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

Hospital Pediatrics
David P JohnsonDavid A Turner

Abstract

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. 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. 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%...Continue Reading

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Citations

Feb 15, 2019·Journal for Nurses in Professional Development·Kimberly W Elgin, Rebecca D Poston
Mar 7, 2017·Journal of Graduate Medical Education·Joshua DavisLee Ann Riesenberg
Aug 13, 2021·International Journal of Nursing Practice·Jung Hee KimEun Man Kim

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