Shinduk Lee, Marcia G Ory, Deborah Vollmer Dahlke, Matthew Lee Smith
Technology Use Among Older Adults and Their Caregivers: Cross-Sectional Survey Study
JMIR aging
background handoffs serve critical patient safety function transition caregivers 2006 joint commission accreditation healthcare organizations strongly recommended implementation standardized approach handoff communications including opportunity ask respond questions numerous studies investigated quality efficacy patient handoffs utility structured handoff curriculums particularly context patient safety outcomes objective pediatric residents penn state health psh utilize formal written verbal handoff tool study facilitated design comprehensive handoff curriculum including verbal written components implementation faculty multidisciplinary care team involvement coupled resident training observations investigate impact curriculum longitudinally utilizing validated tools completed external observers well residents methods prior safetips implemented residents midsized pediatric program observed giving handovers various intervals understand baseline habits residents educated safetips curriculum observed trained observers handover process completed validated evaluation form concentrating seven key domains necessary effective handover communication residents involved handover also completed validated evaluation form consent project implied observers presence process study exempt full irb consideration given quality improvement design mix summary statistics stacked dot plots mixed effects regression joint f tests used analyze data results mean values sections handover evaluation likert scale completed trained observers tended increase time variance responses likewise much smaller later time periods similarly sections evaluation tools completed resident physicians showed significantly increased scores pre postimplementation curriculum data revealed plateauing results toward later time points suggestive skills mastery sustained improvements conclusion findings suggest introduction structured handoff curriculum correlated improved communication among residents improvements sustained time