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Handoffs and Transitions of Care Department of Pathology and Laboratory Medicine Deborah A. Sesok-Pizzini, M.D., M.B.A. Carolyn Cambor, M.D. . The Goal Safe and Effective Sign-out. Objectives. - PowerPoint PPT Presentation
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Handoffs and Transitions of CareDepartment of Pathology and Laboratory Medicine
Deborah A. Sesok-Pizzini, M.D., M.B.A.Carolyn Cambor, M.D.
The Goal
Safe and Effective Sign-out
Objectives
Describe Development and Standardization of Policies for Handoffs and Transitions
Define Transitions of CareDefine Resident Schedule for coverageDefine Level of Responsibility and
Expectations for Handoffs
Residency Program Policies for Handoffs and TransitionsClinical PathologyAutopsy PathologySurgical PathologyCytopathology
Document Control
Hospital of the University of PennsylvaniaDepartment of Pathology and Laboratory MedicineDivision of Laboratory MedicineSection: Residency Program Policies Handoffs and Transitions
Version: 1
Effective date: 8/24/2012
Title: Clinical Pathology on Call and Transitions of Care
Clinical Pathology Handoffs
Schedule and Coverage
Define hours per shift coverage (within ACGME guidelines)
Define start and stop time of coverageDefine responsibility of coverage (PGY1-
PGY4)Define responsibility of handoffs
– Who contacts who, how, and where– Required handoffs
Resident Coverage-Transitions of Care
Define Time of transfer of careClinical Pathology
– 5 PM and 9:30 PM– 5 PM daytime resident will contact the PGY1
call resident only if patient care issues need to be handed off
– Care complete when resident verbally or electronically acknowledges the information
Resident Coverage Transition of Care
– 9:30 PM upper level residents contacts the PGY1 to receive information about ongoing patient issues.
– Care complete when resident verbally or electronically acknowledges the information
– Why support 2 different handoffs? Creates learning opportunities for PGY1 residents Allows opportunities for teaching and mentoring
from more senior residents and continuity of overnight coverage
Additional Handoff Mechanisms
Calls during the day are posted as documents on the secure Pathology Pulse webpage
Calls during the evening are also posted Call summaries are faxed to the attending on the
CP service for their review and follow-up the next day
Morning Report Conference for one hour every Mon and Fri, handoffs to residents covering services
Assessment of Handoffs
Plan to perform assessment using the HUP assessment tool available at http://uphsnet-test.uphs.upenn.edu/ResidentPortfolio/Home/Login
Senior residents and attendings involved in the assessment process
Gave feedback about the need for a N/A selection
“The single biggest problem in communication is the illusion that it has taken place.”
George Bernard Shaw quotes