Understanding Physician Signout Risk Perception (UPS)

University of Pittsburgh

Status: Completed

Conditions: Physician Judgment

Treatments: Other: Clinical deterioration

Study type: Observational

Funder types: Other

Identifiers

NCT02648828

PRO15040582

Details and patient eligibility

About

The purpose of the study is to compare the ability of physicians and a statistical index (the Rothman score) to predict clinical deterioration over the next 24 hours. Clinical deterioration is defined as concern in change in vital signs or patient status requiring a call to the rapid response team, cardiopulmonary arrest, or transfer to the ICU.

Full description

The proposed study will ask interns, residents, and attending physicians from general internal medicine teaching teams in a large teaching hospital to make predictions about the probability of their patient having a clinical deterioration in the next 24 hours. The investigators will compare these judgments to the Rothman index.

Enrollment: 132 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Interns, residents, attendings in the Department of Medicine, Division of General Internal Medicine, University of Pittsburgh.
• Rotating on the general medical service at the University of Pittsburgh Medical Center - Presbyterian Hospital.

Exclusion criteria

• None

Trial design

132 participants in 3 patient groups

Intern

Description:

Interns are in their first year of residency.

Treatment:

Other: Clinical deterioration

Residents

Description:

Residents are in their 2nd or 3rd year of residency.

Treatment:

Other: Clinical deterioration

Attendings

Description:

Attendings are physicians who have completed their residency.

Treatment:

Other: Clinical deterioration