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Revista Latinoamericana de Simulación Clínica

ISSN 2683-2348 (Electronic)
Federación Latinoamericana de Simulación Clínica y Seguridad del Paciente
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2024, Number 1

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Simulación Clínica 2024; 6 (1)

Scope of clinical simulation to develop the competence ''handoff'' in medical interns

Juárez-Muñoz IE, Oria-Y AM, Bustamante-Fuentes A, Rendón-Macías ME, Juárez-Herrera-Y CLA, Degollado-Bardales L
Full text How to cite this article 10.35366/115801

DOI

DOI: 10.35366/115801
URL: https://dx.doi.org/10.35366/115801

Language: Spanish
References: 20
Page: 11-16
PDF size: 180.91 Kb.


Key words:

clinical simulation, handoff, medical education.

ABSTRACT

Introduction: patient hand off is a common pass on information about patients to the incoming medical internal to residents, lack of this process, entails serious medical mistakes. Simulation has demonstrated to be an effective strategy to develop competences. Material and methods: quasi experimental studio was done, 21 students of Medical School participated. Different scenarios were designed. Students received a theoretical meeting about hand off and had two practices and three evaluations later. Alfa Cronbach and analysis of variance (ANOVA) were applied. Results: 21 students participated. Statistical difference was found between the initial and the two final evaluations subsequently. Conclusion: clinical simulation showed to be an important tool in developing the competence of hands off between the medical interns.


REFERENCES

  1. Tapia J, Pérez JA, Castañeda AK, Soltero P. La simulación, una herramienta para incrementar la seguridad del paciente. Rev Fac Med UNAM. 2018; 61 (Suppl 1): 18-27.

  2. Ariza R, Liceaga G, López J, Halabe J. La Medicina Interna del todo al detalle. Rev Fac Med UNAM. 2018; 61 (Suppl 1): 89-93.

  3. Jin J. Patient handoffs in teaching hospitals. JAMA. 2013; 310 (21): 2356. doi: 10.1001/jama.2013.283483.

  4. Lescinskas E, Stewart D, Shah Ch. Improving handoffs: implementing a training program for incoming internal medicine residents. J Grad Med Educ. 2018; 10 (6): 698-701. doi: 10.4300/JGME-D-18-00244.1.

  5. Higgins JA. The use of simulation for medical student handoff education. J Gen Int Med. 2010; 25 (2): 129-134.

  6. Tervajarvi L, Hutri-Kahonen N, Rautiola AM. Student-LED interprofessional sequential simulation improves communication and teamwork. Nurse Educ Pract. 2021; 51: 102983. doi: 10.1016/j.nepr.2021.102983.

  7. Vázquez A, De Carlo G, Marchetti P, Monopoli D, Montico B, Morgulis N, et al. Pase de guardia: información relevante y toma de decisiones en clínica médica. Estudio Prospectivo. FEM. 2011; 14 (3): 181-187. doi: 10.33588/fem.143.608.

  8. Abbott E, Sepúlveda P, Rojas P. Entrega de turno: un desafío para docentes y residentes. Invest Edu Med. 2015; 4 (14): e24. doi: 10.1016/S2007-5057(15)30075-2.

  9. Farnan JM, Paro JAM, Rodríguez RM, Reddy ST, Horwitz LI, Johnson JK, Arora VM. Hand-off education and evaluation: Piloting the observed simulated hand-off experience (OSHE). J Gen Intern Med. 2010; 25 (2): 129-134. doi: 10.1007/s11606-009-1170-y.

  10. Arora VM, Eastment MC, Bethea ED, Farnan JM, Friedman ES. Participation and experience of third-year medical students in handoffs: time to sign out? J Gen Intern Med. 2013; 28 (8): 994-998. doi: 10.1007/s11606-012-2297-9.

  11. Gaffney S, Farnan JM, Hirsh K, McGinty M, Arora VM. The modified, multi-patient observed simulated handoff experience (M-OSHE): assessment and feedback for entering residents on handoff performance. J Gen Intern Med. 2016; 31 (4): 438-441. doi: 10.1007&s11606-016-3591-8.

  12. Higgins AJ. Team based simulation for medical student handoff education. MedEdPORTAL. 2016; 12: 10486. doi: 10.15766/mep_2374-8265.10486.

  13. Fortún PA. Entrega de guardia, ¿la joya pérdida de la educación en el trabajo? Rev Ciencias Médicas. 2015; 19 (6): 993-995.

  14. Starmer AJ, Spector ND, Srivastava R, West CD, Rosenbluth G, Allen AD, et al. Changes in medical errors after implementation of handoff program. N Engl J Med. 2014; 371 (19): 1803-1812. doi: 10.1056/NEJMsa1405556.

  15. Stamer AJ, Landrigan CP, I-PASS Study Group. Changes in medical errors with handoff program. N Engl J Med. 2015; 372 (5): 490-491. doi: 10.1056/NEJMc1414788.

  16. Colvin MO, Eisen LA, Gong NM. Improving the patient handoff process in intensive care unit: keys to reducing errors and improving outcomes. Semin Resp Crit Care Med. 2016; 37 (1): 96-106. doi: 10.1055/s-0035-1570351.

  17. Jewell JA. Standardization of inpatient handoff communication. Pediatrics. 2016; 138 (5): e20162681. doi: 10.1542/peds.2016.2681.

  18. Parent B, LaGrone NL, Albirair MT, Serina PT, Keller JM, Cuschieri J, et al. Effect of standardized handoff curriculum on improves clinician preparedness in the intensive care unit a stepped wedge cluster ramdomized clinical trial. JAMA Surg. 2018; 153 (5): 464-470. doi: 10.1001/jamasurg.2017.5440.

  19. Charfuelan Y, Hidalgo D, Acosta L, Espejo D, Tibaquicha D, Montaña J, et al. Paso de guardia en enfermería: Una revisión sistemática. Enferm Univ 2019; 16 (3): 313-321. https://doi.org/10.22201/eneo.23958421e.2019.3.689.

  20. Horwitz LI, Dombroski JE, Terrence EM, Farnan JM, Johnson JK, Arora VM. Validation of a handoff assessment tool: the Handoff CEX. J Clin Nurs. 2103; 22 (9-10): 1477-1486. doi: 10.1111/j.1365-2702.2012.04131.x.




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Simulación Clínica. 2024;6