ArticleThe western journal of emergency medicine2017
Transition of Care Practices from Emergency Department to Inpatient: Survey Data and Development of Algorithm.
Article in The western journal of emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 19 citations in OpenAlex.
- Review
- Developing and Evaluating Large Language Model-Generated Emergency Medicine Handoff Notes.JAMA network open · 2024Article
- • Education • Simulation-based assessment for the emergency medicine milestones: a national survey of simulation experts and program directors.World journal of emergency medicine · 2024Article
- Challenges and opportunities in creating a deprescribing program in the emergency department: A qualitative study.Journal of the American Geriatrics Society · 2023Article
- An Assessment of Handover Culture and Preferred Information in the Transitions of Care of Elderly Patients.Cureus · 2019Article
- The Admission Conference Call: A Novel Approach to Optimizing Pediatric Emergency Department to Admitting Floor Communication.Joint Commission journal on quality and patient safety · 2019Article
- Triaging Inpatient Admissions: an Opportunity for Resident Education.Journal of general internal medicine · 2019Article
- The Impact of a Standardized Checklist on Transition of Care During Emergency Department Resident Physician Change of Shift.The western journal of emergency medicine · 2019Article
- Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2016.AEM education and training · 2019Article
- Standardized Reporting System Use During Handoffs Reduces Patient Length of Stay in the Emergency Department.Journal of clinical medicine research · 2018Article
- Evaluation of a Novel Handoff Communication Strategy for Patients Admitted from the Emergency Department.The western journal of emergency medicine · 2018Article
Corrections and comments
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Authors and funding
9 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWe aimed to assess the current scope of handoff education and practice among resident physicians in academic centers and to propose a standardized handoff algorithm for the transition of care from the emergency department (ED) to an inpatient setting.
methodsThis was a cross-sectional survey targeted at the program directors, associate or assistant program directors, and faculty members of emergency medicine (EM) residency programs in the United States (U.S.). The web-based survey was distributed to potential subjects through a listserv. A panel of experts used a modified Delphi approach to develop a standardized algorithm for ED to inpatient handoff.
results121 of 172 programs responded to the survey for an overall response rate of 70.3%. Our survey showed that most EM programs in the U.S. have some form of handoff training, and the majority of them occur either during orientation or in the clinical setting. The handoff structure from ED to inpatient is not well standardized, and in those places with a formalized handoff system, over 70% of residents do not uniformly follow it. Approximately half of responding programs felt that their current handoff system was safe and effective. About half of the programs did not formally assess the handoff proficiency of trainees. Handoffs most commonly take place over the phone, though respondents disagree about the ideal place for a handoff to occur, with nearly equivalent responses between programs favoring the bedside over the phone or face-to-face on a computer. Approximately two-thirds of responding programs reported that their residents were competent in performing ED to inpatient handoffs. Based on this survey and on the review of the literature, we developed a five-step algorithm for the transition of care from the ED to the inpatient setting.
conclusionOur results identified the current trends of education and practice in transitions of care, from the ED to the inpatient setting in U.S. academic medical centers. An algorithm, which guides this process, is proposed to address the current gap in the standardized approach to ED to inpatient handoffs that were identified in the survey's assessment of needs.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.