The recent evolution of patient care rounds in pediatric teaching hospitals in the United States and Canada

Blarcom, Jeffrey Van; Chevalier, Andrew; Drum, Benjamin; Eyberg, Sarah; Vukin, Elizabeth; Good, Brian

doi:10.1080/21548331.2021.1977561

Cited by 2 publications

(1 citation statement)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 FCR is a method of multidisciplinary rounding that involves discussing the entirety of the presentation at the bedside in front of families and patients. 8,9 This encourages medical teams to communicate information in a format that is understandable and discernable to patients and family members while involving them in medicaldecision making each day. When implemented well, this involves the patient, and family, bedside nurse, pharmacist, case manager, and medical team members.…”

Section: Collaborative Communicationmentioning

confidence: 99%

Improving the adult hospital experience: Reducing trauma with pediatric pearls

Peterson,

Bruti,

Doraiswamy

et al. 2023

Journal of Hospital Medicine

View full text Add to dashboard Cite

Section: Collaborative Communicationmentioning

confidence: 99%

Improving the adult hospital experience: Reducing trauma with pediatric pearls

Peterson,

Bruti,

Doraiswamy

et al. 2023

Journal of Hospital Medicine

View full text Add to dashboard Cite

Improving Patient Handoffs and Transitions in Care Among Residents: A Chief Resident-Led Initiative

Marquez,

Gonzalez,

Moufarrej

et al. 2024

Cureus

View full text Add to dashboard Cite

Introduction: Effective handoff between pediatric residents is crucial to ensure continuity of care and patient safety. Omissions in information and communication breakdowns can be associated with uncertainty in clinical decision-making and adverse patient events. In our role as chief residents, we were notified of an increase in patient safety alerts due to communication failures and gaps during handoff. We aimed to identify areas for improvement and implement strategies to improve competence in handoff among pediatric residents. We also explored pediatric residents' confidence levels regarding handoff procedures and the effectiveness of our interventions in the transfer of care. Methods: Two chief residents conducted direct handoff observations of residents during the transfer of care of inpatients over six months. Residents were scored using a handoff checklist, and formative feedback was provided to each resident after the observation session. Deficits and barriers to properly executed handoff were noted and used to develop a series of handoff workshops. Pre- and post-workshop confidence in handoff skills was calculated from an average of each five-point Likert scale item (1=not at all confident, 5=very confident). Results: Forty pediatric residents were assessed performing inpatient handoff. We observed 38 handoff sessions. All of these involved face-to-face interactions with verbal and written communication in the I-PASS (illness severity, patient summary, action list, situation awareness and contingency planning, and synthesis by the receiver) format, allowing the receiver of the information to clarify issues and ask questions. Protocol failures were identified in 50% of the handoffs observed. This included disruptions during handoff (5%), incorrect relay of patient information (26%), prioritizing sick patients (26%), omission of care tasks (10%), and provision of contingency planning (31%). Forty residents participated in the handoff workshops. Regarding confidence in handoff before and after the workshop, 67% of residents initially reported feeling "very confident" or "fairly confident" in their patient handoff skills. After the completion of the workshops, 98% of residents reported "fairly confident" or "very confident" in their ability to perform handoff. Pre- and post-workshop surveys demonstrated self-perceived increases in confidence (P<0.001). Following the completion of the workshops, we conducted observations and found that residents properly executed handoffs, and we received no further patient safety alerts regarding communication breakdowns. Conclusions: We identified several protocol failures in effective handoff among pediatric residents. Chief resident-led targeted workshops addressed these lapses, improved the effectiveness of patient handoffs, and reduced patient safety events related to breakdowns in communication. Our interventions increased confidence in handoff among pediatric residents, and these effects were sustained over time.

show abstract

The recent evolution of patient care rounds in pediatric teaching hospitals in the United States and Canada

Cited by 2 publications

References 47 publications

Improving the adult hospital experience: Reducing trauma with pediatric pearls

Improving the adult hospital experience: Reducing trauma with pediatric pearls

Improving Patient Handoffs and Transitions in Care Among Residents: A Chief Resident-Led Initiative

Contact Info

Product

Resources

About