5/25/2023 Grand Rounds

Implementation of daily huddles and coordinated sign-out documentation on a neuromodulation service to improve patient care and resident learning/engagement

Speakers:


Edom Seyoum, MD

PGY 4, BU School of Medicine/BMC Psychiatry

Charlie Ventriglia, MD
PGY 4, BU School of Medicine/BMC Psychiatry

Haley Euting, MD
PGY-4 and Chief Resident, BU School of Medicine/BMC Psychiatry

This project was conducted on the neuromodulation service at the Boston VA health system. The neuromodulation service regularly follows up with patients in between treatments to assess symptoms/side effects. Due to the increase in patient volume, the number of necessary follow up encounters has increased. These encounters are brief and only recorded in the patient’s chart which makes them difficult to refer to when coordinating patient care in clinic. Secondly, due to changes in resident rotation sites, there has been an increase in resident turnover. This turnover makes it difficult for new residents to integrate themselves on the service in a timely and productive manner. The aim of the study is to assess whether implementing a daily, formal team huddle with regularly updated sign-out documentation will result in improved resident learning/engagement (as measured by pre/post-intervention assessments) as well as metrics pertaining to patient care such as post-treatment contact encounters (as measured by chart review).

Learning Objectives:
    1. Describe the current literature on the effect of signout documentation and team huddles on care collaboration and delivery.
    2. Identify potential challenges associated with implementation of standardized signout and/or huddles in clinical settings.
    3. Discuss interventions that improve the incorporation of rotating health professional trainees into a busy longitudinal clinical practice.