ArticleDiagnosis (Berlin, Germany)2018
"Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs.
Article in Diagnosis (Berlin, Germany), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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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.
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.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Using electronic health record audit logs to study clinical activity: a systematic review of aims, measures, and methods.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- Impact of performance and information feedback on medical interns' confidence-accuracy calibration.Advances in health sciences education : theory and practice · 2024Trial
- Impact of an automated patient outcome feedback system on emergency medicine resident patient follow-up: An interrupted time series analysis.AEM education and training · 2024Article
- Electronic health record-based patient tracking by emergency medicine physicians.AEM education and training · 2022Article
- A Research Agenda for Diagnostic Excellence in Critical Care Medicine.Critical care clinics · 2022Review
- Enhancing Diagnosis Through Technology: Decision Support, Artificial Intelligence, and Beyond.Critical care clinics · 2022Review
- Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study.Diagnosis (Berlin, Germany) · 2021Article
- Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes.BMJ quality & safety · 2021Article
- Why Is the Electronic Health Record So Challenging for Research and Clinical Care?Methods of information in medicine · 2021Article
- Decisions in the Dark: An Educational Intervention to Promote Reflection and Feedback on Night Float Rotations.Journal of general internal medicine · 2020Article
- Empowering Clinician Education With Patient-outcome Feedback.AEM education and training · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Background Learning patient outcomes is recognized as crucial for ongoing refinement of clinical decision-making, but is often difficult in fragmented care with frequent handoffs. Data on resident habits of seeking outcome feedback after handoffs are lacking. Methods We performed a mixed-methods study including (1) an analysis of chart re-access rates after handoffs performed using access logs of the electronic health record (EHR); and (2) a web-based survey sent to internal medicine (IM) and emergency medicine (EM) residents about their habits of and barriers to learning the outcomes of patients after they have handed them off to other teams. Results Residents on ward rotations were often able to re-access charts of patients after handoffs, but those on EM or night admitting rotations did so <5% of the time. Among residents surveyed, only a minority stated that they frequently find out the outcomes of patients they have handed off, although learning outcomes was important to both their education and job satisfaction. Most were not satisfied with current systems of learning outcomes of patients after handoffs, citing too little time and lack of reliable patient tracking systems as the main barriers. Conclusions Despite perceived importance of learning outcomes after handoffs, residents cite difficulty with obtaining such information. Systematically providing feedback on patient outcomes would meet a recognized need among physicians in training.
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