The Patient Handoff: Communication between Primary Physicians and Hospitalists. Julia S. Wright, M.D. July 11, 2007. Primary Care-Hospitalist Patient Sharing. Division of Labor Quality of care Medicolegal Physician Interaction Continuity - PowerPoint PPT Presentation
The Patient Handoff: Communication between Primary Physicians and HospitalistsJulia S. Wright, M.D.July 11, 2007
Primary Care-Hospitalist Patient SharingDivision of LaborQuality of careMedicolegalPhysician InteractionContinuityHandoff: transfer of patient care responsibility from outpatient to inpatient MD. Note: Intervention Independent
Goals of HandoffEffective information transferCommunication system providing timely, accurate, thorough information
Deficits in Communication and Information Transfer Between Hospital-Based and Primary Care Physicians: Implications for Patient Safety and Continuity of Care. Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. JAMA, 2007;297(8):831-841.
Information gapSuggested decreased quality of care at followup and adverse outcomes if poor information transfer occurs.Literature review of deficits of information transfer at discharge, and interventions to improve them.
Primary physicians report limited role.
Content: PMD Ratings of Desired InformationMain diagnosisPertinent physical findingsResults of procedures/testsDischarge meds with reason for changesFollowup arrangementsPending tests and specific followup needs (*)Information given to patient/family
ConclusionsCommunication and information transfer is often suboptimal
Interventions had limited effect on outcomes. Options for handoff policies and procedures: white papers and discussions
Kripalani S, LeFevre F, Phillips CO, et al. JAMA, 2007;297(8):838
Obligations of both physicians- patient care/continuity/information
Contact and communication between physicians
Information exchangeFrequencyModeValue: respect and support, education