Journal article
Changes in Medical Errors after Implementation of a Handoff Program
The New England journal of medicine, v 371(19), pp 1803-1812
06 Nov 2014
PMID: 25372088
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The authors developed an intervention to improve the quality of the handoff of hospitalized patients; it was associated with reductions in medical errors and in preventable adverse events. Handoff duration, time with patients, and time spent on computers did not change.
Preventable adverse events — injuries due to medical errors — are a major cause of death among Americans. Although some progress has been made in reducing certain types of adverse events,
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–
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overall rates of errors remain extremely high.
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Failures of communication, including miscommunication during handoffs of patient care from one resident to another, are a leading cause of errors; such miscommunications contribute to two of every three “sentinel events,” the most serious events reported to the Joint Commission.
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The omission of critical information and the transfer of erroneous information during handoffs are common.
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As resident work hours have been . . .
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Details
- Title
- Changes in Medical Errors after Implementation of a Handoff Program
- Creators
- Amy J Starmer - Harvard UniversityNancy D Spector - Drexel UniversityRajendu Srivastava - Primary Children’s Medical CenterDaniel C West - University of California, San FranciscoGlenn Rosenbluth - University of California, San FranciscoApril D Allen - Boston Children's HospitalElizabeth L Noble - Boston Children's HospitalLisa L Tse - Boston Children's HospitalAnuj K Dalal - Harvard University ,Carol A Keohane - Harvard UniversityStuart R Lipsitz - Harvard University ,Jeffrey M Rothschild - Harvard University ,Matthew F Wien - Harvard University ,Catherine S Yoon - Harvard University ,Katherine R Zigmont - Harvard University ,Karen M Wilson - University of DenverJennifer K O’TooleLauren G Solan - University of CincinnatiMegan Aylor - Oregon Health & Science UniversityZia Bismilla - University of TorontoMaitreya Coffey - University of TorontoSanjay Mahant - University of TorontoRebecca L Blankenburg - Stanford UniversityLauren A Destino - Stanford UniversityJennifer L Everhart - Stanford UniversityShilpa J Patel - Stanford UniversityJames F Bale - University of UtahJaime B Spackman - University of UtahAdam T Stevenson - University of UtahSharon Calaman - Drexel UniversityF. Sessions Cole - Washington University in St. LouisDorene F Balmer - Baylor College of MedicineJennifer H Hepps - Uniformed Services University of the Health SciencesJoseph O Lopreiato - Uniformed Services University of the Health SciencesClifton E Yu - Uniformed Services University of the Health SciencesTheodore C Sectish - Harvard UniversityChristopher P Landrigan - Harvard University ,I-PASS Study Grp
- Publication Details
- The New England journal of medicine, v 371(19), pp 1803-1812
- Publisher
- Massachusetts Medical Society
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000344170300009
- Scopus ID
- 2-s2.0-84908577354
- Other Identifier
- 991019173588004721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Medicine, General & Internal