Comparison of patient data in parallel records: The sign-out sheet and the electronic medical record

Use of an Appreciative Inquiry Approach to Improve Resident Sign-Out in an Era of Multiple Shift Changes

“…Our group has previously shown that duplication errors were common for clinically important data, including differences in potassium, creatinine, and medications (e.g., a 28% error rate for antibiotics and a 60% error-rate for therapeutic-dose anticoagulation). 12 Similar dramatic error rates have been shown at other teaching hospitals as well. 13 Direct integration with the EMR significantly improves this type of error, which may allow more safe inclusion of laboratory test values and medications in the future.…”

Accuracy of Laboratory Data Communication on ICU Daily Rounds Using an Electronic Health Record*

“…Paper-based patient records are often disorganized, illegible, and location bound, making serial data assessment and integration time consuming and inefficient (18, 19). Paper records also facilitate data omission and transcription errors given clinicians must manually reproduce information in order to transport it beyond the patient’s chart (20). Electronic health records (EHRs) offer a data management solution by providing a central repository of categorized, legible data that can be accessed by multiple users simultaneously during ICU rounds (21).…”

Information, Data Entry, and Reporting Requirements for a Resident Handoff of Care Support Tool

“…At shift change, medical residents going off shift handover patient responsibility and authority to those coming on shift. Handoff of care tools have been shown to help reduce the number of patients missed on rounds and the number of adverse events [11] [13][17] [23] although they depend on the timely and accurate data entry [15]. Tools also offer the ability to print patient information into different types of reports used as a reference during handoff of care and when providing patient care [5] [21].…”