Utility of a standardized sign-out card for new medical interns

被引:52
作者
Lee, LH [1 ]
Levine, JA [1 ]
Schultz, HJ [1 ]
机构
[1] MAYO CLIN & MAYO FDN,DEPT INTERNAL MED,ROCHESTER,MN 55905
关键词
continuity of patient care; internship; residency; graduate medical education;
D O I
10.1007/BF02598991
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Conscientious sign-out between medical interns is important for the continuity of care of hospitalized patients, We developed a standardized sign-out card that prompted the intern going off duty to transmit patient care information to the intern on call, The card was tested in a prospective, randomized, controlled trial in which one group of interns used the card, and another group did not, Any instance of poor sign-out was reported on a questionnaire completed by the intern who had been on call the previous night, The group using the sign-out cards reported poor sign-out on 8 nights (5.8% of questionnaires), and the control group reported it on 17 nights (14.9% of questionnaires, p = .016), The card was time-effective and inexpensive, resulted in more complete data recording, and possibly decreased the morbidity associated with poor sign-out.
引用
收藏
页码:753 / 755
页数:3
相关论文
共 4 条
[1]  
Jelley M. J., 1994, Journal of General Internal Medicine, V9, P77
[2]   POST-CALL TRANSFER OF RESIDENT RESPONSIBILITY - ITS EFFECT ON PATIENT-CARE [J].
LOFGREN, RP ;
GOTTLIEB, D ;
WILLIAMS, RA ;
RICH, EC .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1990, 5 (06) :501-505
[3]   DOES HOUSESTAFF DISCONTINUITY OF CARE INCREASE THE RISK FOR PREVENTABLE ADVERSE EVENTS [J].
PETERSEN, LA ;
BRENNAN, TA ;
ONEIL, AC ;
COOK, EF ;
LEE, TH .
ANNALS OF INTERNAL MEDICINE, 1994, 121 (11) :866-872
[4]  
Ramratnam B., 1994, Journal of General Internal Medicine, V9, P80