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October 16-20, 2010 San Diego, CA Home Abstract Archive Search Abstracts 2010 Session Grid 2010 Meeting Website Policy Statements ASA Website Feedback 
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A1785
October 16, 2007 2:00 PM - 4:00 PM Room Hall D, Area O, |
| Facilitating Patient Safety through an Anesthesia Resident Hand-Off of Care Training Module |
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David Mayer, M.D., Rachel Yudkowsky, M.D., M.H.P.E., Tim McDonald, M.D., J.D., Anne Gunderson, C.R.R.N. Anesthesiology, University of Illinois Hospital and Medical Center, Chicago, Illinois |
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In 2006, the Joint Commision on the Accreditation of Healthcare Organizations required the implementation of new patient safety goals aimed at improving communication between providers. In efforts to reduce medical errors through effective hand-off of care communication skills, educators and hospital leadership must focus on methods that optimize the training of providers in the responsible transfer of patient care. A hand-off of care is a real-time interactive process of passing information from one person to another for the purpose of ensuring continuity and safety of a patient's care. Despite the recognized necessity for effective communication processes and skills, there is a lack of learning opportunities and effective training modules related to safe hand-off of care in the operating room between anesthesiologists. The educational objective of this training program was to assure a safe process for conveying information about a patient's care when care is transferred from one anesthesia resident to another. The 1.5 hour training session was piloted with a group of 12 first year anesthesia residents from the University of Illinois Medical Center at Chicago. Residents were first educated on characteristics of effective hand-off of care in the OR such as up-to-date information exchange, eliminating distractions, and two-way interactive dialogue that allows for questions and verification of information. Video clips demonstrating good and bad examples of these characteristics and skills were then presented to the residents as opportunities to critique and learn from these real-case OR scenarios. In one video, for example, residents were asked to determine what three key pieces of information critical to the well-being of the patient having an anesthetic failed to be exchanged between the care providers. Finally, residents were given an opportunity to practice these skills with a colleague. During the practice portion of the session, residents were assessed and given feedback by faculty utilizing a competency checklist. Residents were also given a post-training survey to evaluate both resident attitude regarding the session and their satisfaction with the training. All 12 anesthesia residents reported that the OR hand-off of care training program met or exceeded their expectations and was very relevant to patient safety and their role as care providers. All 12 residents felt that in the future, educational time for continued practice and mastery of these communication skills should be increased. Anesthesiology 2007; 107: A1785 |