Resumen

SALAS, Ariel A.  y  VELASCO, Víctor Hugo. Implementation of structured handoff communication in a resource-limited pediatric teaching hospital. Rev. bol. ped. [online]. 2015, vol.54, n.2, pp.62-68. ISSN 1024-0675.

Background: Transition of patient care from one provider to another is important to ensure patient safety. Objective: To assess whether implementation of some portions of a standardized handoff program (I-PASS) is feasible in a pediatric teaching hospital where structured handoff communication either verbal or written are not routinely used. Methods: This was a prospective intervention conducted at the Children's Hospital Dr. Ovidio Aliaga Uria. The intervention consisted of a workshop with pediatric residents in which some components of a standardized handoff program were introduced. Pre and post-intervention data were collected. Results: Summary statements (one-liner) were rarely used prior to the intervention. Similarly, contingency plans were never discussed and synthesis by receiver was never required or observed during verbal handoff communication. After completion of the workshop, 19 residents felt competent to recite and describe the individual elements of the IPASS mnemonic. They were also able to list the circumstances in which they would utilize briefs, huddles, and debriefs. The post-intervention assessment showed that structured handoff communication did not prolong duration of rounds and helped to reinforce the plan with nurses, dieticians, and social workers. Conclusion: Structured handoff communication can improve team performance, facilitate development of a shared mental model amongst team members, and potentially improve patient safety without affecting resident workflow adversely.

Palabras clave : program; transition; information; patient; I-PASS.

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