Abstract:
INTRODUCTION:Imperfect sign-out of patient information between providers has been shown to contribute to medical error, but there are no standardized curricula to teach sign-out skills. At our institution, we identified several deficiencies in skills and a lack of any existing training. AIM:To develop a sign-out curriculum for medical house staff. SETTING:Internal medicine residency program. PROGRAM DESCRIPTION:We developed a 1-h curriculum and implemented it in August of 2006 at three hospital sites. Teaching strategies included facilitated discussion, modeling, and observed individual practice with feedback. We emphasized interactive communication, a structured sign-out format summarized by an easy-to-remember mnemonic ("SIGNOUT"), consistent inclusion of key content items such as anticipatory guidance, and use of concrete language. PROGRAM EVALUATION:We received 34 evaluations. The mean score for the course was 4.44 +/- 0.61 on a 1-5 scale. Perceived usefulness of the structured oral communication format was 4.46 +/- 0.78. Participants rated their comfort with providing oral sign-out significantly higher after the session than before (3.27 +/- 1.0 before vs. 3.94 +/- 0.90 after; p < .001). DISCUSSION:We developed an oral sign-out curriculum that was brief, structured, and well received by participants. Further study is necessary to determine the long-term impact of the curriculum.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Horwitz LI,Moin T,Green MLdoi
10.1007/s11606-007-0331-0subject
Has Abstractpub_date
2007-10-01 00:00:00pages
1470-4issue
10eissn
0884-8734issn
1525-1497journal_volume
22pub_type
杂志文章abstract::The purpose of the study was to develop a comprehensive program evaluation instrument. Following pilot work with residents, a 69-item instrument consisting of statements with 5-point strongly agree to strongly disagree response options was distributed to 107 residents; 104 responded. Psychometric analyses revealed no ...
journal_title:Journal of general internal medicine
pub_type: 杂志文章
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journal_title:Journal of general internal medicine
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doi:10.1046/j.1525-1497.2002.10431.x
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更新日期:2014-09-01 00:00:00
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pub_type: 杂志文章,meta分析
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更新日期:2008-09-01 00:00:00
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