Evidence map›Paper›PMID 28808863›Full record

ArticleJournal of general internal medicine2018

Warm Handoffs: a Novel Strategy to Improve End-of-Rotation Care Transitions.

Harry S Saag, Jingjing Chen, Joshua L Denson, Simon Jones, Leora Horwitz, Patrick M Cocks

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% of its field
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Harry S SaagDepartment of General Internal Medicine and Clinical Innovation, NYU Langone Medical Center and NYU School of Medicine, New York, NY, USA. Harry.Saag@nyumc.org.
Jingjing ChenNYU School of Medicine, New York, NY, USA.
Joshua L DensonDivision of Pulmonary Sciences and Critical Care, University of Colorado School of Medicine, Denver, CO, USA.
Simon JonesDepartment of Population Health, NYU School of Medicine, New York, NY, USA.
Leora HorwitzDepartment of General Internal Medicine and Clinical Innovation, NYU Langone Medical Center and NYU School of Medicine, New York, NY, USA.
Patrick M CocksDepartment of General Internal Medicine and Clinical Innovation, NYU Langone Medical Center and NYU School of Medicine, New York, NY, USA.
New York University · USNYU Langone Health · USUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospitalized medical patients undergoing transition of care by house staff teams at the end of a ward rotation are associated with an increased risk of mortality, yet best practices surrounding this transition are lacking.

aimTo assess the impact of a warm handoff protocol for end-of-rotation care transitions.

settingA large, university-based internal medicine residency using three different training sites.

participantsPGY-2 and PGY-3 internal medicine residents. PROGRAM DESCRIPTION: Implementation of a warm handoff protocol whereby the incoming and outgoing residents meet at the hospital to sign out in-person and jointly round at the bedside on sicker patients using a checklist. PROGRAM EVALUATION: An eight-question survey completed by 60 of 99 eligible residents demonstrated that 85% of residents perceived warm handoffs to be safer for patients (p < 0.001), while 98% felt warm handoffs improved their knowledge and comfort level of patients on day 1 of an inpatient rotation (p < 0.001) as compared to prior handoff techniques. Finally, 88% felt warm handoffs were worthwhile despite requiring additional time (p < 0.001). DISCUSSION: A warm handoff protocol represents a novel strategy to potentially mitigate the known risks associated with end-of-rotation care transitions. Additional studies analyzing patient outcomes will be needed to assess the impact of this strategy.

Indexed as

FemaleHumansInternal MedicineInternship and ResidencyMalePatient HandoffPatient TransferRandom AllocationRetrospective StudiesSurveys and QuestionnairesTransitional Carecare transitionsmedical education-graduatepatient safety

Identifiers

PMID28808863
PMCPMC5756153
OpenAlexW2746676614

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.