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Title page for ETD etd-09042007-115611


Type of Document Master's Thesis
Author Campion, Jr., Thomas Richmond
Author's Email Address thomas.campion@vanderbilt.edu
URN etd-09042007-115611
Title Improving Provider-to-Provider Communication: Evaluation of a Computerized Inpatient Sign-out Tool
Degree Master of Science
Department Biomedical Informatics
Advisory Committee
Advisor Name Title
Lemuel R. Waitman Committee Chair
Nancy M. Lorenzi Committee Member
Stuart T. Weinberg Committee Member
Keywords
  • Medical records -- Data processing
  • Medical errors -- Prevention
  • care provider order entry
  • sign-out
  • handoff
  • electronic medical record
  • Communication in medicine
Date of Defense 2007-08-02
Availability unrestricted
Abstract
Physicians’ use of a computerized inpatient sign-out tool has been shown to reduce the risk of preventable adverse events. The researcher evaluated sign-out software usage at Vanderbilt University Medical Center in order to understand user behavior and identify software enhancements. To accomplish these goals, the researcher created software to record sign-out data, determined descriptive statistics of software utilization, collected feedback from users regarding new software enhancements, and analyzed the content produced by sign-out tool users. Results included the identification of unanticipated software usage by non-providers, different use patterns across hospital units/services, and a variety of discipline-specific sign-out note styles. These results combined with a comparison to the literature’s recommendations guided the design specification for new sign-out software. Further study is required to determine relevant outcome measures related to both the sign-out process and the impact of sign-out software.
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