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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Mnemonic devices are cognitive tools that facilitate memory retention by linking new information to familiar patterns or organizational strategies. These techniques are beneficial for remembering complex or lengthy sets of information by simplifying and structuring them in easily retrievable ways.
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Related Experiment Video

Updated: Mar 19, 2026

Setup and Execution Of the Blindfolded Code Training Exercise
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PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors.

Maria Theresa Mariano1, Victoria Brooks, Michael DiGiacomo

  • 1General Psychiatry, State University of New York at Buffalo, USA.

Joint Commission Journal on Quality and Patient Safety
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Summary

A new mnemonic improved patient handoffs for psychiatry residents by reducing errors and increasing clarity. This memory aid enhanced communication during critical care transitions.

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Area of Science:

  • Medical Education
  • Patient Safety
  • Psychiatry

Background:

  • Miscommunication during care transitions negatively impacts patient outcomes.
  • Standardized patient handoff protocols are crucial but challenging to implement universally.
  • Discipline-specific mnemonics offer a practical approach to standardizing information transfer.

Purpose of the Study:

  • To evaluate the effectiveness of a novel mnemonic in improving psychiatry resident patient handoffs.
  • To assess the impact of the mnemonic on handoff omissions, efficiency, clarity, and confidence.

Main Methods:

  • The PSYCH mnemonic (Patient info, Situation, Assessment, Critical info, Hindrance to discharge) was introduced to psychiatry residents.
  • Post-call patient handoffs were voice recorded and transcribed over 12 weeks.
  • Handoffs were analyzed across three periods: baseline, natural progression, and post-mnemonic intervention.

Main Results:

  • A statistically significant decrease in mean handoff omissions was observed post-intervention (p = 0.049).
  • Resident-rated clarity of expectations increased from 2.79 to 3.83.
  • Resident confidence ratings improved from a mean of 2.57 to 3.42.

Conclusions:

  • The PSYCH mnemonic effectively reduced omissions in psychiatry resident patient handoffs.
  • The mnemonic improved clarity of expectations and confidence during handoff procedures.
  • This standardized approach enhances communication and patient safety during care transitions.