Commentary Time to sign off on signout. Citation Text: Stein DM, Stetson PD. Commentary: time to sign off on signout. Acad Med. 2011;86(7):804-6. doi:10.1097/ACM.0b013e31821d8409. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL July 20, 2011 Stein DM, Stetson PD. Acad Med. 2011;86(7):804-6. View more articles from the same authors. This commentary suggests standardized sign-outs can improve communication and handoffs. PubMed citation Available at Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Stein DM, Stetson PD. Commentary: time to sign off on signout. Acad Med. 2011;86(7):804-6. doi:10.1097/ACM.0b013e31821d8409. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. July 11, 2012 Policy and the future of adverse event detection using information technology. March 6, 2005 Promising roles for pharmacists in addressing the U.S. opioid crisis. February 14, 2018 Variation in the reporting of elective surgeries and its influence on patient safety indicators. July 6, 2022 Board of pharmacy practices related to medication errors and their potential impact on patient safety. August 1, 2018 The Swiss cheese model of adverse event occurrence—closing the holes. January 13, 2016 Consumer rankings and health care: toward validation and transparency. October 12, 2016 Technology induced error and usability: the relationship between usability problems and prescription errors when using a handheld application. September 7, 2005 Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. June 6, 2012 Time to listen: a review of methods to solicit patient reports of adverse events. April 14, 2010 Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. August 30, 2017 Communication errors in dispatch of air medical transport. December 8, 2010 Differences in medication errors between central and remote site telepharmacies. October 17, 2012 Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project. September 21, 2011 Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery. November 18, 2015 Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. July 19, 2017 Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. November 18, 2020 In search of common ground in handoff documentation in an intensive care unit. May 23, 2012 The Daily Plan: including patients for safety's sake. April 11, 2012 Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. November 17, 2016 Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. May 3, 2006 Rapid response systems: should we still question their implementation? May 8, 2013 Root cause analysis of ambulatory adverse drug events that present to the emergency department. May 7, 2014 Outpatient opioid prescriptions for children and opioid-related adverse events. August 8, 2018 The link between clinically validated patient safety indicators and clinical outcomes. January 10, 2018 Impact of attending physician workload on patient care: a survey of hospitalists. February 6, 2013 Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. March 6, 2005 Physician understanding and ability to communicate harms and benefits of common medical treatments. September 14, 2016 A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). July 31, 2013 Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. January 16, 2008 Inpatient suicide and suicide attempts in Veterans Affairs hospitals. August 20, 2008 Potentially inappropriate opioid prescribing, overdose, and mortality in Massachusetts, 2011–2015. October 3, 2018 Essay: the political logic of regulatory error. November 30, 2005 Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled? September 5, 2012 A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. November 1, 2017 Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. March 7, 2007 Resident work hour limits and patient safety. June 8, 2005 Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. November 25, 2015 Using root cause analysis to reduce falls with injury in the psychiatric unit. March 21, 2012 Using root cause analysis to reduce falls with injury in community settings. August 1, 2012 The patient died: what about involvement in the investigation process? June 24, 2020 Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. September 23, 2020 Reportable incidents. March 25, 2009 Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle. June 22, 2016 Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. October 30, 2013 Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. November 30, 2016 A team disclosure of error educational activity: objective outcomes. June 5, 2019 Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. August 17, 2011 Improving incident reporting among physician trainees. September 28, 2016 Nursing crew resource management: a follow-up report from the Veterans Health Administration. March 13, 2013 The application of the Global Trigger Tool: a systematic review. October 26, 2016 Why don't we know whether care is safe? April 10, 2013 Suicide attempts and completions on medical-surgical and intensive care units. January 29, 2014 Suicide and suicide attempts on hospital grounds and clinic areas. August 11, 2021 Delays in care during the COVID-19 pandemic in the Veterans Health Administration. May 3, 2023 Rapid response teams—walk, don't run. October 11, 2006 Development of the pharmacy safety climate questionnaire: a principal components analysis. March 11, 2009 National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. August 25, 2010 Measuring patient safety in the emergency department. June 19, 2013 A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. February 17, 2010 Risk factors for hospital admissions associated with adverse drug events. August 28, 2013 Improving patient safety and optimizing nursing teamwork using crew resource management techniques. March 14, 2012 Awareness and use of a cognitive aid for anesthesiology. September 19, 2007 Outcomes of care by hospitalists, general internists, and family physicians. January 2, 2008 Body CT: technical advances for improving safety. August 3, 2011 The association between EMS workplace safety culture and safety outcomes. October 19, 2011 Infection prevention in the emergency department. November 12, 2014 Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. July 9, 2008 The checklist--a tool for error management and performance improvement. November 29, 2006 Informatics opportunities: the intersection of patient safety and clinical informatics. May 14, 2008 Medicare's policy not to pay for treating hospital-acquired conditions: the impact. September 30, 2009 Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. June 23, 2021 Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. May 24, 2023 Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. June 1, 2022 Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. November 30, 2022 Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. April 15, 2015 Using an inpatient portal to engage families in pediatric hospital care. June 29, 2016 A framework for health care organizations to develop and evaluate a safety scorecard. November 7, 2007 A review of best practices for intravenous push medication administration. December 20, 2017 Unintended patient safety risks due to wireless smart infusion pump library update delays. March 13, 2019 Resident attitudes regarding the impact of the 80–duty-hours work standards. September 14, 2005 Registration-associated patient misidentification in an academic medical center: causes and corrections. January 10, 2007 Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. April 10, 2024 Educating for the 21st-century health care system: an interdependent framework of basic, clinical, and systems sciences. March 29, 2017 Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. September 27, 2017 An exploratory study measuring verbal order content and context. June 10, 2009 The association between patient safety culture and adverse events - a scoping review. May 17, 2023 Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. December 8, 2010 Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. May 28, 2014 Veterans Health Administration response to the COVID-19 crisis: surveillance to action. October 26, 2022 Review of alternatives to root cause analysis: developing a robust system for incident report analysis. September 18, 2019 Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. November 17, 2021 A multihospital safety improvement effort and the dissemination of new knowledge. March 6, 2005 Detecting adverse drug events through data mining. March 24, 2010 The frequency of missed test results and associated treatment delays in a highly computerized health system. June 6, 2007 Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. September 12, 2018 Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. January 22, 2014 Sleep quality and fatigue among prehospital providers. April 7, 2010 Hospitalist handoffs: a systematic review and task force recommendations. September 30, 2009 Patient perceptions of receiving test results via online portals: a mixed-methods study. January 17, 2018 View More Related Resources Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023 Interview In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD November 16, 2022 Making electronic health records both SAFER and SMARTER. July 27, 2022 Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study. October 14, 2020 Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems. August 12, 2020 Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. August 5, 2020 WebM&M Cases Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing June 24, 2020 Information transfer at hospital discharge: a systematic review. April 15, 2020 How common mental shortcuts can cause major physician errors. March 4, 2020 Annual Perspective Patient Safety in Primary Care February 21, 2020 Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. August 28, 2019 Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. August 21, 2019 Performing an inadvertent procedure. January 30, 2019 WebM&M Cases Written Signout: It Only Works If You Use The Right One November 1, 2018 Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. October 24, 2018 Potential biases in machine learning algorithms using electronic health record data. August 29, 2018 A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. February 8, 2017 Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. August 31, 2016 Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record. July 20, 2016 Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. June 22, 2016 An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool. June 8, 2016 Missing clinical and behavioral health data in a large electronic health record (EHR) system. May 11, 2016 Interview In Conversation With… Vineet Arora, MD, MAPP September 1, 2015 Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. March 18, 2015 Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. September 17, 2014 Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. August 13, 2014 Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. April 30, 2014 Electronic handoff instruments: a truly multidisciplinary tool? April 9, 2014 We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication. March 19, 2014 View More See More About The Topic Hospitals Physicians Quality and Safety Professionals Information Professionals General Internal Medicine View More
Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. July 11, 2012
Variation in the reporting of elective surgeries and its influence on patient safety indicators. July 6, 2022
Board of pharmacy practices related to medication errors and their potential impact on patient safety. August 1, 2018
Technology induced error and usability: the relationship between usability problems and prescription errors when using a handheld application. September 7, 2005
Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. June 6, 2012
Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. August 30, 2017
Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project. September 21, 2011
Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery. November 18, 2015
Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. July 19, 2017
Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. November 18, 2020
Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. November 17, 2016
Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. May 3, 2006
Root cause analysis of ambulatory adverse drug events that present to the emergency department. May 7, 2014
The link between clinically validated patient safety indicators and clinical outcomes. January 10, 2018
Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. March 6, 2005
Physician understanding and ability to communicate harms and benefits of common medical treatments. September 14, 2016
A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). July 31, 2013
Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. January 16, 2008
Potentially inappropriate opioid prescribing, overdose, and mortality in Massachusetts, 2011–2015. October 3, 2018
Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled? September 5, 2012
A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. November 1, 2017
Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. November 25, 2015
Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. September 23, 2020
Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle. June 22, 2016
Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. October 30, 2013
Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. November 30, 2016
Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. August 17, 2011
Nursing crew resource management: a follow-up report from the Veterans Health Administration. March 13, 2013
Development of the pharmacy safety climate questionnaire: a principal components analysis. March 11, 2009
National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. August 25, 2010
Improving patient safety and optimizing nursing teamwork using crew resource management techniques. March 14, 2012
Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. July 9, 2008
Medicare's policy not to pay for treating hospital-acquired conditions: the impact. September 30, 2009
Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. June 23, 2021
Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. May 24, 2023
Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. June 1, 2022
Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. November 30, 2022
Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. April 15, 2015
A framework for health care organizations to develop and evaluate a safety scorecard. November 7, 2007
Unintended patient safety risks due to wireless smart infusion pump library update delays. March 13, 2019
Registration-associated patient misidentification in an academic medical center: causes and corrections. January 10, 2007
Educating for the 21st-century health care system: an interdependent framework of basic, clinical, and systems sciences. March 29, 2017
Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. September 27, 2017
Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. December 8, 2010
Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. May 28, 2014
Veterans Health Administration response to the COVID-19 crisis: surveillance to action. October 26, 2022
Review of alternatives to root cause analysis: developing a robust system for incident report analysis. September 18, 2019
Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. November 17, 2021
The frequency of missed test results and associated treatment delays in a highly computerized health system. June 6, 2007
Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. September 12, 2018
Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. January 22, 2014
Patient perceptions of receiving test results via online portals: a mixed-methods study. January 17, 2018
Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023
Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023
Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study. October 14, 2020
Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. August 5, 2020
WebM&M Cases Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing June 24, 2020
Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. August 28, 2019
Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. August 21, 2019
Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. October 24, 2018
A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. February 8, 2017
Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. August 31, 2016
Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record. July 20, 2016
Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. June 22, 2016
An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool. June 8, 2016
Missing clinical and behavioral health data in a large electronic health record (EHR) system. May 11, 2016
Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. September 17, 2014
Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. August 13, 2014
Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. April 30, 2014
We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication. March 19, 2014