When Duty Calls, Resident Physicians Answer: Learning to Take Transfer Calls

Author:

Harris Baila12,Bartlett Deirdre1,Seiplinga Kira12,Hadley Andrea12

Affiliation:

1. aSpectrum Health/Helen DeVos Children’s Hospital, Grand Rapids, Michigan

2. bMichigan State University College of Human Medicine, Grand Rapids, Michigan

Abstract

BACKGROUND AND OBJECTIVE Transitions of care are error-prone. Standardized handoffs at transitions improve safety. There are limited published curricula teaching residents to perform interfacility transfer calls or providing a framework for performance evaluation. The objective of this study was to measure the impact of a workshop utilizing a standardized handoff tool on resident-reported confidence in taking transfer calls and observed behavioral change in a simulated environment. METHODS A pre- and posteducational intervention trial was performed at a large children’s hospital in March 2021. A 1-hour session highlighting the importance of phone communication, outlining an evidence-based handoff tool, and reviewing cases was delivered to 44 of 75 residents who attended scheduled didactics. The workshop’s effectiveness was measured by rating behavioral change in a simulated environment. Calls were scored by using a 0 to 24 summative score checklist created from the handoff tool. A paired t test was used to analyze the differences in pre- and postintervention scores. Resident confidence, knowledge of the call process, and perceived importance of skill were measured with an internally developed retrospective pre- and postsurvey. The survey results were analyzed with a Wilcoxon rank test and Kruskal-Wallis test. RESULTS Behaviors in a simulated environment, measured by an average score on the grading checklist, had a mean score increase of 6.52 points (P <.0001). Of the participants, 95% completed the survey, which revealed that reported confidence, knowledge of the transfer call process, and importance of transfer call skills increased significantly (P <.0001). CONCLUSIONS This workshop improved resident behaviors in a simulated environment, confidence, and knowledge of the transfer call process, demonstrating the utility of providing a standardized tool and education to improve transitions of care.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics,General Medicine,Pediatrics, Perinatology and Child Health

Reference17 articles.

1. Receiving providers’ perceptions on information transmission during interfacility transfers to general pediatric floors;Rosenthal;Hosp Pediatr,2017

2. Inadequate hand-off communication;The Joint Commission;Sentinel Event Alert,2017

3. The Accreditation Council for Graduate Medical Education. Pediatrics milestones 2.0. Available at: https://www.acgme.org/globalassets/pdfs/milestones/pediatrics milestones.pdf. Accessed June 7, 2022

4. Changes in medical errors after implementation of a handoff program;Starmer;N Engl J Med,2014

5. The effectiveness of standardized handoff tool interventions during inter- and intra-facility care transitions on patient-related outcomes: a systematic review;Rosenthal;Am J Med Qual,2018

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