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OpenTrials
Completed

NCT Number: NCT02648828

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.

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Key information

Conditions

Physician Judgment Cardiovascular Diseases Clinical Deterioration Disease Attributes Disease Progression Heart Arrest Heart Diseases Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University of Pittsburgh

Pittsburgh, Pennsylvania, 15213, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Clinical deterioration

Other

Patients at risk of clinical deterioration

Primary outcomes

  1. Difference between physician prediction of risk of clinical deterioration and Rothman Index

    Time frame: Six months

    Physicians will make judgments about the probability of clinical deterioration for each of their patients on a 0 (definitely won't) to 100 (certainly will) scale. Clinical deterioration is defined as rapid response, cardiopulmonary arrest, or ICU transfer in the next 24 hours. The Rothman Index is an index that predicts clinical deterioration. The area under the receiver operating curve (AUROC) will be calculated for physicians and the Rothman Index. The AUROC measures the association between the physician's judgment or Rothman Index and actual clinical deterioration. The AUROC of these two measures will then be statistically compared.

Sponsors and collaborators

Lead sponsor

University of Pittsburgh

Other

Collaborators

  • Carnegie Mellon University

Registry information

Acronym: UPS

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
Jan 7, 2016
Registry last updated
Aug 28, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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