Predictors of Nondiagnostic Ultrasound for Appendicitis.

Background: Ionizing radiation and cost make ultrasound (US), when available, the first imaging study for the diagnosis of suspected pediatric appendicitis. US is less sensitive and specific than computed tomography (CT) or magnetic resonance imaging (MRI) scans, which are often performed after nondiagnostic US.

Objectives: We sought to determine predictors of nondiagnostic US in order to guide efficient ordering of imaging studies.

Improved physician work flow after integrating sign-out notes into the electronic medical record.

Background: In recent years, electronic sign-out notes have been identified as a means of enhancing the effective transfer of patient care between providers. Such a tool was developed and implemented within the electronic medical record (EMR) system, and its impact on physician work flow was assessed.

Methods: A printable sign-out report was implemented within the EMR system at a tertiary academic children's hospital.