Standardized Handoffs After Pediatric Residency: Retention of Practices and Perceived Importance

Eva Seligman and Thuy Ngo
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Eva Seligman: Johns Hopkins Children¡¯s Center
Thuy Ngo: Johns Hopkins Children¡¯s Center

Journal of Education and Development, 2021, vol. 5, issue 2, 26-33

Abstract: The I-PASS Handoff Program is linked to reduced medical errors. The enduring handoff practices of residency graduates trained in I-PASS, and attitudes thereof, are unknown. Our objective was to investigate how often residency graduates use I-PASS or other handoff tools, and perspectives regarding standardized handoffs beyond residency. We performed an exploratory electronic survey of residency graduates from programs who participated in the original I-PASS study. Responses were analyzed using descriptive statistics. Of the 106 respondents, 64/106 (60%) identified as ¡°attendings¡± and the remainder of respondents were subspeciality fellows. The most common practice setting was the inpatient hospital setting, 42/106 (39%). Regarding handoff use, 61/106 (58%) ¡°rarely¡± or ¡°never¡± used standardized handoffs. Of those using handoffs, 13/76 (17%) used I-PASS and 59/76 (78%) used a personal system. Most (95/101, 94%) were unaware of any dedicated handoff training or reported it did not exist for attendings, although 77/106 (73%) endorsed their importance for attendings. Despite rigorous residency training and belief in its importance, over one third of graduates did not use standardized handoffs. System-wide requirements for standardized handoffs may improve communication among all providers including physicians, advanced practice providers, and nurses, and enhance patient safety.

Keywords: handoff; I-PASS; communication (search for similar items in EconPapers)
JEL-codes: I21 I24 J13 Z13 (search for similar items in EconPapers)
Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:cxp:jededu:v:5:y:2021:i:2:p:26-33

DOI: 10.20849/jed.v5i2.861

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