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November 8, 2024CureusOpen Access

Improving Patient Handoffs and Transitions in Care Among Residents: A Chief Resident-Led Initiative

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Key result

Chief resident-led targeted handoff workshops significantly increased the proportion of pediatric residents feeling fairly or very confident in their handoff skills from 67% to 98% (P<0.001).

Why the study?

An increase in patient safety alerts due to communication failures and gaps during handoff prompted the identification of improvement areas and implementation of strategies to enhance handoff competence among pediatric residents.

Do chief resident-led handoff workshops improve handoff protocol adherence and confidence among pediatric residents?

Comparison

Chief resident-led targeted workshops and feedback vs pre-workshop baseline

Design

Quality improvement pre-post intervention study

Follow-up

six months

Authors

YMYoumna MoufarrejVVVini Vijayan

Discussion

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Member takes

Overview

Supports chief resident-led workshops as feasible training; hypothesis-generating for handoff safety outcomes in pediatrics.

Study Design

Type

Observational (n=40)

Multicenter

No

Structured PICO

Do chief resident-led handoff workshops improve handoff protocol adherence and confidence among pediatric residents?

P
Population
40 pediatric residents (PGY-1 to PGY-3) performing inpatient handoffs at a single pediatric residency program.
I
Intervention
Chief resident-led targeted handoff workshops (30-minute interactive exercises practicing I-PASS handoff technique under chief supervision).
C
Comparator
Pre-intervention baseline.
O
Outcome
Protocol failures during handoff and self-perceived confidence in handoff skills.

Main Result

Absolute Event Rate: 98% vs 67%

p-value: p=<0.001

Chief resident-led targeted workshops significantly improved pediatric residents' confidence in handoff procedures and eliminated observed protocol failures.

Limitations

  • Conducted at a single, moderate-size residency program, limiting generalizability to larger programs.
  • Evaluated only transitions that occurred in the inpatient setting, excluding outpatient and critical care areas.
  • Conducted at a single, moderate-size residency program
  • Evaluated only transitions that occurred in the inpatient setting

Cite This Study

Moufarrej et al. (2024) conducted an observational in Medical education and patient handoffs (n=40). Chief resident-led handoff workshops vs. Pre-workshop baseline was evaluated on Proportion of residents reporting feeling fairly or very confident in their ability to perform handoff (p=<0.001). Chief resident-led targeted handoff workshops significantly increased the proportion of pediatric residents feeling fairly or very confident in their handoff skills from 67% to 98% (P<0.001).

synapsesocial.com/papers/6a95b02722658b5ca0ebeeachttps://doi.org/10.7759/cureus.73282
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