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Full-Text Articles in Public Administration
The Impact Of Duty Cycle Workflow On Sign-Out Practices: A Qualitative Study Of An Internal Medicine Residency Program In Maryland, Usa, Soo-Hoon Lee, Sanjay V. Desai, Philip H. Phan
The Impact Of Duty Cycle Workflow On Sign-Out Practices: A Qualitative Study Of An Internal Medicine Residency Program In Maryland, Usa, Soo-Hoon Lee, Sanjay V. Desai, Philip H. Phan
Management Faculty Publications
OBJECTIVES: Although JCAHO requires a standardised approach to handoffs, and while many standardised protocols have been tested, sign-out practices continue to vary. We believe this is due to the variability in workflow during inpatient duty cycle. We investigate the impact of such workflows on intern sign-out practices.
DESIGN: We employed a prospective, grounded theory mixed-method design.
SETTING: The study was conducted at a residency programme in the mid-Atlantic USA. Two observers randomly evaluated three types of daily sign-outs for 1 week every 3 months from September 2013 to March 2014. The compliance of each observed behaviour to JCAHO's Handoff Communication …