Details

Autor(en) / Beteiligte

• Starmer, Amy J
• Spector, Nancy D
• Srivastava, Rajendu
• West, Daniel C
• Rosenbluth, Glenn
• Allen, April D
• Noble, Elizabeth L
• Tse, Lisa L
• Dalal, Anuj K
• Keohane, Carol A
• Lipsitz, Stuart R
• Rothschild, Jeffrey M
• Wien, Matthew F
• Yoon, Catherine S
• Zigmont, Katherine R
• Wilson, Karen M
• O’Toole, Jennifer K
• Solan, Lauren G
• Aylor, Megan
• Bismilla, Zia
• Coffey, Maitreya
• Mahant, Sanjay
• Blankenburg, Rebecca L
• Destino, Lauren A
• Everhart, Jennifer L
• Patel, Shilpa J
• Bale, James F
• Spackman, Jaime B
• Stevenson, Adam T
• Calaman, Sharon
• Cole, F. Sessions
• Balmer, Dorene F
• Hepps, Jennifer H
• Lopreiato, Joseph O
• Yu, Clifton E
• Sectish, Theodore C
• Landrigan, Christopher P

Titel

Changes in Medical Errors after Implementation of a Handoff Program

Ist Teil von

• The New England journal of medicine, 2014-11, Vol.371 (19), p.1803-1812

Ort / Verlag

Waltham, MA: Massachusetts Medical Society

Erscheinungsjahr

2014

Quelle

MEDLINE

Beschreibungen/Notizen

• 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, 1 – 3 overall rates of errors remain extremely high. 4 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. 5 The omission of critical information and the transfer of erroneous information during handoffs are common. 6 As resident work hours have been . . .