In July 2003 the ACGME 80/30 work hour regulations went into effect. To maintain compliance with these regulations, new systems of care that might include cross cover and patient handoffs were created. Cross cover is defined as the care provided by a physician while the primary physician team is out of the hospital. Handoffs occur when a physician admits a patient and transfers the patient's care to another team of physicians, who assume care of the patient until discharge. At our institution, a night team of house staff covers admissions after 10
Over a 5‐week period from November 20 to December 24, 2006, the time of admission, admitting physician, and final medicine ward team of all patients were collected. During this period, 390 patients were admitted to the general medical service. One hundred and eight‐three patients (47%) were handed off to a general medicine team. Patient admission time demonstrated that 188 patients (49%) were admitted between 5
The 80/30 work hour regulations were created to improve patient safety and resident well‐being. Their implementation resulted in increased cross cover and patient handoffs. At our institution handoffs on the general medicine wards made up 47% of all patient admissions. The ability to identify the incidence of handoffs via collection of patient admission data led to the creation of a new admitting structure that will benefit house staff training and continuity of patient care.
P. Gibbons, None.
To cite this abstract:Gibbons P. Creation of a New Admitting Structure to Minimize Patient Handoffs at a University‐Affiliated Teaching Hospital. Abstract published at Hospital Medicine 2007, May 23-25, Dallas, Texas Abstract 82. Journal of Hospital Medicine. 2007; 2 (suppl 2). https://www.shmabstracts.com/abstract/creation-of-a-new-admitting-structure-to-minimize-patient-handoffs-at-a-universityaffiliated-teaching-hospital/. Accessed December 15, 2019.