| Interns overestimate the effectiveness of their hand-off communication. | |
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MedLine Citation:
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PMID: 20142285 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Theories from the psychology of communication may be applicable in understanding why hand-off communication is inherently problematic. The purpose of this study was to assess whether postcall pediatric interns can correctly estimate the patient care information and rationale received by on-call interns during hand-off communication. METHODS: Pediatric interns at the University of Chicago were interviewed about the hand-off. Postcall interns were asked to predict what on-call interns would report as the important pieces of information communicated during the hand-off about each patient, with accompanying rationale. Postcall interns also guessed on-call interns' rating of how well the hand-offs went. Then, on-call interns were asked to list the most important pieces of information for each patient that postcall interns communicated during the hand-off, with accompanying rationale. On-call interns also rated how well the hand-offs went. Interns had access to written hand-offs during the interviews. RESULTS: We conducted 52 interviews, which constituted 59% of eligible interviews. Seventy-two patients were discussed. The most important piece of information about a patient was not successfully communicated 60% of the time, despite the postcall intern's believing that it was communicated. Postcall and on-call interns did not agree on the rationales provided for 60% of items. In addition, an item was more likely to be effectively communicated when it was a to-do item (65%) or an item related to anticipatory guidance (69%) compared with a knowledge item (38%). Despite the lack of agreement on content and rationale of information communicated during hand-offs, peer ratings of hand-off quality were high. CONCLUSIONS: Pediatric interns overestimated the effectiveness of their hand-off communication. Theories from communication psychology suggest that miscommunication is caused by egocentric thought processes and a tendency for the speaker to overestimate the receiver's understanding. This study demonstrates that systematic causes of miscommunication may play a role in hand-off quality. |
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Authors:
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Vivian Y Chang; Vineet M Arora; Shiri Lev-Ari; Michael D'Arcy; Boaz Keysar |
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Publication Detail:
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Type: Journal Article Date: 2010-02-08 |
Journal Detail:
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Title: Pediatrics Volume: 125 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-03-02 Completed Date: 2010-04-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: 491-6 Citation Subset: AIM; IM |
Affiliation:
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5841 S Maryland Ave, MC 2007, AMB B217, Chicago, IL 60637, USA. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Communication* Internship and Residency* Interprofessional Relations* Pediatrics* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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