Table 2:
Resident ordering practices stratified by sign-out instructions.
| Variable | All fever episodes (n = 253) | Sign-out w/”FFWU: Yes” (n = 91) | Sign-out w/”FFWU: No” (n = 102) | OR (95% CI) | p-Value |
|---|---|---|---|---|---|
| Note written by cross-cover resident | 9 (4) | 5 (5) | 3 (3) | 1.92 (0.45–8.23) | 0.38 |
| Indication that cross-cover resident saw patient | 29 (11) | 10 (11) | 8 (7.8) | 1.45 (0.53–4.0) | 0.48 |
| Bacterial blood cultures ordered | 121 (48) | 73 (80.2) | 22 (21.6) | 14.75 (7.52–28.9) | <0.001 |
| UA with reflex to culture ordered | 86 (34) | 54 (59.3) | 11 (10.8) | 12.07 (5.56–23.22) | <0.001 |
| Chest X-ray ordered | 76 (30) | 50 (54.9) | 7 (6.9) | 16.55 (7.03–39.94) | <0.001 |
| Sputum culture ordered | 3 (1) | 2 (2.2) | 1 (1.0) | 2.27 (0.20–25.15) | 0.5 |
| Lactate ordered | 53 (21) | 28 (30.8) | 12 (11.8) | 3.33 (1.47–7.55) | 0.003 |
| CBC ordered | 27 (11) | 15 (16.5) | 6 (5.9) | 3.16 (1.17–8.51) | 0.02 |
| No orders placed | 112 (44) | 17 (18.7) | 68 (66.7) | 0.11 (0.06–0.23) | <0.001 |
| Total tests ordered, mean (SD) | 1.8 (2.2) | 2.9 (2.1) | 0.9 (1.8) | N/A | <0.001a |
| Antibiotics started or changed | 35 (14) | 17 (18.7) | 9 (8.8) | 2.37 (1.03–5.48) | 0.05 |
Data are presented as no. (%) unless otherwise indicated. CBC, complete blood count; CI, confidence interval; FFWU, full fever work-up; N/A, not-applicable; OR, odds ratio; SD, standard deviation; UA, urinalysis.
a
A linear mixed effects model was used to compare means for this continuous measure.