Abstract：
INTRODUCTION:Imperfect sign-out of patient information between providers has been shown to contribute to medical error, but there are no standardized curricula to teach sign-out skills. At our institution, we identified several deficiencies in skills and a lack of any existing training. AIM:To develop a sign-out curriculum for medical house staff. SETTING:Internal medicine residency program. PROGRAM DESCRIPTION:We developed a 1-h curriculum and implemented it in August of 2006 at three hospital sites. Teaching strategies included facilitated discussion, modeling, and observed individual practice with feedback. We emphasized interactive communication, a structured sign-out format summarized by an easy-to-remember mnemonic ("SIGNOUT"), consistent inclusion of key content items such as anticipatory guidance, and use of concrete language. PROGRAM EVALUATION:We received 34 evaluations. The mean score for the course was 4.44 +/- 0.61 on a 1-5 scale. Perceived usefulness of the structured oral communication format was 4.46 +/- 0.78. Participants rated their comfort with providing oral sign-out significantly higher after the session than before (3.27 +/- 1.0 before vs. 3.94 +/- 0.90 after; p < .001). DISCUSSION:We developed an oral sign-out curriculum that was brief, structured, and well received by participants. Further study is necessary to determine the long-term impact of the curriculum.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Horwitz LI,Moin T,Green MLdoi
10.1007/s11606-007-0331-0subject
Has Abstractpub_date
2007-10-01 00:00:00pages
1470-4issue
10eissn
0884-8734issn
1525-1497journal_volume
22pub_type
杂志文章abstract：:The purpose of the study was to develop a comprehensive program evaluation instrument. Following pilot work with residents, a 69-item instrument consisting of statements with 5-point strongly agree to strongly disagree response options was distributed to 107 residents; 104 responded. Psychometric analyses revealed no ...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1046/j.1525-1497.1997.07139.x
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journal_title：Journal of general internal medicine
pub_type： 杂志文章,多中心研究,随机对照试验
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abstract：BACKGROUND:Business literature has demonstrated the importance of networking and connections in career advancement. This is a little-studied area in academic medicine. OBJECTIVE:To examine predictors of intra-organizational connections, as measured by network reach (the number of first- and second-degree coauthors), a...
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doi：10.1007/s11606-015-3463-7
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abstract：BACKGROUND:African-American and low-income women have lower rates of cancer screening and higher rates of late-stage disease than do their counterparts. OBJECTIVE:To examine the effects of primary care, health insurance, and HMO participation on adherence to regular breast, cervical, and colorectal cancer screening. ...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1046/j.1525-1497.2002.10431.x
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abstract：BACKGROUND:Racial and ethnic disparities in opioid prescribing in the emergency department (ED) are well described, yet the influence of socioeconomic status (SES) remains unclear. OBJECTIVES:(1) To examine the effect of neighborhood SES on the prescribing of opioids for moderate to severe pain; and (2) to determine i...
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journal_title：Journal of general internal medicine
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journal_title：Journal of general internal medicine
pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:Extension for Community Healthcare Outcomes (ECHO) and related models of medical tele-education are rapidly expanding; however, their effectiveness remains unclear. This systematic review examines the effectiveness of ECHO and ECHO-like medical tele-education models of healthcare delivery in terms of improve...
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doi：10.1046/j.1525-1497.1997.00057.x
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doi：10.1007/BF02600254
更新日期：1995-04-01 00:00:00
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journal_title：Journal of general internal medicine
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更新日期：2009-11-01 00:00:00
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doi：10.1007/s11606-019-05004-8
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更新日期：2015-07-01 00:00:00
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更新日期：1996-03-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s11606-014-2877-y
更新日期：2014-09-01 00:00:00
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更新日期：2010-10-01 00:00:00
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pub_type： 杂志文章,多中心研究
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更新日期：2008-05-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1111/j.1525-1497.2006.00624.x
更新日期：2006-12-01 00:00:00
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pub_type： 临床试验,杂志文章,多中心研究
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1111/j.1525-1497.2004.30011.x
更新日期：2004-07-01 00:00:00
abstract：OBJECTIVE:To assess the content and extent of HIV risk assessment by primary care physicians across a diverse panel of patients with unidentified HIV risk behaviors. DESIGN:Standardized patient examination to assess primary care physicians' skills at identifying and managing HIV infection and overall clinical skills. ...
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pub_type： 杂志文章
doi：10.1046/j.1525-1497.1997.00015.x
更新日期：1997-02-01 00:00:00
abstract：BACKGROUND:The association between pharmaceutical industry promotion and physician opioid prescribing is poorly understood. Whether the influence of industry gifts on prescribing varies by specialty is unknown. OBJECTIVE:To examine the relationship between opioid-related gifts to physicians and opioid prescribing in t...
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更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:Our objective was to assess the performance of machine learning methods to predict post-operative delirium using a prospective clinical cohort. METHODS:We analyzed data from an observational cohort study of 560 older adults (≥ 70 years) without dementia undergoing major elective non-cardiac surgery. Post-op...
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更新日期：2020-10-19 00:00:00
abstract：BACKGROUND:Treatment decisions about menopause are predicated on a transient duration of vasomotor symptoms. However, evidence supporting a specific duration is weak. OBJECTIVE:To estimate the natural progression of vasomotor symptoms during the menopause transition by systematically compiling available evidence using...
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pub_type： 杂志文章,meta分析
doi：10.1007/s11606-008-0655-4
更新日期：2008-09-01 00:00:00
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doi：10.1111/j.1525-1497.2000.07004.x
更新日期：2000-04-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2010-01-01 00:00:00
abstract：:This paper presents a case for careful consideration of theory in planning to implement evidence-based practices into clinical care. As described, theory should be tightly linked to strategic planning through careful choice or creation of an implementation framework. Strategies should be linked to specific interventio...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1111/j.1525-1497.2006.00362.x
更新日期：2006-02-01 00:00:00
