Video

Updated: Apr 18, 2026

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
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Developing a Standardized and Sustainable Resident Sign-Out Process: An AIAMC National Initiative IV Project.

Jacob Breaux1, Roneisha McLendon2, Robin B Stedman3

  • 1Department of Internal Medicine, Ochsner Clinic Foundation, New Orleans, LA.

Ochsner Journal
|January 20, 2015
PubMed
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Implementing a standardized resident handoff process is crucial for improving patient safety and resident training. Initial findings reveal variability in current practices and opportunities for enhanced supervision and feedback.

Area of Science:

  • Medical Education
  • Patient Safety
  • Healthcare Systems

Background:

  • Physician duty hour restrictions increase patient handoffs, risking care discontinuity.
  • Standardized handoff processes offer significant potential for error reduction.
  • Resident-to-resident handoffs are a key focus for improving care continuity.

Purpose of the Study:

  • To implement and evaluate a standardized resident-to-resident handoff process.
  • To optimize resident training and enhance patient safety within a healthcare system.

Main Methods:

  • Conducted an institutional assessment of existing handoff tools, practices, and policies.
  • Developed and implemented a standardized electronic medical record template coupled with a verbal handoff protocol.
  • Established a departmental champion program for dissemination and mentorship.
Keywords:
Patient handoffpatient safety

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Main Results:

  • Survey data from 45 faculty and 61 residents across various specialties indicated significant variability in handoff processes.
  • 72% of faculty identified patient safety issues related to handoffs; 77% rarely or never supervised the process.
  • 80% of residents reported infrequent feedback on their handoff performance.

Conclusions:

  • A plan was developed to standardize, implement, and evaluate resident handoffs, addressing an opportunity to improve training and patient safety.
  • Initial results highlight a gap analysis that will inform final data reporting.
  • The study aims to provide a basis for sustainable improvements in resident handoff procedures.