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Abstract Details

Handoffs in Neurology and the Influence of Challenging Factors
Neurologic 好色先生
P04 - (-)
264
BACKGROUND: The handoff is a complex social interaction influenced by a large number of factors. In hospitals, handoffs are episodes in which responsibility for a patient passes from one health professional to another.
DESIGN/METHODS: A one-time survey of neurology residents in an academic hospital regarding their opinion of challenges faced during handoff process and transition of patient care. Questions regarding the duration of handoffs, language, hierarchy, and mode of conduction of handoffs were posed. Satisfaction and sign-out accuracy were also assayed.
RESULTS: All responders agree that new patients and existing patients demand different kinds of interactions and conversations. Most responders (61.9%) agree that the average total time that should be spent on handoffs should be approximately 10 to 20 minutes, while 28.6 % agree that the average time for handoffs should be 20 to 30 minutes. The majority of responders (66.5 %) agree that face-to-face verbal handoffs are essential, while 23.8% agree that a recorded media such as a computer should also be utilized. Assessing whether ambiguity in language and second language issues impact the handoffs, 33.3% of responders did not think this makes a difference. Majority of the responders (71.4%) agree that hierarchies in hospital can affect an individual's willingness to ask questions or seek clarification.
CONCLUSIONS: The handoff is quite significant for patient safety and a substantial investment is needed for improvement. Face to face interaction, limiting time to 10 to 30 minutes, and using unambiguous language are favored by Neurology residents. This may be more difficult to achieve as Handoffs are also sensitive to variations in context and the process has other challenges such as transition of care for a new versus an existing patient or handoffs conducted within a hierarchical structure.
Authors/Disclosures
Preet M. Varade, MD (Lehigh Valley Hospital - Cedar Crest)
PRESENTER 		Dr. Varade has nothing to disclose.
No disclosure on file
Maysaa M. Basha, MD, FAAN (Wayne State University, Detroit Medical Center) Dr. Basha has nothing to disclose.
Ramesh Madhavan, MD, FAAN (International Medical Clinic) Dr. Madhavan has received stock or an ownership interest from TiaTech USA and TiaTech India. Dr. Madhavan has received intellectual property interests from a discovery or technology relating to health care.