alexa Implementing an Institutional Objective Simulated Hando
ISSN: 2329-9126

Journal of General Practice
Open Access

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Research Article

Implementing an Institutional Objective Simulated Handoff Evaluation (OSHE) for Assessing Resident Handoff Skill

Tsveti Markova1*, Lisa Dillon2 and James Coticchia3
1Dean for Graduate Medical Education and DIO Professor and Endowed Chair, Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, USA
2WSU GME Director of Research and Education, Wayne State University School of Medicine, USA
3Crittenton Hospital Medical Centre, USA
Corresponding Author : Tsveti Markova
Associate Dean for Graduate Medical Education and DIO Professor and Endowed Chair
Department of Family Medicine and Public Health Sciences
Wayne State University School of Medicine, 1560 Maple Road Troy
Michigan 48083, USA
Tel: 248-581-5900
Fax: 248-581-5647
E-mail: [email protected]
Received: September 09 2015 Accepted: October 26 2015 Published: October 29 2015
Citation: Markova T, Dillon L, Coticchia J (2015) Implementing an Institutional Objective Simulated Handoff Evaluation (OSHE) for Assessing Resident Handoff Skill. J Gen Practice 3:203. doi:10.4172/2329-9126.1000203
Copyright: © 2015 Markova T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Introduction: In order to properly educate residents about the communication components involved in effective handoff delivery, interventions that promote demonstration of skill with real-time feedback are essential. Our institution developed a focused intervention for all residency programs to improve handoff education by implementing standardized written and verbal templates throughout all specialties. We decided upon a common framework for education and evaluation of resident handoff competency: the objective simulated handoff evaluation (OSHE) originally developed by Farnan et al. Handoffs are critically important for patient quality of care and safety. Methods:Residents completed the objective simulated handoff evaluation in pairs where the junior resident completed a verbal and written hand off using a simulated case to a senior resident in the same specialty. The senior residents provided feedback on the verbal handoff and faculty scored the written templates. The junior residents were surveyed pre-and-post to assess resident handoff education prior to the exercise and to gather feedback. Results: Residents rated their ability to pick up a new service significantly higher after the objective simulated handoff evaluation, (Mdn=4), U=308, p=0.005, r=0.34, in contrast to their initial rating (Mdn=3). Additionally, residents reported higher confidence in making contingency plans, (Mdn=4), U=311, p=0.005, r=0.35, compared to baseline (Mdn=3). Performing a read back showed improvement, (Mdn=4), U=321, p=0.01, r=0.31, when compared to the pre-survey (Mdn=3). Finally, when to perform a read-back also improved post-objective simulated handoff evaluation, (Mdn=4), U=323, p=0.01, r=0.32, when compared to the baseline (Mdn=3). Conclusion: Our institution-wide focus on standardization demonstrated that residency programs can collaborate productively despite their specialty-specific differences in transfers of care. Handoff education is essential in positively affecting patient care.

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