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Related Experiment Videos

"Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs.

Edna C Shenvi1, Stephanie Feudjio Feupe2, Hai Yang2

  • 1Department of Surgery, University of California, San Diego, La Jolla, CA, USA.

Diagnosis (Berlin, Germany)
|September 22, 2018
PubMed
Summary

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Learning health systems·2026

Physician residents struggle to learn patient outcomes after handoffs due to time constraints and poor tracking systems. Improving feedback mechanisms is essential for medical education and job satisfaction.

Area of Science:

  • Medical Education
  • Clinical Decision-Making
  • Healthcare Systems

Background:

  • Learning patient outcomes is vital for improving clinical decision-making.
  • Fragmented care and frequent patient handoffs complicate outcome learning.
  • Data on resident practices for seeking outcome feedback post-handoff are limited.

Purpose of the Study:

  • To investigate resident habits and barriers in learning patient outcomes after care handoffs.
  • To analyze electronic health record (EHR) access patterns post-handoff.
  • To assess resident satisfaction with current outcome feedback systems.

Main Methods:

  • Mixed-methods study combining EHR access log analysis and web-based surveys.
  • Chart re-access rates were analyzed for internal medicine and emergency medicine residents.
Keywords:
competencyeducation and training issuesreflections on diagnosis

Related Experiment Videos

  • Surveys explored resident practices, perceived importance, and barriers to learning patient outcomes.
  • Main Results:

    • Residents on ward rotations frequently re-accessed patient charts, unlike those on emergency medicine or night admitting rotations (<5%).
    • A minority of surveyed residents frequently learned patient outcomes post-handoff, despite its perceived educational and job satisfaction importance.
    • Residents reported dissatisfaction with current systems, citing time limitations and inadequate patient tracking as primary barriers.

    Conclusions:

    • Residents face significant challenges in obtaining patient outcome feedback after handoffs.
    • Systematic provision of patient outcome feedback is needed to support physician training.
    • Addressing barriers like time and tracking systems can enhance learning and satisfaction.