Provider Communications at Shift Change

Course Description

Presenter: Leora Horwitz, MD, MHS
The Yale Section of General Internal Medicine

This course will cover something that happens at least twice a day in every hospital and care center across the United States; the communication that occurs at shift change when handing off the care of a patient from one caregiver to another.

Conveying a clear, concise picture of a patient’s current state to an oncoming clinician is not easy.  Uncertainty, omissions, delays must be constantly guarded against. A fumbled handoff can lead to real adverse consequences for that patient.

This course will examine communications and sign-out from many perspectives.

Time to view this course is 22 minutes.

Course Learning Objectives

At the conclusion of this course the learner will understand:

  • How prevalent adverse events are today
  • Accreditation Council for Graduate Medical Education (ACGME) requirements for hand-offs
  • The four categories for handoff problems
  • What information is needed at sign-out
  • The SIGNOUT structure
  • The 7 ‘C’s’ of good sign-out language

Time to complete this course is approximately 50 minutes.

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