Improving Signout Accuracy and Information Delivery in the Emergency Department
- Conditions
- Medical Errors Related to Emergency Department Sign Out
- Interventions
- Other: standardized sign out process
- Registration Number
- NCT01859286
- Brief Summary
The investigators sought to determine if implementing a standardized sign out process would reduce the amount of medical errors related to patient sign out. The standardized process included the following interventions: implementation of a data resident to review patients lab values, vital signs, radiologist results, and orders in real time, conducting sign out in a standardized location and using the attending physician as an "interruption manager." The investigators defined medical errors related to sign out as any piece of information was incorrectly reported or omitted during sign out that caused a change in treatment or disposition discussed during sign out. The investigators hypothesis was that implementing a standardized sign out process would lead to a decrease in the amount of sign out related errors.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 321
- ED transfers of care occurring at 0700 or 1900.
- Attending only handovers (1500, 2300)
- Handovers including midlevel providers (Thursday 0700, 1300).
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description regular sign out process standardized sign out process -
- Primary Outcome Measures
Name Time Method Sign out related errors 4 months
- Secondary Outcome Measures
Name Time Method perception of sign out 1 year after implementation of revised sign out process
Trial Locations
- Locations (1)
Memorial Hermann Hospital - Texas Medical Center
🇺🇸Houston, Texas, United States