Understanding Physician Signout Risk Perception

Understanding Physician Signout Risk Perception

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.

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.

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