Handoff Safety Curriculum Department of Surgery - UPHS
13
Jose L. Pascual, MD, PhD FACS, FRCS(C) Division of Trauma, Critical Care & Emergent Surgery May 2013 Handoff Safety Curriculum Department of Surgery - UPHS
description
Handoff Safety Curriculum Department of Surgery - UPHS. Jose L. Pascual, MD, PhD FACS, FRCS(C) Division of Trauma, Critical Care & Emergent Surgery May 2013. DOS Intern Signout Curriculum Design. Verbal handoff curriculum design 2010 P Jenkins, C Reinke, M Gupta - PowerPoint PPT Presentation
Transcript of Handoff Safety Curriculum Department of Surgery - UPHS
Jose L . Pascual , MD, PhD FACS, FRCS(C)Div i s ion o f Trauma, Cr i t i ca l Care & Emergent
SurgeryMay 2013
Handoff Safety CurriculumDepartment of Surgery - UPHS
DOS Intern Signout Curriculum Design
Verbal handoff curriculum design 2010 P Jenkins, C Reinke, M Gupta
Joined with UPHS initiative 2011 Housestaff Quality and Safety Leadership Council
Developed Written Signout GuidelinesCompulsory curriculum to Interns in June
2012Ongoing peer evaluations of giving signout –
2012-2013
Bringing it closer to home…
ED Resident
Nightfloat surgery consult resident
Surgical service Intern
On Call Service Intern/AP #1
Surgical service Intern
On Call service Intern/AP #2
Day 1
Day 2
Day 3
Day 4
Day 5
6 providers, 7 Handoffs in 5 days
Surgical service Intern
On Call service Intern/AP #3
June 2012
2 hour curriculum Incoming Interns department of Surgery Case Based
Schedule10 min – pretest30 min – powerpoint – importance of oral signouts JCAHO, ‘to err is human etc.. 30 min - bad video, good video, interactive and interrupted by audience comments20 min - SHOUT + short discussion about written signout5 min – distribution of references, badges10 min – post test/survey
Goals for Today
Get you ready to perform safe handoffs during residency!
Review the increasing importance of handoffsTeach the components of good verbal/written
handoffWatch and critique videos of handoffsPrepare you to streamline your handoff abilities
in front of your senior peers
Division: | Freq. Percent Cum. ---------------+----------------------------------- . | 2 4.88 4.88 Card | 1 2.44 7.32 ENT | 4 9.76 17.07 GenSurg | 7 17.07 34.15 IR | 2 4.88 39.02 NSG | 3 7.32 46.34 OMFS | 3 7.32 53.66 Ortho | 5 12.20 65.85 Plastic | 2 4.88 70.73 PrelimSurg | 9 21.95 92.68 Uro | 3 7.32 100.00 ---------------+----------------------------------- Total | 41 100.00
Total Exam Results: Total PreTest Exam: Total Test Subjects: 39Median: 18 (85.71%)Mean: 16.36 (77.90%)SD: 3.97 Total PostTest Exam: Total Test Subjects: 41 (100%)Median: 20 (95.24%)Mean: 19.37 (92.24%)SD: 1.93
Ongoing Evaluations
All interns are being observed and evaluated by a senior housestaff member at least twice during first few months of training. Evaluations will be entered into New-Innovations Any senior resident/fellow can be evaluator
