"Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs.

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

SUBMITTER: Shenvi EC 

PROVIDER: S-EPMC6556111 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature