The Problem

Today's residents are responsible for larger services and sicker patients.

Yet patient hand-off from physician to physician is occurring with increasing frequency - with each transfer of information adding to the chance of miscommunication and error.

Mandated resident work hour restrictions and changing practice patterns have made shift work more common and solidified the trend towards more hand offs in the future

The majority of hospital-based healthcare teams organize daily patient care plans and sign-out on handwritten paper notes or informal spreadsheets. Such strategies lack information consistency, persistence and, potentially, privacy.

We developed The List to address these problems.

Our Solution

The List is a web application carefully designed for resident and provider teams to streamline patient task management and sign out.

It provides:

  • access to patient information from any computer or web-enabled smart phone
  • structured signouts, easily customizable to the needs of each team
  • regulated access to the patient list and team preferences
  • data security and HIPAA compliance

The use of computerized sign-out has already been shown to save time and reduce errors in randomized studies.

By leveraging the power of secure internet technologies and modern smart phones, these benefits are now available to residents at any teaching hospital.

References
  1. Borowitz et al. Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey. Quality & safety in health care (2008) vol. 17 (1) pp. 6-10
  2. Arora. Resident Duty Hours: Time for a Wake Up Call. futuredocsblog.com (2010) pp. 1-8
  3. Van Eaton et al. A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. Journal of the American College of Surgeons (2005) vol. 200 (4) pp. 538-45
  4. Petersen et al. Using a computerized sign-out program to improve continuity of inpatient care and prevent adverse events. The Joint Commission journal on quality improvement (1998) vol. 24 (2) pp. 77-87
  5. Foster et al. Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education. Journal of general internal medicine (2008) vol. 23 (4) pp. 481-4