Aylward Michael, Vawter Lemuel, Roth Craig
J Grad Med Educ. 2012 Mar;4(1):68-71. doi: 10.4300/JGME-D-11-00067.1.
Patient handoffs are common during residency and are often performed with little or no training. We devised a simple intervention to improve the readiness of interns to perform handoffs.
We administered a 90-minute interactive workshop during intern orientation in 2009 and 2010. It consisted of a discussion, a case presentation, and a trigger video, followed by debriefing and a role-play exercise. The workshop required minimal technology and materials. Interns were surveyed on their readiness to perform handoffs before and after the workshop as well as 3 to 6 months after the workshop.
Eighty-nine interns participated in the workshop during a 2-year period. Seventy-four survey responses were collected. Self-reported readiness to perform a handoff increased by 26%. A total of 91% and 81% of respondents in 2010 and 2009, respectively, reported using aspects of the workshop up to 6 months later.
A brief workshop can improve interns' readiness to perform handoffs.
患者交接在住院医师培训期间很常见,且通常在很少或没有培训的情况下进行。我们设计了一项简单的干预措施,以提高实习生进行交接的准备程度。
我们在2009年和2010年实习生入职培训期间举办了一次90分钟的互动研讨会。它包括一次讨论、一个病例展示和一段触发视频,随后进行汇报和角色扮演练习。该研讨会所需的技术和材料极少。在研讨会前后以及研讨会后3至6个月,对实习生进行了关于他们进行交接准备程度的调查。
在两年时间里,89名实习生参加了该研讨会。共收集到74份调查问卷回复。自我报告的进行交接的准备程度提高了26%。2010年和2009年分别有91%和81%的受访者表示,在长达6个月的时间里使用了研讨会的相关内容。
一次简短的研讨会可以提高实习生进行交接的准备程度。