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• W3128359341 abstract "Handoffs are uniquely important on the labor floor where communication is often verbal as opposed to written, reflecting rapid changes in patient status and the need to involve several parties including attending and resident physicians, physician assistants and nurses. Pneumonics such as “SBAR” (Situation, Background, Assessment, Recommendation) and “IPASS” (Illness, Patient, Action, Synthesis, Summary) have been validated as effective methods of structuring patient communication; however are not tailored to reflect the nature of the obstetric population. Our study aims to assess the implementation of an obstetric specific handoff modeled after an established handoff pneumonic. A prospective intervention study was conducted to assess the impact of introducing a handoff pneumonic to residents performing patient handoff on labor and delivery at a major academic medical center. Residents were assessed by an attending utilizing a validated handoff evaluation tool on a scale from 1-9 with 9 representing the highest score. Resident choice on inclusion/exclusion of content, expression of clinical judgment and overall performance were assessed by questions on the tool. The primary intervention was a mid-rotation didactic session in a novel pneumonic IPASS-OB designed to highlight essential patient information specific to labor and delivery patients. Paired t-test analysis was used to analyze resident scores before and after training in the pneumonic. 4 PGY-2 residents were evaluated during the study period. A total of 28 evaluations were completed by 3 unique attending observers. Post intervention scores were significantly higher in the three domains assessed by the survey: content (6.60 v. 4.79 pre intervention, p = 0.022), clinical judgment (6.90 vs. 5.29, p = 0.044) and overall performance (7.14 vs. 5.14, p = 0.036) Resident training in an obstetric specific pneumonic has the potential to improve performance on a validated handoff evaluation tool. The model represents a readily available method to augment a critical component of medical care on the labor floor." @default.
• W3128359341 created "2021-02-15" @default.
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• W3128359341 date "2021-02-01" @default.
• W3128359341 modified "2023-10-14" @default.
• W3128359341 title "802 IPASS-OB: Implementation of a standardized handoff on labor and delivery improves quality" @default.
• W3128359341 doi "https://doi.org/10.1016/j.ajog.2020.12.825" @default.
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