Organizing the transfer of patient care information: the development of a computerized resident sign-out system

Surgery
Erik G Van EatonCarlos A Pellegrini

Abstract

The problem of safe and efficient transfer of care has increased over the years as new and complex diagnostic tools and more complex treatment options became available. Traditionally, residents ensured continuity of care by working long hours and minimizing the transfer of significant diagnostic or therapeutic responsibilities to other providers. The new 80-hour workweek has curtailed that practice and increased the pressure on trainees for workflow efficiency. We report on a study of information-handling routines among residents for the separate tasks of transfer of care ("sign-out") and daily patient care work (ward work). Using these results, an institution-wide computerized system was developed to centralize information-handling tasks and facilitate the management and transfer of patient care information. House staff from 31 resident-run inpatient and consult services at 2 teaching hospitals described current methods of maintaining patient information used during ward rounds and during sign-out. A subgroup of 28 residents then participated in the design of a computerized resident sign-out system to centralize patient information and produce lists for rounding and transferring care duties. Accuracy, flexibility, and portabil...Continue Reading

References

Nov 1, 1990·Journal of General Internal Medicine·R P LofgrenE C Rich
Dec 1, 1994·Annals of Internal Medicine·L A PetersenT H Lee
Dec 1, 1996·Journal of General Internal Medicine·L H LeeH J Schultz
May 1, 1997·Journal of General Internal Medicine·C H GriffithE C Rich
Jan 16, 2002·The American Journal of Medicine·L GoldmanW F Whitcomb
Oct 12, 2002·Journal of the American College of Surgeons·Catherine B BardenThomas J Fahey
Feb 28, 2003·The New England Journal of Medicine·Kevin G M Volpp, David Grande

❮ Previous
Next ❯

Citations

Jul 29, 2005·Journal of the American Medical Informatics Association : JAMIA·Eta S Berner, Jacqueline Moss
Feb 28, 2006·Journal of the American Medical Informatics Association : JAMIA·Ayse P Gurses, Yan Xiao
Aug 19, 2014·The Journal of Emergency Medicine·Nicole M DuboshCarrie D Tibbles
Jan 29, 2011·Journal of Perinatology : Official Journal of the California Perinatal Association·J P PalmaC A Longhurst
Oct 27, 2007·Journal of General Internal Medicine·Vineet AroraDavid Meltzer
Aug 24, 2006·Annals of Surgery·Carlos A Pellegrini
Mar 7, 2009·Critical Care : the Official Journal of the Critical Care Forum·James C FacklerPeter Pronovost
Jan 13, 2010·Journal of the American Medical Informatics Association : JAMIA·Thomas H PayneMardi C Labuguen
Mar 2, 2013·Journal of Graduate Medical Education·John Charles O'HoroMark A Gennis
Dec 29, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Madhumita SinhaPaul A Blackburn
Mar 31, 2009·Teaching and Learning in Medicine·Stephen M SalernoJeremy P Domanski
Dec 27, 2011·NeoReviews·Jonathan P PalmaChristopher A Longhurst
Aug 19, 2011·Informatics for Health & Social Care·Dimitri A RaptisPaul B Boulos
Mar 3, 2012·World Neurosurgery·Aria FallahMark Bernstein
Feb 5, 2011·Journal of Surgical Education·Clancy J ClarkRichard P Koehler
Sep 11, 2010·The Journal of Surgical Research·Lori FilichiaJuan Cendan
Apr 7, 2010·The American Journal of Medicine·Christopher NaborsWilliam H Frishman
Dec 9, 2008·Journal of Surgical Education·Jeffrey D WayneDebra A Darosa
Mar 27, 2007·Journal of the American College of Surgeons·Caprice C GreenbergAtul A Gawande
Sep 16, 2009·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Vineet M AroraSunil Kripalani
Mar 1, 2006·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·David W Page
Oct 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Urmimala SarkarMichael Blum
Jan 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Arpana R VidyarthiRobert M Wachter
Nov 22, 2012·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Pin LiHenry Thomas Stelfox
Nov 5, 2013·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Aarti C BavareMona L McPherson
Apr 27, 2013·The Laryngoscope·Matthew P ConnorJoseph Brennan
Mar 5, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Will M SchoutenDeanne T Kashiwagi
Mar 31, 2006·Journal of the American College of Surgeons·Katherine C KelloggStanley W Ashley
Jan 15, 2016·Applied Clinical Informatics·K A MichelsonF Bourgeois
Aug 30, 2005·Current Surgery·Elizabeth BreenStanley W Ashley
May 28, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Glenn RosenbluthUNKNOWN I-PASS Study Education Executive Committee
Jun 11, 2015·American Journal of Surgery·Philip H PucherAra Darzi
Oct 6, 2009·Annals of Emergency Medicine·Dickson S CheungUNKNOWN Section of Quality Improvement and Patient Safety, American College of Emergency Physicians
Oct 19, 2006·Pediatric Emergency Care·Jonathan I Singer, Jase Dean
Aug 9, 2017·BMJ Quality & Safety·Rahul NanchalKathlyn E Fletcher
Apr 9, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Bhavna Gakhar, Abby L Spencer
Jul 2, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Erik G Van EatonKaren D Horvath
Dec 17, 2009·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Deborah L RabinovitchMark Bernstein
Nov 27, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Carl A PatowJamie S Padmore
Nov 27, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Lee Ann RiesenbergKelly P Karpovich
Sep 11, 2012·Journal of the American Medical Informatics Association : JAMIA·Brian Hilligoss, Kai Zheng
Sep 3, 2013·Journal of Graduate Medical Education·Michael J DonnellyNeil J Weissman
Feb 4, 2014·Advanced Emergency Nursing Journal·Linda M Watkins, Patricia A Patrician
Mar 1, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Christopher M DeRienzoUNKNOWN Duke University Health System Graduate Medical Education Patient Safety and Quality Council

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Related Papers

Academic Medicine : Journal of the Association of American Medical Colleges
Darrell J SoletRichard M Frankel
Archives of Surgery
Clinton D KempJulie A Freischlag
Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine
Arpana R VidyarthiRobert M Wachter
© 2022 Meta ULC. All rights reserved