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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 6/2017

01-06-2017 | Capsule Commentary

Capsule Commentary on Duong et al., Exploring Physician Perspectives of Residency Holdover Handoffs: a Qualitative Study to Understand an Increasingly Important Type of Handoff

Author: Gregory M. Bump, MD, FACP

Published in: Journal of General Internal Medicine | Issue 6/2017

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Excerpt

Hold-over admissions are common during internal medicine training. A hold-over patient is one admitted in the evening hours by a night team who transfers patient care responsibility to a day team the next morning. While multi-center studies are lacking, single-center studies suggest that 40–45% of residency general medicine admissions are hold-overs.1 , 2 Discontinuity of care, when patients are admitted by one team and handed off to another team, is error prone. Despite the regularity of hold-over admissions, very little is known about how to approach them differently than other hand-offs. What can we do to make them safe? What can we do to make them educational? Duong et al.1 offer practical answers. …
Literature
1.
Duong JA, Jensen TP, Morduchowicz S, Mourad M, Harrison JD, Ranji SR. Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. J Gen Intern Med. doi: 10.​1007/​s11606-017-4009-y
2.
Bump GM, Zimmer SM, McNeil MA, Elnicki DM. Hold-over admissions: are they educational for residents? J Gen Intern Med. 2013;29(3):467–7.
3.
Bilimoria KY, Chung JW, Hedges LV, et al. National cluster-randomized trial of duty-hour flexibility in surgical training. N Engl J Med. 2016;374:713–727.CrossRefPubMed
4.
5.
Metadata
Title
Capsule Commentary on Duong et al., Exploring Physician Perspectives of Residency Holdover Handoffs: a Qualitative Study to Understand an Increasingly Important Type of Handoff
Author
Gregory M. Bump, MD, FACP
Publication date
01-06-2017
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 6/2017
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-017-4016-z

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