ArticleCureus2024
Patient Panel Handoffs for New Interns in Internal Medicine Residency Continuity Clinics.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Who cites it
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCompared to inpatient care transitions, end-of-year resident continuity clinic panel transitions affect a greater number of patients, yet warm handoffs occur less often.
objectiveWe developed a program-wide curriculum to implement warm handoffs (defined as in-person or virtual via videoconference) for high-risk continuity clinic patients between graduating and incoming residents.
methodsThe warm handoff intervention was phased in at different clinic sites over the study period and ultimately implemented program-wide across nine affiliated continuity clinics. Graduating residents were instructed to identify high-risk panel patients and optimize documentation of key patient care information for handoff. They then participated in a structured, in-person warm handoff event in June during intern orientation involving a direct transfer of information to incoming interns. We surveyed residents between 2017 and 2021 to assess their satisfaction with the continuity clinic handoff process, as well as their perceptions about safety outcomes, comparing those who received a warm handoff to those who did not.
resultsAchieving warm handoffs was feasible, reported by 72% (23/32) of intern respondents by the end of the study period, compared to 43% (13/30) during the first year. Residents who received a warm handoff were more likely to prefer warm handoffs (adjusted odds ratio (aOR) 8.1) and to report satisfaction with the handoff process (aOR 2.7). They were less likely to report having near-misses or adverse events. There were no statistically significant differences in attitudes regarding the importance of outpatient handoffs.
conclusionStructured warm handoffs of high-risk resident continuity clinic patients from graduating senior residents to incoming interns are feasible and associated with improved resident satisfaction with the continuity clinic panel transfer process and fewer perceived adverse patient care events during this vulnerable time of transition.
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