This single center prospective cohort found that a 7-point patient acuity rating completed at the time of sign out was a good predictor of clinical deterioration (eg cardiac arrest or ICU transfer) within 24 hours. The predictive capacity was better for attendings than housestaff. This simple rating scale can aid cross-cover prioritization and decision making, especially in light of the number of hand-offs in academic medical centers (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.