In America, 80-hour workweek was recently adopted to reform medical care and resident education with the benefits of reducing fatigue among physicians and reducing medical errors. The change of work hours also brings new challenge of the continuity of care as residents have to depend more on colleagues to assume the care of patients at different times.
Surveys show that there is no standardised sign-out process and transitions of care among residents as policies and procedures for sign-out practices vary widely among institutions, services and individuals.
The surgical interns at The Johns' Hopkins Hospital carried out a review of current literature on this topic and develop a list for safe and effective sign-outs based on their personal experiences.
Source: "The Top 10 List for a Safe and Effective Sign-out" Archives of Surgery. 2008;143(10):1008-1010
No comments:
Post a Comment