Fragmented care in the era of limited work hours: a plea for an explicit handover curriculum. BMJ Qual Saf 2012 Dec;21 Suppl 1:i16-8
Date
11/28/2012Pubmed ID
23173183DOI
10.1136/bmjqs-2012-001218Scopus ID
2-s2.0-84871896574 (requires institutional sign-in at Scopus site) 18 CitationsAbstract
The current challenge in surgical residency education, preserving a sense of accountability in an era of limited work hours and multiple transitions of care, can be accomplished through the promotion of effective handovers. Approaches include increasing the transparency of handovers, enhancing the 'situational awareness' of individuals involved, and incorporating narratives and social interactions, and expanding common ground among professionals who collectively have responsibility for patient care. Done well, handovers can preserve the physician-patient relationship and provide a continuity bridge during a vulnerable time for patients.
Author List
Wohlauer MMESH terms used to index this publication - Major topics in bold
CurriculumEfficiency, Organizational
General Surgery
Humans
Internship and Residency
Interprofessional Relations
Narration
Patient Handoff
Personnel Staffing and Scheduling
Physician-Patient Relations
Quality Assurance, Health Care
Social Responsibility
United States
