Focus on Transitions of Care: Description and Evaluation of an Educational Intervention for Internal Medicine Residents

Hanan Aboumatar, Robert D. Allison, Leonard Feldman, Kevin Woods, Patricia Thomas, Charles Wiener

Research output: Contribution to journalArticle

Abstract

Transitions of care between physicians and from inpatient to outpatient settings leave patients vulnerable to medical errors and adverse events. A transitions of care workshop consisting of 2 sessions, Sign-Out Success (SOS) and Transition To Home (TTH), taught sign-out and discharge skills to incoming internal medicine interns during orientation. The workshop used role-playing exercises, didactics, demonstrations, and peer and self-evaluations. Interns completed a survey at 3 months post workshop. Using pre–post workshop measures, SOS increased the quality of intern-rated sign-outs (P =.004). Interns reported more confidence in their ability to effectively sign out (P =.016) and a greater understanding of problems that might arise while on call (P =.012). TTH increased intern-reported confidence in their ability to communicate discharge instructions (P <.001) and to verify patient understanding of instructions (P <.001). A majority reported using SOS and TTH skills 3 months post workshop. This workshop may be replicable at other institutions.

Original languageEnglish (US)
Pages (from-to)522-529
Number of pages8
JournalAmerican Journal of Medical Quality
Volume29
Issue number6
DOIs
StatePublished - Nov 8 2014

Keywords

  • discharges
  • handoffs
  • physician–patient communication
  • sign-out success
  • sign-outs
  • transition to home
  • transitions of care

ASJC Scopus subject areas

  • Health Policy

Fingerprint Dive into the research topics of 'Focus on Transitions of Care: Description and Evaluation of an Educational Intervention for Internal Medicine Residents'. Together they form a unique fingerprint.

  • Cite this