Development of a handoff evaluation tool for shift-to-shift physician handoffs: the Handoff CEX.

ABSTRACT:

Background

Increasing frequency of shift-to-shift handoffs coupled with regulatory requirements to evaluate handoff quality make a handoff evaluation tool necessary.

Objective

To develop a handoff evaluation tool.

Design

Tool development.

Setting

Two academic medical centers.

Subjects

Nurse practitioners, medicine housestaff, and hospitalist attendings.

Intervention

Concurrent peer and external evaluations of shift-to-shift handoffs.

Measurements

The Handoff CEX (clinical evaluation exercise) consists of 6 subdomains and 1 overall assessment, each scored from 1 to 9, where 1 to 3 is unsatisfactory and 7 to 9 is superior. We assessed range of scores, performance among subgroups, internal consistency, and agreement among types of raters.

R

SUBMITTER: Horwitz LI 

PROVIDER: S-EPMC3621018 | biostudies-literature | 2013 Apr

REPOSITORIES: biostudies-literature