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Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.

Publication ,  Journal Article
Johnson, DP; Zimmerman, K; Staples, B; McGann, KA; Frush, K; Turner, DA
Published in: Hosp Pediatr
March 2015

OBJECTIVE: Teaching and evaluation of handovers are important requirements of graduate medical education (GME), but well-defined and effective methods have not been clearly established. Case-based computer simulations provide potential methods to teach, evaluate, and practice handovers. METHODS: Case-based computer simulation modules were developed. In these modules, trainees care for a virtual patient in a time-lapsed session, followed by real-time synthesis and handover of the clinical information to a partner who uses this information to continue caring for the same patient in a simulated night scenario, with an observer tallying included handover components. The process culminates with evaluator feedback and structured handover education. Surveys were used before and after module implementation to allow the interns to rate the quality of handover provided and record rapid responses and transfers to the ICU. RESULTS: Fifty-two pediatric and medicine/pediatric residents from 2 institutions participated in the modules. "Anticipatory guidance" elements of the handover were the most frequently excluded (missing at least 1 component in 77% of module handovers). There were no significant differences in the proportion of nights with rapid response calls (7.24% vs 12.79%, P=.052) or transfers to the ICU (7.76% vs 11.27%, P=.21) before and after module implementation. CONCLUSIONS: Case-based, computer-simulation modules are an easily implemented and generalizable mechanism for handover education and assessment. Although significant improvements in patient safety outcomes were not seen as a result of the educational module alone, novel techniques of this nature may supplement handover bundles that have been demonstrated to improve patient safety.

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Published In

Hosp Pediatr

DOI

ISSN

2154-1663

Publication Date

March 2015

Volume

5

Issue

3

Start / End Page

154 / 159

Location

United States

Related Subject Headings

  • United States
  • Teaching
  • Quality Improvement
  • Program Development
  • Pediatrics
  • Patient Safety
  • Patient Handoff
  • Internship and Residency
  • Interdisciplinary Communication
  • Humans
 

Citation

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Johnson, D. P., Zimmerman, K., Staples, B., McGann, K. A., Frush, K., & Turner, D. A. (2015). Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. Hosp Pediatr, 5(3), 154–159. https://doi.org/10.1542/hpeds.2014-0050
Johnson, David P., Kanecia Zimmerman, Betty Staples, Kathleen A. McGann, Karen Frush, and David A. Turner. “Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.Hosp Pediatr 5, no. 3 (March 2015): 154–59. https://doi.org/10.1542/hpeds.2014-0050.
Johnson DP, Zimmerman K, Staples B, McGann KA, Frush K, Turner DA. Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. Hosp Pediatr. 2015 Mar;5(3):154–9.
Johnson, David P., et al. “Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.Hosp Pediatr, vol. 5, no. 3, Mar. 2015, pp. 154–59. Pubmed, doi:10.1542/hpeds.2014-0050.
Johnson DP, Zimmerman K, Staples B, McGann KA, Frush K, Turner DA. Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. Hosp Pediatr. 2015 Mar;5(3):154–159.

Published In

Hosp Pediatr

DOI

ISSN

2154-1663

Publication Date

March 2015

Volume

5

Issue

3

Start / End Page

154 / 159

Location

United States

Related Subject Headings

  • United States
  • Teaching
  • Quality Improvement
  • Program Development
  • Pediatrics
  • Patient Safety
  • Patient Handoff
  • Internship and Residency
  • Interdisciplinary Communication
  • Humans