Canadian residency programs rush to improve hand-offs
Residency Program Insider, May 30, 2014
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Canadian residency programs are working to improve patient hand-offs before the Royal College of Physicians and Surgeons rolls out requirements in 2015 that make hand-offs a mandatory part of training.
The Globe and Mail recently covered teaching hospitals’ efforts to implement better hand-off procedures.
Some programs are teaching trainees to use the I-PASS tool, a mnemonic that reminds clinicians what information to communicate during hand-offs (illness severity, patient summary, action list, situation awareness and contingency planning, and synthesis by receiver). One program is using an app that gathers patient information in a single location, accessible on smartphones, tablets, and computers. Others are trying bedside hand-offs with nurses or train-the-trainer programs.
“The key to a safe handover,” Globe reporter Lee Marshall writes, is “a good conversation.”
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