The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity of care.

The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity of care.
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患者交接:住院医师教育的综合课程蓝图,以提高护理的连续性。

DOI:
10.1097/acm.0b013e318248e766
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发表时间:
2012
期刊:
Academic medicine : journal of the Association of American Medical Colleges
影响因子:
--
通讯作者:
HandoffEducationandAssessmentforResidents(HEAR)ComputerSupportedCooperativeWorkgroup
HandoffEducationandAssessmentforResidents(HEAR)ComputerSupportedCooperativeWorkgroup
中科院分区:
--
文献类型:
--
作者:
Wohlauer,MaxV;Arora,VineetM;Horwitz,LeoraI;Bass,EllenJ;Mahar,SeanE;Philibert,Ingrid;HandoffEducationandAssessmentforResidents(HEAR)ComputerSupportedCooperativeWorkgroup

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2010年,研究生医学教育认证理事会发布了其居民值班时间限制,要求教师监测其居民的病人休息时间,以确保居民有能力进行交接通信。虽然研究报告需要提高有效性的切换和各种课程已经建议和实施,一个共同的方法,教学和评估切换技能尚未开发。同样在2010年,工程师、信息学家和对患者切换感兴趣的医生参加了在格鲁吉亚的萨凡纳举行的研讨会,该研讨会由计算机协会主办,题为“切换和切换:轮流协作”。作为这次研讨会的结果,成立了一个委员会,为参与向居民教授病人护理知识的医学教育工作者开发实用和易于实施的教育材料。在这篇文章中,为期一年的合作的结果,作者的目的是提供明确的定义,病人的交接,审查的障碍,以执行有效的交接在学术健康中心,以确定可用的解决方案,以改善交接,并提供一个结构化的方法,通过课程蓝图教育居民的交接。作者的蓝图是为了指导教育工作者定制移交教育计划,以适应他们的具体,当地的需要。希望,它也将提供一个起点,为未来的研究,以改善病人的交接。日益复杂的病人护理环境需要在交接教育和病人护理系统的改进创新,以提高护理的连续性。
In 2010, the Accreditation Council for Graduate Medical Education released its resident duty hours restrictions, requiring that faculty monitor their residents' patient handoffs to ensure that residents are competent in handoff communications. Although studies have reported the need to improve the effectiveness of the handoff and a variety of curricula have been suggested and implemented, a common method for teaching and evaluating handoff skills has not been developed. Also in 2010, engineers, informaticians, and physicians interested in patient handoffs attended a symposium in Savannah, Georgia, hosted by the Association for Computing Machinery, entitled Handovers and Handoffs: Collaborating in Turns. As a result of this symposium, a workgroup formed to develop practical and readily implementable educational materials for medical educators involved in teaching patient handoffs to residents. In this article, the result of that yearlong collaboration, the authors aim to provide clarity on the definition of the patient handoff, to review the barriers to performing effective handoffs in academic health centers, to identify available solutions to improve handoffs, and to provide a structured approach to educating residents on handoffs via a curricular blueprint. The authors' blueprint was developed to guide educators in customizing handoff education programs to fit their specific, local needs. Hopefully, it also will provide a starting point for future research into improving the patient handoff. Increasingly complex patient care environments require both innovations in handoff education and improvements in patient care systems to improve continuity of care.
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