CLICK TO GO BACK TO KIOSK MENU Teaching the Art of a Great Hand Off in the Emergency Department Leah Bright, DO, FACEP CLICK TO GO BACK TO KIOSK MENU Johns Hopkins Medical Institute Conclusion (click) Hand off curriculum improves hand off safety Resident physicians want to be taught how to hand off patients effectively An adapted version of IPASS is an effective tool to teach to all physicians Abstract (click) Transfer of patient care , or “hand offs”, are recognized as an area within medical practice where errors occur Patient safety is at risk during hand offs The art of transferring care should be taught to residents to decrease errors during training and beyond A hand off curriculum and retention of this skill has been identified as a requirement by the ACGME No established curriculum or validated method for teach this skill in Emergency Medicine Using IPASS as a guide, a curriculum was developed to address this lack of training Easily integrated into a conference didactic Needs Assessment Pre and post-curriculum survey Curriculum OPA (observable practice assessment) pre and post curriculum Material & Methods (click) . dd Results (click) Survey Results: -improved safety -continued education OPA Results: -improved presentations -improved rounding time Logos here

EM IPASS Adaption EM PASS IPASS  

Method Needs assessment for the residents Pre Curriculum survey Pre Curriculum OPA (observable practice assessment) Curriculum ; twice yearly Intern orientation Conference didactic Post Curriculum survey Post Curriculum OPA (same as pre) Data Length of presentation Length of hand off rounds Survey results OPA results

Curriculum Lecture: Simulation: Small groups discussion: Literature review of medical errors IPASS literature review Adapted method: EM PASS Simulation: Residents practice the EM PASS with pre-written cases in a small group setting; faculty led Small groups discussion: Feedback, peer teaching, faculty mentorship

Pre and Post Survey Pre-survey Post-survey

Results

Results

Conclusion Survey results OPA results Average from 50% to 75% (25% improvement) PGY 3 and 4 residents noted 100% more often, most likely due to experience PGY 1 and 2 residents tended to score lower OPA results Consistent results among the senior residents Junior residents improved after curriculum

References