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Handoff Safety Curriculum Department of Surgery - UPHS

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

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Handoff Safety Curriculum Department of Surgery - UPHS

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  1. Handoff Safety CurriculumDepartment of Surgery - UPHS Jose L. Pascual, MD, PhD FACS, FRCS(C) Division of Trauma, Critical Care & Emergent Surgery May 2013

  2. 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 Guidelines • Compulsory curriculum to Interns in June 2012 • Ongoing peer evaluations of giving signout – 2012-2013

  3. Bringing it closer to home… 6 providers, 7 Handoffs in 5 days Day 1 ED Resident Nightfloatsurgery consult resident Surgical service Intern Day 2 On Call Service Intern/AP #1 Surgical service Intern Day 3 On Call service Intern/AP #2 Surgical service Intern Day 4 On Call service Intern/AP #3 Day 5

  4. June 2012 2 hour curriculum Incoming Interns department of Surgery Case Based Schedule 10 min – pretest 30 min – powerpoint – importance of oral signouts JCAHO, ‘to err is human etc.. 30 min -  bad video, good video, interactive and interrupted by audience comments 20 min -  SHOUT + short discussion about written signout 5 min – distribution of references, badges 10 min – post test/survey

  5. Goals for Today • Get you ready to perform safe handoffs during residency! • Review the increasing importance of handoffs • Teach the components of good verbal/written handoff • Watch and critique videos of handoffs • Prepare you to streamline your handoff abilities in front of your senior peers

  6. Total Exam Results: Total PreTest Exam: Total Test Subjects: 39 Median: 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

  7. 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

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