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.
Consequences of inadequate sign-out for patient care.
Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Arch Intern Med. 2008;168:1755-1760.
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Iglehart JK. N Engl J Med. 2008;359:2633-2635.
The efficacy of computer-enabled discharge communication interventions: a systematic review.
Motamedi SM, Posadas-Calleja J, Straus S, et al. BMJ Qual Saf. 2011;20:403-415.
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The care transitions intervention: translating from efficacy to effectiveness.
Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.