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Improving and Sustaining Resident Physician Handover.

Devin Reilly1, Shaefali Shandilya1, Blair Streater1

  • 1Pediatrics, Penn State Health Children's Hospital, Hershey, USA.

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A structured handoff curriculum improved pediatric resident communication during patient transitions. This enhanced patient safety and communication skills were sustained over time.

Keywords:
health communicationmedical resident educationquality improvement researchsafety patientundergraduate and graduate medical education

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Area of Science:

  • Medical Education
  • Patient Safety
  • Healthcare Communication

Background:

  • Patient handoffs are crucial for safe care transitions.
  • Standardized communication protocols are recommended to improve handoffs.
  • Pediatric residents at Penn State Health lacked a formal handoff tool.

Purpose of the Study:

  • To design and implement a comprehensive handoff curriculum for pediatric residents.
  • To evaluate the impact of the curriculum on handoff quality and resident communication.
  • To assess the longitudinal effects of the intervention.

Main Methods:

  • Residents were observed before and after implementing the SAFETIPS curriculum.
  • Trained external observers and residents used validated evaluation forms.
  • Data were analyzed using statistical methods including mixed effects regression.

Main Results:

  • Observer and resident evaluations showed significant increases in handoff quality scores post-curriculum.
  • Variance in evaluation responses decreased over time, indicating more consistent performance.
  • Results plateaued at later time points, suggesting sustained skill mastery.

Conclusions:

  • A structured handoff curriculum effectively improved resident communication.
  • The observed improvements in handoff quality were sustained long-term.
  • Multidisciplinary involvement and training are key to successful handoff interventions.