What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff.

L I Horwitz; T Moin; H M Krumholz; L Wang; E H Bradley

Study

What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff.

August 19, 2009

Horwitz LI, Moin T, Krumholz HM, et al. Qual Saf Health Care. 2009;18(4):248-55.

View more articles from the same authors.

Signouts among internal medicine housestaff generally did not follow recommended practices, as they were not standardized and were rarely interactive.

PubMed citation

Available at

Related Resources From the Same Author(s)

Consequences of inadequate sign-out for patient care.

September 17, 2008

Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.

November 7, 2012

Changes in outcomes for internal medicine inpatients after work-hour regulations.

June 27, 2007

Transfers of patient care between house staff on internal medicine wards: a national survey.

August 30, 2006

"Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals.

July 18, 2012

"Learning by Doing"—resident perspectives on developing competency in high-quality discharge care.

June 20, 2012

Development and implementation of an oral sign-out skills curriculum.

August 29, 2007

Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error?

September 5, 2012

Hospital-readmission risk--isolating hospital effects from patient effects.

September 20, 2017

Association between hospital penalty status under the Hospital Readmission Reduction Program and readmission rates for target and nontarget conditions.

January 18, 2017

Association of changing hospital readmission rates with mortality rates after hospital discharge.

August 9, 2017

Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population.

January 17, 2018

Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems.

March 8, 2006

Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital.

March 16, 2022

Predictors of warfarin-associated adverse events in hospitalized patients: opportunities to prevent patient harm.

January 13, 2016

Association between end-of-rotation resident transition in care and mortality among hospitalized patients.

December 14, 2016

Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties.

January 15, 2014

Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure.

August 2, 2023

Effectiveness of written hospitalist sign-outs in answering overnight inquiries.

November 20, 2013

Pediatric trainee perspectives on the decision to disclose medical errors.

March 30, 2022

Getting by: underuse of interpreters by resident physicians.

January 28, 2009

Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.

December 19, 2012

Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program.

April 20, 2016

Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention.

August 12, 2020

National trends in patient safety for four common conditions, 2005–2011.

January 29, 2014

Trends in adverse event rates in hospitalized patients, 2010-2019.

July 27, 2022

Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.

March 21, 2012

Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States.

June 22, 2022

Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care.

July 2, 2008

Despite federal legislation, shortages of drugs used in acute care settings remain persistent and prolonged.

May 18, 2016

Delayed time to defibrillation after in-hospital cardiac arrest.

January 16, 2008

The role of physician specialty board certification status in the quality movement.

March 6, 2005

Association between hospital performance on patient safety and 30-day mortality and unplanned readmission for Medicare fee-for-service patients with acute myocardial infarction.

August 3, 2016

Electronic handoff instruments: a truly multidisciplinary tool?

April 9, 2014

How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study.

November 15, 2017

Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.

January 12, 2011

Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study.

November 22, 2017

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

March 21, 2012

An institution-wide handoff task force to standardise and improve physician handoffs.

June 27, 2012

Improving reporting of outpatient pediatric medical errors.

January 30, 2005

Wound-care teams for preventing and treating pressure ulcers.

October 21, 2015

Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey.

July 15, 2009

Identification of in-hospital complications from claims data. Is it valid?

March 6, 2005

Implementation, CPOE, and medication errors.

June 8, 2005

Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice.

February 18, 2015

U.S. adoption of computerized physician order entry systems.

November 30, 2005

A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA.

April 28, 2010

Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery.

September 25, 2013

Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department.

January 11, 2012

Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature.

May 25, 2016

Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study.

November 2, 2022

System factors affecting patient safety in the OR: an analysis of safety threats and resiliency.

August 25, 2021

Design of hospital errors and omissions activities that include patient-specific medication related problems.

April 10, 2019

Nurse prescribing: reflections on safety in practice.

October 10, 2007

Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study.

February 23, 2011

Medication safety in the operating room: literature and expert-based recommendations.

February 22, 2017

More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors in patients with feeding tubes.

April 1, 2015

Using root cause analysis to reduce falls with injury in the psychiatric unit.

March 21, 2012

Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills.

September 14, 2005

The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses.

May 22, 2013

Characteristics of initial prescription episodes and likelihood of long-term opioid use—United States, 2006–2015.

March 29, 2017

A review of significant events analysed in general practice: implications for the quality and safety of patient care.

October 14, 2009

Overnight and postcall errors in medication orders.

July 20, 2005

Investigating the mediating effect of patient self-efficacy on the relationship between patient safety engagement and patient safety in healthcare professionals.

March 22, 2023

Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review.

September 8, 2021

Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.

October 10, 2012

Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT).

July 25, 2018

Patient-specific electronic decision support reduces prescription of excessive doses.

May 26, 2010

Prevalence of copied information by attendings and residents in critical care progress notes.

January 23, 2013

Suicide and suicide attempts on hospital grounds and clinic areas.

August 11, 2021

Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach.

January 16, 2008

A comparison of the effects of different typographical methods on the recognizability of printed drug names.

August 6, 2014

State legal restrictions and prescription-opioid use among disabled adults.

July 20, 2016

Surgeon agreement at the time of handover, a prospective cohort study.

April 27, 2016

Review of alternatives to root cause analysis: developing a robust system for incident report analysis.

September 18, 2019

Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement.

December 8, 2010

Discrepant perceptions of communication, teamwork and situation awareness among surgical team members.

March 23, 2011

Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes.

September 22, 2021

The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients.

May 20, 2020

Surgical complications: disclosing adverse events and medical errors.

January 16, 2013

A war on two fronts: cancer care in the time of COVID-19.

April 22, 2020

Career impact of the chief resident in quality and safety training program: an alumni evaluation

February 26, 2020

A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program.

November 28, 2018

The impact of time at work and time off from work on rule compliance: the case of hand hygiene in health care.

December 3, 2014

Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views.

June 26, 2013

Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards.

June 19, 2013

A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program.

January 28, 2015

May 26, 2021

The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse.

July 24, 2019

Evaluation of the effectiveness of a surgical checklist in Medicare patients.

January 7, 2015

Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence.

July 18, 2012

Evaluation of a physician informatics tool to improve patient handoffs.

July 29, 2009

Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database.

April 20, 2011

Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019.

April 15, 2020

Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.

October 21, 2020

Recommendations of individualized medical treatment and common adverse events management for lung cancer patients during the outbreak of COVID-19 epidemic.

May 13, 2020

Supervision, autonomy, and medical error in the teaching clinic.

January 9, 2019

Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment.

December 6, 2017

Using automated methods to detect safety problems with health information technology: a scoping review.

February 8, 2023

A new method to guard inpatient medication safety by the implementation of RFID.

July 30, 2008

Related Resources

Patient Safety Innovations

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

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

Patient Safety Innovations

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

March 29, 2023

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

May 29, 2019

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

March 28, 2018

Developing a medical emergency team running sheet to improve clinical handoff and documentation.

December 11, 2013

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

May 8, 2013

Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.

December 19, 2012

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

December 12, 2012

"It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital.

November 21, 2012

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

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

Improving Transitions of Care: Hand-off Communications.

July 18, 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

Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools.

February 8, 2012

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

January 25, 2012

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

October 26, 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

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

September 7, 2011

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.

September 7, 2011

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

August 24, 2011

The computerized rounding report: implementation of a model system to support transitions of care.

August 3, 2011

Implementing handoff communication.

June 15, 2011

Shifting indirect patient care duties to after hours in the era of work hours restrictions.

May 11, 2011

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

April 20, 2011

The interrelationship of isolation precautions and adverse events in an acute care facility.

April 20, 2011

See More About The Topic

General Hospitals

Health Care Providers

Quality and Safety Professionals

Internal Medicine

General Internal Medicine

What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff.

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff.

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

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