Evidence map›Paper›PMID 28197967›Full record

ArticleJournal of general internal medicine2017

Year-End Clinic Handoffs: A National Survey of Academic Internal Medicine Programs.

Erica Phillips, Christina Harris, Wei Wei Lee, Amber T Pincavage, Karin Ouchida, Rachel K Miller, Saima Chaudhry, Vineet M Arora

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Erica PhillipsDivision of General Internal Medicine, Weill Cornell Medicine, New York, NY, USA. erp2001@med.cornell.edu.
Christina HarrisDepartment of Medicine, VA Greater Los Angeles Healthcare System, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Wei Wei LeeDepartment of Medicine, University of Chicago Medical Center, Chicago, IL, USA.
Amber T PincavageDepartment of Medicine, University of Chicago Medical Center, Chicago, IL, USA.
Karin OuchidaDivision of Geriatrics and Palliative Medicine, Weill Cornell Medicine, New York, NY, USA.
Rachel K MillerDivision of Geriatric Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Saima ChaudhryDepartment of Medicine, Memorial Healthcare System, Hollywood, FL, USA.
Vineet M AroraDepartment of Medicine, University of Chicago Medical Center, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile there has been increasing emphasis and innovation nationwide in training residents in inpatient handoffs, very little is known about the practice and preparation for year-end clinic handoffs of residency outpatient continuity practices. Thus, the latter remains an identified, yet nationally unaddressed, patient safety concern.

objectivesThe 2014 annual Association of Program Directors in Internal Medicine (APDIM) survey included seven items for assessing the current year-end clinic handoff practices of internal medicine residency programs throughout the country.

designNationwide survey.

participantsAll internal medicine program directors registered with APDIM. MAIN MEASURES: Descriptive statistics of programs and tools used to formulate a year-end handoff in the ambulatory setting, methods for evaluating the process, patient safety and quality measures incorporated within the process, and barriers to conducting year-end handoffs. KEY

resultsOf the 361 APDIM member programs, 214 (59%) completed the Transitions of Care Year-End Clinic Handoffs section of the survey. Only 34% of respondent programs reported having a year-end ambulatory handoff system, and 4% reported assessing residents for competency in this area. The top three barriers to developing a year-end handoff system were insufficient overlap between graduating and incoming residents, inability to schedule patients with new residents in advance, and time constraints for residents, attendings, and support staff.

conclusionsMost internal medicine programs do not have a year-end clinic handoff system in place. Greater attention to clinic handoffs and resident assessment of this care transition is needed.

Indexed as

Clinical CompetenceCross-Sectional StudiesHumansInternal MedicineInternship and ResidencyPatient HandoffPatient SafetyPilot ProjectsSurveys and Questionnairescontinuity of carehandoffpatient safetysign-outtransfer of care

Identifiers

PMID28197967
PMCPMC5442016

What OpenQuestion holds

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Registered trials

None linked

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.