Nursing |
Kelly, 200542
|
Pre-post |
Change to walk-round handover (at bedside) from baseline (control) |
12-bed rehab unit with 18 nurses and 10 patients |
Staff, patient |
11/18 nurses felt more or much more informed & involved, 8/10 patients felt more involved |
Pothier, 200543
|
Controlled simulation |
Compared pure verbal to verbal with “note-taking” to verbal plus typed content |
Handover of 12 simulated patients over 5 cycles |
System (data loss) |
Minimal data loss with typed content, compared to 31% data retained with note-taking and no data retained with verbal only |
Wallum, 199544
|
Pre-post |
Change from oral handover (baseline) to written template read with exchange |
20 nurses in a geriatric dementia ward |
Staff |
83% of nurses felt care plans followed better, 88% knew care plans better |
Technology or Structured Template |
Cheah, 200545
|
Pre-post |
Electronic template with free-text entry compared to baseline |
14 UK Surgery residents |
Staff |
100% (14) of residents rated electronic system as desirable, but 7 (50%) reported that information not updated |
Lee, 199646
|
Pre-post |
Standardized sign-out card for interns to transmit information during handoffs compared to handwritten (baseline) |
Inpatient cardiology service at IM residency program in Minnesota with 19 new interns over a 3 month period |
Staff |
Intervention interns (n=10) reported poor sign-out less often than controls (n=9) [intervention 8 nights (5.8%) vs. control 17 nights (14.9%); p = 0.016] |
Kannry, 199947
|
Pre-post |
Compared web-based sign-out program to usual system (baseline) |
An academic teaching hospital in New York (34 patients admitted in 1997; 40 patients admitted in 1998) |
System |
Improved provider identification (86% web sign-out vs. 57% hospital census) |
|
Petersen, 199848
|
Pre-post |
4 months of computerized signouts compared to baseline period (control) |
3,747 patients admitted to the medical service at an academic teaching hospital |
Patient |
Preventable adverse events (ADE) decreased (1.7% to 1.2%, p< 0.10); risk of cross-cover physician for ADE eliminated |
Ram, 199349
|
Pre-post |
Compared handwritten (baseline) to computer-generated |
Family medicine residents at 2 academic teaching hospitals [Buffalo (n=16) and Pittsburgh (n=16)] |
Staff |
Higher satisfaction after electronic sign-out, but complaints with burden of data entry and need to keep information updated |
|
Van Eaton, 200450
|
Pre-post |
Use of UW Cores-links sign-out to list for rounds & IS data |
28 surgical and medical residents at 2 teaching hospitals |
System |
At 6 months, 66% of patients entered in system (adoption) |
Van Eaton, 200551
|
Prospective, randomized, crossover study. |
Compared UW Cores* integrated system compared to usual system |
Fourteen inpatient resident teams (6 surgery, 8 IM) at 2 teaching hospitals for 5-months |
Staff, system |
50% reduction in the perceived time spent copying data from [24% to 12% (p < 0.0001)] and number of patients missed on rounds (2.5 vs. 5 patients/team/month, p = 0.0001); improved sign-out quality (69.6% agree or strongly agree); and improved continuity of care (66.1% agree or strongly agree) |