BACKGROUND: The rigor of handoffs is increasingly scrutinized in the era of shift-based patient care. Acute care surgery (ACS) embraced such a model of care; however, little is known about handoffs in ACS programs. METHODS: Eighteen open-ended interviews were conducted with ACS leaders representing diverse geographic and practice settings. Two independent reviewers analyzed interviews using an inductive approach to elucidate themes regarding use of morning report (using NVivo qualitative analysis software). RESULTS: Twelve of 18 respondents reported using morning report, but only 6 of 12 included attending surgeon-to-attending surgeon handoffs. One of 12 incentivized attending surgeons to participate, 2 of 12 included nursing staff members, and 2 of 12 included physician extenders. Cited benefits of morning report were safe and effective information exchange (2 of 12), quality improvement (2 of 12), multidisciplinary discussion (1 of 12), and resident education (2 of 12). Three of 12 respondents cited time commitment as the main limitation of morning report. CONCLUSIONS: Morning report is underused among ACS programs; however, if implemented strategically, it may improve patient care and resident education.
BACKGROUND: The rigor of handoffs is increasingly scrutinized in the era of shift-based patient care. Acute care surgery (ACS) embraced such a model of care; however, little is known about handoffs in ACS programs. METHODS: Eighteen open-ended interviews were conducted with ACS leaders representing diverse geographic and practice settings. Two independent reviewers analyzed interviews using an inductive approach to elucidate themes regarding use of morning report (using NVivo qualitative analysis software). RESULTS: Twelve of 18 respondents reported using morning report, but only 6 of 12 included attending surgeon-to-attending surgeon handoffs. One of 12 incentivized attending surgeons to participate, 2 of 12 included nursing staff members, and 2 of 12 included physician extenders. Cited benefits of morning report were safe and effective information exchange (2 of 12), quality improvement (2 of 12), multidisciplinary discussion (1 of 12), and resident education (2 of 12). Three of 12 respondents cited time commitment as the main limitation of morning report. CONCLUSIONS: Morning report is underused among ACS programs; however, if implemented strategically, it may improve patient care and resident education.
Authors: Doris Kraemer; Stanislaus Reimer; Alexander Hörnlein; Christian Betz; Frank Puppe; Christian Kneitz Journal: Ann Hematol Date: 2005-11-12 Impact factor: 3.673
Authors: Brendon M Stiles; T Brett Reece; Traci L Hedrick; Robert A Garwood; Michael G Hughes; Joseph J Dubose; Reid B Adams; Bruce D Schirmer; Hilary A Sanfey; Robert G Sawyer Journal: Curr Surg Date: 2006 Nov-Dec
Authors: Erica L Mitchell; Dae Y Lee; Sonal Arora; Pat Kenney-Moore; Timothy K Liem; Gregory J Landry; Gregory L Moneta; Nick Sevdalis Journal: Acad Med Date: 2013-06 Impact factor: 6.893
Authors: Mary T Austin; Jose J Diaz; Irene D Feurer; Richard S Miller; Addison K May; Oscar D Guillamondegui; C Wright Pinson; John A Morris Journal: J Trauma Date: 2005-05
Authors: Angela S Earley; John P Pryor; Patrick K Kim; Joseph H Hedrick; Jibby E Kurichi; Amy C Minogue; Seema S Sonnad; Patrick M Reilly; C W Schwab Journal: Ann Surg Date: 2006-10 Impact factor: 12.969
Authors: Erik G Van Eaton; Karen D Horvath; William B Lober; Anthony J Rossini; Carlos A Pellegrini Journal: J Am Coll Surg Date: 2005-04 Impact factor: 6.113
Authors: Heena P Santry; John C Madore; Courtney E Collins; M Didem Ayturk; George C Velmahos; L D Britt; Catarina I Kiefe Journal: J Trauma Acute Care Surg Date: 2015-01 Impact factor: 3.313
Authors: John D Wolfe; James R Gardner; William C Beck; John R Taylor; Avi Bhavaraju; Ben Davis; Mary Katherine Kimbrough; Ronald D Robertson; Saleema A Karim; Kevin W Sexton Journal: Trauma Surg Acute Care Open Date: 2018-09-08
Authors: Heena P Santry; Scott A Strassels; Angela M Ingraham; Wendelyn M Oslock; Kevin B Ricci; Anghela Z Paredes; Victor K Heh; Holly E Baselice; Amy P Rushing; Adrian Diaz; Vijaya T Daniel; M Didem Ayturk; Catarina I Kiefe Journal: BMC Med Res Methodol Date: 2020-10-02 Impact factor: 4.615