Type of Document	Master's Thesis
Author	Campion, 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	electronic medical record handoff sign-out care provider order entry Medical errors -- Prevention Medical records -- Data processing 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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