The Earlier the Longer: How Disproportionate Time is Spent on Patients Discussed Early in Attending Physicians’ End-of-week Handoffs
Hospital handoffs have been recognized by both regulators and researchers as a locus of potential communication failure with risks to patient safety and quality of care. The initial objectives of my orca grant research were to explore the roles of both the incoming and outgoing physicians in the suc...
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| Format: | Text |
| Language: | unknown |
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BYU ScholarsArchive
2014
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| Online Access: | https://scholarsarchive.byu.edu/jur/vol2014/iss1/1020 https://scholarsarchive.byu.edu/context/jur/article/3360/viewcontent/auto_convert.pdf |
| Summary: | Hospital handoffs have been recognized by both regulators and researchers as a locus of potential communication failure with risks to patient safety and quality of care. The initial objectives of my orca grant research were to explore the roles of both the incoming and outgoing physicians in the successful accomplishment of a shift-change patient handoff. As we got into our study, we realized an important oversight in the literature. While most empirical studies on shift-change have been done in settings where multiple patients are transferred, theoretical discussions in the literature have focused on how best to hand off a single patient. As a result, research has overlooked what has been called the portfolio problem, how best to allocate available discussion time across multiple patients. |
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