PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors

Mariano, Maria Theresa; Brooks, Victoria; DiGiacomo, Michael

doi:10.1016/s1553-7250(16)42043-x

Cited by 13 publications

(8 citation statements)

References 13 publications

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“…Mnemonics are a commonly used teaching technique in various medical, psychiatric, and surgical fields (21). Furthermore, mnemonics have demonstrably improved quality of care in residency programs through implementation in patient handoffs (17). However, there is a lack of user-friendly methods to develop proficient lateral CXR interpretation techniques (2).…”

mentioning

confidence: 99%

Comparative effectiveness of a mnemonic-use approach vs. self-study to interpret a lateral chest X-ray

Thompson

Johansen

Stoner

et al. 2017

Advances in Physiology Education

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The chest X-ray is the most commonly performed medical imaging study; however, the lateral chest film intimidates many physicians and medical students. The lateral view is more difficult to interpret than the frontal view but provides important information that is either not visible or not as evident on frontal view, and inability to read it may lead to missed diagnoses and more expensive imaging. The objective of this study was to assess a novel mnemonic-based approach to teaching medical students to proficiently read a lateral film using a prospective pilot study. A clinical faculty radiologist taught two groups of second-year medical students to read a lateral chest X-ray. One group learned a novel mnemonic-based method (MUM), and the other cohort performed directed web-based self-study (STMM). Each cohort was given a pre- and postassessment, and their performance was analyzed. A total of = 29 students participated with = 14 being taught the mnemonic method. The MUM group significantly ( = 0.001) improved their score vs. the STMM group This study demonstrates students can quickly and effectively learn to read a lateral chest film using this novel mnemonic.

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mentioning

confidence: 99%

Comparative effectiveness of a mnemonic-use approach vs. self-study to interpret a lateral chest X-ray

Thompson

Johansen

Stoner

et al. 2017

Advances in Physiology Education

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“…SBAR is the most mature and widely used (17). Others include iSoBAR, SBAR3 SHARE, and PSYCH (18,19). While there is some evidence for the effectiveness of such mnemonics on patient outcomes, a systematic review of mnemonics revealed that only half of the studies found significant improvement on patient outcomes, and evidence was also limited to specific circumstances or settings (11).…”

Section: Discussionmentioning

confidence: 99%

Safety of Handover: A Global Online Survey of Clinical Practitioners and Leaders Regarding Patient Safety during Transitions of Care

Hamblin-Brown¹,

Craggs²,

Wright³

et al. 2022

Preprint

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Background: Handover is a critical process for ensuring quality and safety in healthcare. Considerable research suggests that poor handover results in significant morbidity, mortality, dissatisfaction, and excess financial costs. Despite this, little formal attention, education, and evaluation has been given to handover. There is also paucity of data on the opinions of practitioners on the safety of handover.Objectives: The aim of this study was to measure the perceived risk, degree of patient harm and the systems used to support handover, and to understand how this varied by care setting, type of clinical practice, location, or level of experience. Methods: An open, anonymous and confidential online questionnaire covering: (a) respondent characteristics; (b) peer-to-peer handover; (c) internal referrals; (d) discharges and transfers between organisations; and (e) leading and improving handover was conducted with healthcare practitioners and managers from various settings. Results: We gathered a total of 432 completed responses from 26 countries. The average reported performance of handover was rated as 3.9 out of 5.For each type of handover, 12 - 14% reported errors occurring more than weekly. Of those that knew the outcome of such errors, between 29% and 34% reported that they had witnessed moderate or severe harm. 12% and 17% of respondents believed that handover was high or very high risk (See table 4). These respondents were more likely to have witnessed moderate or severe harm, or to be more senior.A wide combination of handover systems was utilised by respondents. 28% - 32% relied exclusively on EPRs (with or without face-to-face contact). 21% used Office documents such as Word and Excel for peer-to-peer handover, and over 30% used hand-written or manual systems. Conclusions: This study suggests the need to do more — and go further — to improve communication and reduce risk during all types of handovers. Clinical leaders should find ways to train and support handover with effective systems, with less experienced staff being the primary focus. More research is needed to demonstrate the interventions that improve the safety of handover.

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“…One tool was specifically developed for psychiatric care. Mariano, Brooks, and DiGiacomo () established the PSYCH tool to improve handoffs for psychiatric residents. The mnemonic covers the “ P atient's information/background, S ituation leading to hospital contact, Y our assessment, C ritical information, H indrance to discharge” (p. 317).…”

Section: Introductionmentioning

confidence: 99%

Using focused ethnography to explore and describe the process of nurses’ shift reports in a psychiatric intensive care unit

Salzmann‐Erikson

2018

Journal of Clinical Nursing

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PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors

Cited by 13 publications

References 13 publications

Comparative effectiveness of a mnemonic-use approach vs. self-study to interpret a lateral chest X-ray

Comparative effectiveness of a mnemonic-use approach vs. self-study to interpret a lateral chest X-ray

Safety of Handover: A Global Online Survey of Clinical Practitioners and Leaders Regarding Patient Safety during Transitions of Care

Using focused ethnography to explore and describe the process of nurses’ shift reports in a psychiatric intensive care unit

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