Rouse Michael T, Abebe Abebe M, Naylor David G, Gibson Cheryl A
Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS.
Kans J Med. 2022 Jun 20;15(2):215-217. doi: 10.17161/kjm.vol15.17025. eCollection 2022.
Effective communication during the patient handoff process is critical for ensuring patient safety. At our academic medical center, first-year interns complete hand-off training before starting clinical rotations. The purpose of this study was to evaluate a virtual handoff training for residents as an alternative to in-person sessions due to limitations imposed by COVID-19.
Fifty residents were administered pre/post surveys to gauge the helpfulness of the training for clinical practice, familiarity and confidence in providing a hand-off, and whether they would recommend the virtual format for incoming interns. Additionally, faculty rated the virtual form of the hand-off activity, made comparisons to in-person sessions, and assessed the helpfulness of the session for residents in clinical practice.
Forty-four residents (88%) and 11 faculty (85%) completed surveys. After the training session, residents who received instruction and feedback reported significant improvements in familiarity with the hand-off tool and confidence in their hand-off abilities (both p < 0.001). Both residents and faculty were satisfied with the virtual format of hand-off training. Most faculty felt the virtual platform was comparable to in-person sessions and would recommend ongoing use of the virtual platform when in-person sessions were not possible.
Teaching hospitals mandate resident training to include strategies for a uniform hand-off method to avoid medical errors. Adaptation to a virtual platform can be a successful instruction strategy, allowing for didactic and interactive sessions with direct faculty observation and feedback.
患者交接过程中的有效沟通对于确保患者安全至关重要。在我们的学术医疗中心，一年级实习生在开始临床轮转前要完成交接培训。本研究的目的是评估针对住院医师的虚拟交接培训，作为因新冠疫情限制而无法进行面对面培训的替代方案。
对50名住院医师进行了培训前/后的调查，以评估培训对临床实践的帮助、进行交接时的熟悉程度和信心，以及他们是否会向新入职的实习生推荐虚拟培训形式。此外，教员对交接活动的虚拟形式进行了评分，与面对面培训进行了比较，并评估了该培训对住院医师临床实践的帮助。
44名住院医师（88%）和11名教员（85%）完成了调查。培训课程结束后，接受指导和反馈的住院医师在对交接工具的熟悉程度和交接能力的信心方面有显著提高（均p<0.001）。住院医师和教员对虚拟交接培训形式都很满意。大多数教员认为虚拟平台与面对面培训相当，并建议在无法进行面对面培训时持续使用虚拟平台。
教学医院要求住院医师培训包括统一交接方法的策略，以避免医疗差错。采用虚拟平台可以是一种成功的教学策略，能够进行有指导的互动课程，并得到教员的直接观察和反馈。
