Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Erik G. Van Eaton; Karen McDonough; William B. Lober; Eric A Johnson; Carlos A. Pellegrini; Karen D. Horvath

Study

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

July 14, 2010

Van Eaton EG, McDonough K, Lober WB, et al. Academic Medicine. 2010;85(7).

View more articles from the same authors.

Use of a computerized rounding and signout system improved continuity and resident efficiency in inpatient resident teams at two hospitals. However, this study found no significant reduction in voluntarily reported errors or adverse events.

Available at

PubMed citation

Related Resources From the Same Author(s)

A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours.

April 27, 2005

Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care.

February 7, 2007

The aging physician and the medical profession: a review.

August 9, 2017

Perspective: ten thousand hours to patient safety, sooner or later.

January 30, 2005

Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial.

January 24, 2018

Patient safety: Part II. Opportunities for improvement in patient safety.

August 19, 2009

Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns.

January 30, 2013

Evaluation of wound photography for remote postoperative assessment of surgical site infections.

November 7, 2018

Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study.

October 7, 2009

Reasons for after-hours calls by hospital floor nurses to on-call physicians.

May 30, 2007

Managing the adverse event occurring during elective, ambulatory pediatric surgery.

May 20, 2009

Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals.

December 17, 2008

About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices.

September 26, 2018

Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time? A randomized controlled trial.

September 4, 2013

Consensus bundle on prevention of surgical site infections after major gynecologic surgery.

December 21, 2016

Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.

July 11, 2012

Quality and safety: learning from the past and (re)imagining the future.

March 29, 2023

Electronic results management in pediatric ambulatory care: qualitative assessment.

January 28, 2009

New persistent opioid use after postoperative intensive care in US veterans.

June 19, 2019

Preventing medical injury.

March 27, 2005

Making electronic health records both SAFER and SMARTER.

July 27, 2022

January 19, 2011

Impact of duty hour regulations on medical students' education: views of key clinical faculty.

July 23, 2008

Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the Academic Hospitalist Taskforce.

July 17, 2013

Incivility and clinical performance, teamwork, and emotions: a randomized controlled trial.

May 22, 2019

A multihospital safety improvement effort and the dissemination of new knowledge.

March 6, 2005

Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence.

April 2, 2014

Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.

April 22, 2015

Hospital readmission after noncardiac surgery: the role of major complications.

March 19, 2014

Planning and implementing a systems-based patient safety curriculum in medical education.

August 13, 2008

Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment.

July 2, 2008

Analysis of errors enacted by surgical trainees during skills training courses.

July 27, 2005

Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting.

January 8, 2020

The emotional impact of medical errors on practicing physicians in the United States and Canada.

August 1, 2007

Incidence of adverse drug events and potential adverse drug events: implications for prevention.

March 27, 2005

Surgical safety checklist compliance: a job done poorly!

September 11, 2013

Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems.

January 28, 2015

Errors during the preparation of drug infusions: a randomized controlled trial.

August 22, 2012

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.

June 2, 2010

Injury and liability associated with monitored anesthesia care: a closed claims analysis.

February 15, 2006

Management of the difficult airway: a closed claims analysis.

July 13, 2005

Liability associated with obstetric anesthesia: a closed claims analysis.

January 21, 2009

A safe practice standard for barcode technology.

June 3, 2015

Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy.

July 9, 2014

Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward.

February 22, 2006

Risks related to patient bed safety.

November 14, 2012

The economic consequences of medical injuries: implications for a no-fault insurance plan.

March 6, 2005

Safety incidents in family medicine.

September 28, 2011

A handoff is not a telegram: an understanding of the patient is co-constructed.

March 7, 2012

Hospital readmission and parent perceptions of their child's hospital discharge.

September 4, 2013

Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort.

July 15, 2015

Implementation of bar-code medication administration to reduce patient harm.

February 20, 2019

An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history.

November 20, 2013

Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel.

August 8, 2018

Doing the right things and doing them the right way: association between hospital guideline adherence, dosing safety, and outcomes among patients with acute coronary syndrome.

June 3, 2015

Prevalence of medication transfer errors in nephrology patients and potential risk factors.

November 6, 2019

Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system.

February 21, 2024

Medication administration quality and health information technology: a national study of US hospitals.

November 23, 2011

Patient safety concerns arising from test results that return after hospital discharge.

July 27, 2005

Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level.

November 25, 2015

Safety issues in combined gynecologic and plastic surgical procedures.

August 15, 2007

Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors.

July 27, 2005

Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention.

April 12, 2017

How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting.

March 6, 2005

Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning.

November 4, 2015

Joy in medical practice: clinician satisfaction in the Healthy Work Place trial.

November 1, 2017

Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care

October 2, 2019

Doctors debate safety of their white coats.

December 2, 2015

Working conditions in primary care: physician reactions and care quality.

July 22, 2009

Putting the 'patient' in patient safety: a qualitative study of consumer experiences.

June 15, 2011

Health care professionals' perceptions of unprofessional behaviour in the clinical workplace.

March 1, 2023

Is safety a subject for science?

September 11, 2013

Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights.

February 26, 2020

Perspectives in quality: designing the WHO Surgical Safety Checklist.

September 1, 2010

A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system.

December 16, 2009

Developing and implementing new safe practices: voluntary adoption through statewide collaboratives.

August 16, 2006

Incident learning in radiation oncology: a review.

August 15, 2018

Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations.

March 10, 2010

'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales.

August 26, 2015

Physicians' responses to clinical decision support on an intensive care unit—comparison of four different alerting methods.

November 20, 2013

Establishing a rapid response team (RRT) in an academic hospital: one year's experience.

November 29, 2006

Physicians and electronic health records: a statewide survey.

March 21, 2007

Associations between attending physician workload, teaching effectiveness, and patient safety.

February 3, 2016

Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit.

July 19, 2006

Validation of a secondary screener for suicide risk: results from the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE).

June 17, 2020

Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays.

July 20, 2016

Why psychiatry is different--challenges and difficulties in managing a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care.

January 20, 2021

Urban outpatient views on quality and safety in primary care.

November 9, 2005

Clostridium Difficile infection in the United States: a national study assessing preventive practices used and perceptions of practice evidence.

May 20, 2015

Clinical decision support: a 25 year retrospective and a 25 year vision.

September 14, 2016

How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients?

April 19, 2006

Preventing communication errors in telephone medicine.

October 12, 2005

Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial.

March 17, 2021

Morbidity and mortality conference in emergency medicine residencies and the culture of safety.

December 9, 2015

Posthospital medication discrepancies: prevalence and contributing factors.

September 21, 2005

Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series.

September 5, 2012

Impact of pharmacist previsit input to providers on chronic opioid prescribing safety.

March 14, 2018

For whom the Bell Commission tolls: unintended effects of limiting residents' hours.

November 11, 2009

Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia?

February 3, 2010

Pharmacy–nursing intervention to improve accuracy and completeness of medication histories.

April 28, 2010

Related Resources

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study.

June 14, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Danger in discharge summaries: abbreviations create confusion for both author and recipient.

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Interview

In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

Patient and physician experience with interhospital transfer: a qualitative study.

May 29, 2019

WebM&M Cases

Written Signout: It Only Works If You Use The Right One

November 1, 2018

Patient safety outcomes after two years of an enhanced internal medicine residency clinic handoff.

March 28, 2018

Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program.

June 22, 2016

Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education.

September 17, 2014

Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs.

June 25, 2014

Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ).

May 8, 2013

Implementing peer evaluation of handoffs: associations with experience and workload.

February 27, 2013

Review of computerized physician handoff tools for improving the quality of patient care.

December 12, 2012

Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams.

November 14, 2012

Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals.

October 24, 2012

Research on nursing handoffs for medical and surgical settings: an integrative review.

July 25, 2012

Impact of resident workload and handoff training on patient outcomes.

April 4, 2012

The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity of care.

March 21, 2012

Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements.

March 14, 2012

Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.

January 25, 2012

Creating a web-based incident analysis and communication system.

November 2, 2011

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.

October 19, 2011

Factors associated with disclosure of medical errors by housestaff.

October 12, 2011

Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited.

October 5, 2011

Physician reporting of clinically significant events through a computerized patient sign-out system.

September 14, 2011

Physicians-in-training attitudes on patient safety: 2003 to 2008.

September 7, 2011

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists.

August 24, 2011

See More About The Topic

General Hospitals

Health Care Providers

Quality and Safety Professionals

Information Professionals

Educators

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site