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Alert 2017 lopreiato - a handover osce to measure skills in transitions of care updated

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a handover osce to measure skills in transitions of care updated

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Alert 2017 lopreiato - a handover osce to measure skills in transitions of care updated

  1. 1. ALERT Presentation: A Handover OSCE to Measure Skills in Transitions of Care Joseph Lopreiato and Kathleen Wortmann Uniformed Services University INSPIRE @ IMSH 2017 – Orlando, FL, USA International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. • Conducting accurate transitions of care between teams is a core competency. • Measuring performance in this domain in the clinical world is difficult and rarely done. • There is a need to gather performance data on trainees in this area in order to offer feedback. International Network for Simulation-based Pediatric Innovation, Research and Education Background
  3. 3. • Population: Pediatric Interns • Intervention: Handover OSCE • Control/Comparison: peers • Outcome(s): Handover skills International Network for Simulation-based Pediatric Innovation, Research and Education PICO / Research Question
  4. 4. • We introduced a handover station into our annual pediatric intern clinical skills examination (CSE). • 126 pediatric interns over three academic years from two different pediatric training programs in the USA. • Seven OSCE stations with five cases portrayed by SPs. • The final station was a handover scenario. • The assessor used a previously validated 10 item observation tool to measure performance after all three cases had been presented (IPASS SCO). International Network for Simulation-based Pediatric Innovation, Research and Education Approach / Design
  5. 5. 3 Year Results Domain (Max possible score) % of Students Who Scored Correctly Patient Summary 90% Severity of Illness 55% Action List 88% Contingency Plan 90% Avoiding miscommunications or transfer of erroneous information 90% Read back key information 67% Encourage the receiver to ask questions to check for understanding 79%
  6. 6. Comparative Results Domain (Max possible score) 2013 (Mean Score) 2016 (Mean Score) T-Tests Overall Handover (50) 72% 82% (p<0.05) Handover Elements Domain (25) 64% 77% (p<0.05) HE+Prioritizing and Engaging Domains (10) 51% 81% (p<0.05) HE+PE+Omissions, Miscommunication and Tangential Domains (15) 81% 91% (p<0.05)
  7. 7. 1. What would make this data seem more exciting? 2. Is it necessary to have a control group? 3. Can the results be generalized? International Network for Simulation-based Pediatric Innovation, Research and Education 3 questions to improve study
  8. 8. • ALERT Presentation: Jan 2017 • IRB Submission - pending • Recruitment / Data Collection: ongoing • Data Analysis: Done • Abstract Presentation: ASPE June 2017 • Manuscript Preparation: not yet International Network for Simulation-based Pediatric Innovation, Research and Education Timeline
  9. 9. At INSPIRE @ IMSH 2017: In 2 months: peer review International Network for Simulation-based Pediatric Innovation, Research and Education Goals to accomplish
  10. 10. Joseph Lopreiato Uniformed Services University joseph.lopreiato@usuhs.edu International Network for Simulation-based Pediatric Innovation, Research and Education Contact Information

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