Document Detail


Commentary: time to sign off on signout.
MedLine Citation:
PMID:  21715993     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The physician signout note is a widely used clinical document that supports patient safety and care continuity during patient handoff in the hospital. Despite its centrality to patient care, the signout note is not considered an official document, and it is, therefore, not generally standardized or taught to medical trainees, nor is it usually integrated into electronic health records (EHRs). This commentary outlines several of the potential advantages to establishing the physician signout note as an official part of the medical record, such as the facilitation of information flow between signout notes and other parts of the patient chart and the possibility of integrating decision support tools into this important aspect of the clinical workflow. The authors address frequently encountered concerns regarding the establishment of the signout note as an official part of the medical record. They conclude by making recommendations for integrating signout notes into EHRs and using modern, social Web technologies in such an implementation.
Authors:
Daniel M Stein; Peter D Stetson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  86     ISSN:  1938-808X     ISO Abbreviation:  Acad Med     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-06-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  804-6     Citation Subset:  AIM; IM    
Affiliation:
Dr. Stein is assistant professor of clinical biomedical informatics, Department of Biomedical Informatics, Columbia University College of Physicians and Surgeons, New York, New York. Dr. Stetson is chief medical informatics officer, ColumbiaDoctors, assistant professor of clinical medicine, Department of Medicine, and assistant professor of clinical biomedical informatics, Department of Biomedical Informatics, Columbia University College of Physicians and Surgeons, New York, New York.
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