jose l. pascual, md, phd facs, frcs(c) division of trauma, critical care emergent surgery may 2013...
DESCRIPTION
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 #3TRANSCRIPT
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