Results: Among 99 residents who underwent warm handoff training, 60 completed the survey, of which, 98% acknowledged that end-of-rotation transitions represent a vulnerable time for patients. The survey confirmed that prior to the intervention, only 5% of residents conducted in-person handoff at the bedside or hospital. After implementation of warm handoffs, 92% of residents participated in warm handoffs at least half the time during end-of-rotation transitions, and 85% perceived warm handoffs to be safer for patients (p <0.001). Among these residents, 98% indicated warm handoffs improved their knowledge and comfort level of patients (p<0.001) on the first day of a new rotation as compared to prior signout techniques. 95% of residents surveyed acknowledged that warm handoffs required additional time as compared to prior signout techniques; however, 88% signified they were worthwhile despite requiring additional time (p<0.001).
Conclusions: Warm handoffs represent a novel strategy to potentially mitigate the risk associated with end-of-rotation transitions in care. Residents overwhelmingly responded that warm handoffs resulted in perceived safer handoffs and that the additional time required to perform warm handoff was worthwhile. Although the impact of warm handoff on patient outcomes is unknown, the resident survey results are encouraging and suggest care transitions are safer.
To cite this abstract:Saag, HS; Chen, J; Denson, JL; Jones, S; Cocks, P . WARM HANDOFFS: A STRATEGY TO IMPROVE END-OF-ROTATION CARE TRANSITIONS AMONG HOUSESTAFF. Abstract published at Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev. Abstract 264. Journal of Hospital Medicine. 2017; 12 (suppl 2). https://www.shmabstracts.com/abstract/warm-handoffs-a-strategy-to-improve-end-of-rotation-care-transitions-among-housestaff/. Accessed March 29, 2020.