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A Randomized Cohort Controlled Trial to Compare Intern Sign-Out Training Interventions.
Lee, Soo-Hoon; Terndrup, Christopher; Phan, Phillip H; Zaeh, Sandra E; Atsina, Kwame; Minkove, Nicole; Billioux, Alexander; Chatterjee, Souvik; Montague, Idoreyin; Clark, Bennett; Hughes, Andrew; Desai, Sanjay V.
Afiliación
  • Lee SH; Old Dominion University, Norfolk, Virginia, USA.
  • Terndrup C; Oregon Health and Science University, Portland, Oregon, USA.
  • Phan PH; Johns Hopkins University, Baltimore, Maryland, USA. pphan@jhu.edu.
  • Zaeh SE; Johns Hopkins University, Baltimore, Maryland, USA.
  • Atsina K; University of California, Davis, Davis, California, USA.
  • Minkove N; University of Maryland, College Park, Maryland, USA.
  • Billioux A; Centers for Medicare and Medicaid Services, Baltimore, Maryland, USA.
  • Chatterjee S; National Institutes of Health, Bethesda, Maryland, USA.
  • Montague I; Johns Hopkins University, Baltimore, Maryland, USA.
  • Clark B; Johns Hopkins University, Baltimore, Maryland, USA.
  • Hughes A; Johns Hopkins University, Baltimore, Maryland, USA.
  • Desai SV; Johns Hopkins University, Baltimore, Maryland, USA.
J Hosp Med ; 12(12): 979-983, 2017 12.
Article en En | MEDLINE | ID: mdl-29236097
BACKGROUND: Although previous studies have investigated the efficacy of specific sign-out protocols (such as the illness severity, patient summary, action list, situation awareness and contingency planning, and synthesis by reviewer [I-PASS] bundle), the implementation of a bundle can be time consuming and costly. We compared 4 sign-out training pedagogies on sign-out quality. OBJECTIVE: To evaluate training interventions that best enhance multidimensional sign-out quality measured by information exchange, task accountability, and personal responsibility. INTERVENTION: Four general internal medicine firms were randomly assigned into 1 of the following 4 training interventions: didactics (control), I-PASS, policy mandate on task accountability, and Plan-Do-Study-Act (PDSA). SETTING: First-year interns at a large, Mid-Atlantic internal medicine residency program. MEASUREMENTS: Eight trained observers examined 10 days each in the pre- and postintervention periods for each firm using a standardized sign-out checklist. RESULTS: Pre- and postintervention differences showed significant improvements in the transfer of patient information, task accountability, and personal responsibility for the I-PASS, policy mandate, and PDSA groups, respectively, in line with their respective training foci. Compared to the control, I-PASS reported the best improvements in sign-out quality, although there was room to improve in task accountability and responsibility. CONCLUSIONS: Different training emphases improved different dimensions of sign-out quality. A combination of training pedagogies is likely to yield optimal results.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Competencia Clínica / Continuidad de la Atención al Paciente / Lista de Verificación / Pase de Guardia / Medicina Interna / Internado y Residencia Tipo de estudio: Clinical_trials Límite: Humans Idioma: En Revista: J Hosp Med Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Competencia Clínica / Continuidad de la Atención al Paciente / Lista de Verificación / Pase de Guardia / Medicina Interna / Internado y Residencia Tipo de estudio: Clinical_trials Límite: Humans Idioma: En Revista: J Hosp Med Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos