Format

Send to

Choose Destination
J Gen Intern Med. 2007 Oct;22(10):1470-4. Epub 2007 Aug 3.

Development and implementation of an oral sign-out skills curriculum.

Author information

1
Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, CT, USA. leora.horwitz@yale.edu

Abstract

INTRODUCTION:

Imperfect sign-out of patient information between providers has been shown to contribute to medical error, but there are no standardized curricula to teach sign-out skills. At our institution, we identified several deficiencies in skills and a lack of any existing training.

AIM:

To develop a sign-out curriculum for medical house staff.

SETTING:

Internal medicine residency program.

PROGRAM DESCRIPTION:

We developed a 1-h curriculum and implemented it in August of 2006 at three hospital sites. Teaching strategies included facilitated discussion, modeling, and observed individual practice with feedback. We emphasized interactive communication, a structured sign-out format summarized by an easy-to-remember mnemonic ("SIGNOUT"), consistent inclusion of key content items such as anticipatory guidance, and use of concrete language.

PROGRAM EVALUATION:

We received 34 evaluations. The mean score for the course was 4.44 +/- 0.61 on a 1-5 scale. Perceived usefulness of the structured oral communication format was 4.46 +/- 0.78. Participants rated their comfort with providing oral sign-out significantly higher after the session than before (3.27 +/- 1.0 before vs. 3.94 +/- 0.90 after; p < .001).

DISCUSSION:

We developed an oral sign-out curriculum that was brief, structured, and well received by participants. Further study is necessary to determine the long-term impact of the curriculum.

PMID:
17674110
PMCID:
PMC2305855
DOI:
10.1007/s11606-007-0331-0
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Springer Icon for PubMed Central
Loading ...
Support Center