AHRQ Patient Safety Network: Improving resident morning sign-out by use of daily events reports.

AHRQ Patient Safety Network



Improving resident morning sign-out by use of daily events reports.

Nabors C, Patel D, Khera S, et al. J Patient Saf. 2015;11:36-41.

Handoffs in the inpatient setting represent an ongoing challenge for patient safety. This intervention involving event reports for key overnight incidents automatically emailed to the daytime team reduced handoff duration, and team members suggested that this improved the quality of handoffs. This workflow-informed and technology-enabled approach reflects the growing influence of systems thinking in health care safety.

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