Tips for effective surgical handoffs
Hospitalist Leadership Connection, October 21, 2008
As residents complete their 80-hour limit for the week, more doctors are changing shifts and leaving patients more vulnerable to handoff dangers. The Wall Street Journal Health Blog posted tips for surgical sign-outs between doctors, based on “The Top 10 List for a Safe and Effective Sign-out” in the October issue of Archives of Surgery. Some handoff suggestions include the following:
- Allocate time for doctors to sign out and doctors to sign in
- List important details, including patient’s surgery date and type, post-operative complications, pain management, and medications
- Design a plan to transfer patients to higher level care when necessary
- Contact the senior resident on call
- Describe the history and purpose of admission of patients to the on-call resident
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